A CASE OF CONTINUOUS PAINFUL MUSCULAR RIGIDITY IN THE EXTREMITIES AND TRUNK:THE STIFF-MAN SYNDROME OR ISAACS SYNDROME ?
スポンサーリンク
概要
- 論文の詳細を見る
A 33-year-old man who suffered from continuous painful muscular rigidity in the extremities and trunk was reported. Other clinical symptoms were finger tremor, involuntary movement in the extremities, gait disturbance and insomnia.<BR>He had abused methamphetamin and suffered from the transient hallucination and paranoid state.<BR>First he remarked paresthesia and muscular pain in his neck, shoulder and left upper arm. Afterward he suffered from continuous painful muscular rigidity in the extremities and trunk and was admitted to the hospital.<BR>There was no abnormal laboratory findings in particular.<BR>Chlorpromazine, levomepromazine, diazepam, active vitamin B<SUB>1</SUB>, B<SUB>12</SUB> and trihexyphenidyl had no effect on his sickness. When we gave him carbamazepine 600mg per day, it was very effective. His complains disappeared within two weeks.<BR>Regarding about the diagnosis, the stiff-man syndrome and Isaacs syndrome were discussed.
- 北関東医学会の論文
北関東医学会 | 論文
- 12. PCTが行う緩和ケア外来―利根中央病院の経験―（第18回群馬緩和医療研究会）
- P-4.患者が「死にたい」とロにしたとき : 当院緩和ケアチームにおける精神科医の役割から見えたもの(パネルディスカッション,第15回群馬緩和医療研究会)
- 23.一般病棟でおこなう緩和ケア(心理的なケア)とは何か : いち臨床心理士から見えたもの(一般演題,第15回群馬緩和医療研究会)
- 19.医療者がケアの視点をもつことの意味(一般演題,第15回群馬緩和医療研究会)
- 11.終末期患者の食事摂取をめぐる倫理的葛藤(一般演題,第15回群馬緩和医療研究会)