咽喉頭異常感発症に関する神経耳科学的考察--大後頭神経遮断注射とアドレナリン負荷平衡試験の成績の相関を指標とする観察 (天理よろづ相談所病院耳鼻咽喉科開設15周年記念論文集)

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Patients who suffered from tenderness of the neck and neurotic complaints of the pharyngo-laryngeal regions were treated by procaine infiltration on the tender spots of the neck. The results thus obtained were then compared with those from the “Equilibrium tests with Adrenaline loading” (Hinoki, 1971).The results obtained were as follows:(1) The neurotic complaints of pharyngo-laryngeal regions were beneficially treated by the above-mentioned procainization in about 72% of the cases.(2) Effects of the procainization were more marked in patients with a positive sign of the “Equilibrium tests with Adrenaline loading” than in those with a negative sign. The ratio of improvement of the above-mentioned complaints was 88.9% and 58.3%, respectively.From these results, it has been concluded that over-excitement of the proprioceptors and hyperexcitability of the adrenergic components in the central nervous system can induce and/or reinforce neurotic complaints of the pharyngo-laryngeal regions, with a trigger-and-target relationship.
耳鼻咽喉科臨床学会の論文