頭頚部外傷によるめまい・平衡失調の予後;心因性めまい検出を意図した平衡試験と上肢小脳症状検査成績を指標とする観察

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Significance of psychological factors of psychosomatic origin and dysfunction of the cerebellum were discussed, with regard to prognosis of vertigo and/or ataxia due to head and neck injury. For detection we used "Equilibrium tests for neurotic vertigo, Hinoki et al. (1976)" and tests for cerebellar ataxia of the upper limbs, respectively.The results obtained were as follows;(1) Psychological factors of psychosomatic origin and dysfunction of the cerebellum were found to be important in the reinforcement of ataxia due to head and neck injuries, which ensued with prolongation of the vertigo. Furthermore, we found that the mode of action of these two factors was not addititive, but multiplicative with regard to prolongation of the vertigo mentioned above.(2) Administration of Cloxazolam, a minor tranquilizer, combined with procainization of tender areas of the lumbar region was most useful in relieving vertigo of this kind.
耳鼻咽喉科臨床学会の論文