{"id":7121,"date":"2019-12-02T09:00:59","date_gmt":"2019-12-02T00:00:59","guid":{"rendered":"https:\/\/wp.meccari.jp\/?p=7121"},"modified":"2023-12-25T11:43:13","modified_gmt":"2023-12-25T02:43:13","slug":"menu_09","status":"publish","type":"post","link":"https:\/\/wp.meccari.jp\/eigocafe\/menu_09\/","title":{"rendered":"Menu 9\u3000 \u632f\u6226\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe"},"content":{"rendered":"\"\"\r\n\r\n

\u3053\u3093\u306b\u3061\u306f\u3002\u300c\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7<\/strong><\/span>\u300d\u306b\u3088\u3046\u3053\u305d\uff01<\/span><\/p>\r\n\r\n

\u3053\u3053\u306f\u300c\u30b3\u30fc\u30d2\u30fc1\u676f\u5206\u300d\u306e\u6642\u9593\u3067\u3001\u533b\u5b66\u82f1\u8a9e\u306b\u307e\u3064\u308f\u308b\u8a71\u3092\u6c17\u8efd\u306b\u697d\u3057\u3093\u3067\u3044\u305f\u3060\u304f\u30b3\u30fc\u30ca\u30fc\u3067\u3059\u3002<\/span><\/p>\r\n\r\n

\u672c\u65e5\u306e\u30c6\u30fc\u30de\u306f\u300c\u632f\u6226\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe<\/strong><\/span>\u300d\u3002<\/span><\/p>\r\n\r\n

\r\n\u82f1\u8a9e\u570f\u3067\u306f\u533b\u5b66\u751f\u3084\u7814\u4fee\u533b\u306e\u9593\u3067\u3000\u201cneurophobia<\/strong>\u201d \u300c\u795e\u7d4c\uff08\u5b66\uff09\u5acc\u3044\u300d\u3068\u3044\u3046\u4fd7\u8a9e\u304c\u4f7f\u308f\u308c\u3066\u3044\u307e\u3059\u3002\u3053\u3093\u306a\u4fd7\u8a9e\u304c\u751f\u307e\u308c\u308b\u304f\u3089\u3044\u306b\u300c\u8133\u795e\u7d4c\u5185\u79d1<\/strong>\u300d neurology<\/strong> \u3092\u82e6\u624b\u3068\u3059\u308b\u533b\u5b66\u751f\u3084\u7814\u4fee\u533b\u304c\u591a\u3044\u7406\u7531\u3068\u3057\u3066\u306f\u3001\u795e\u7d4c\u306e\u89e3\u5256 anatomy \u3084\u751f\u7406 physiology\u304c\u8907\u96d1\u306a\u3053\u3068\u306b\u52a0\u3048\u3001\u305d\u306e\u7528\u8a9e\u306e\u96e3\u89e3\u3055\u3082\u8003\u3048\u3089\u308c\u307e\u3059\u3002<\/span>
\r\n\u305d\u3093\u306a neurophobia \u3092\u7de9\u548c\u3059\u308b\u3079\u304f\u3001\u4eca\u56de\u306f\u300c\u632f\u6226<\/strong>\u300d tremor<\/strong> \u306e\u8a3a\u5bdf\u3092\u30c6\u30fc\u30de\u306b\u3001\u3053\u306e neurology \u3067\u4f7f\u308f\u308c\u308b\u69d8\u3005\u306a\u82f1\u8a9e\u8868\u73fe\u3092\u3054\u7d39\u4ecb\u81f4\u3057\u307e\u3059\u3002<\/span>\r\n<\/p>\r\n\r\n

\r\n\u305d\u308c\u3063\u3066\u672c\u5f53\u306b\u300c\u632f\u6226\u300d\uff1f\u78ba\u8a8d\u3057\u3066\u304a\u304d\u305f\u3044\u4e0d\u968f\u610f\u904b\u52d5\u306e\u82f1\u8a9e<\/span><\/strong><\/span>
\r\n\u65e5\u672c\u4eba\u306e\u60a3\u8005\u3055\u3093\u304c\u8eab\u4f53\u306e\u4e00\u90e8\u304c\u300c\u9707\u3048\u308b\u300d\u3053\u3068\u3092\u300c\u632f\u6226\u300d\u3068\u306f\u8868\u73fe\u3057\u306a\u3044\u3088\u3046\u306b\u3001\u82f1\u8a9e\u570f\u306e\u60a3\u8005\u3055\u3093\u3082\u300c\u632f\u6226<\/strong><\/span>\u300d\u3092\u610f\u5473\u3059\u308b\u00a0tremor<\/span><\/strong><\/span> \u3092\u4f7f\u308f\u305a\u306b\u3001 \u201cI have a shaking<\/strong><\/span> in my right hand.\u201d \u306e\u3088\u3046\u306b shaking <\/strong><\/span>\u3068\u3044\u3046\u4e00\u822c\u82f1\u8a9e\u3092\u4f7f\u3044\u307e\u3059\u3002\u3053\u306e\u632f\u6226\u306b\u5bfe\u3059\u308b history taking \u3067\u306f\u3001\u60a3\u8005\u304c\u8a00\u3046 shaking<\/span> \u304c\u672c\u5f53\u306b tremor \u3067\u3042\u308b\u306e\u304b\u3092\u78ba\u8a8d\u3059\u308b\u3068\u3053\u308d\u304b\u3089\u59cb\u3081\u307e\u3059\u3002\u5177\u4f53\u7684\u306b\u306f\u3053\u3061\u3089<\/strong><\/span><\/a>\u3067\u7d39\u4ecb\u3057\u3066\u3044\u308b history of present illness \u300c\u73fe\u75c5\u6b74\u300d\u3092\u5c0b\u306d\u308b\u82f1\u8a9e\u8868\u73fe\u3092\u4f7f\u3063\u3066 shaking \u306e\u8a73\u7d30\u3092\u5c0b\u306d\u3066\u3044\u304d\u307e\u3059\u3002<\/span>\r\n<\/p>\r\n\r\n

\u300c\u632f\u6226<\/strong>\u300dtremor<\/strong> \u306e\u5b9a\u7fa9\u306f \u201cto-and-fro<\/span> rhythmic<\/span> muscle movements<\/strong>\u201d \u3067\u3059\u3002\u3053\u306e\u30dd\u30a4\u30f3\u30c8\u306fto-and-fro\u300c\u884c\u3063\u305f\u308a\u6765\u305f\u308a\u300d\u3068\u3044\u3046\u3088\u3046\u306b\u632f\u5e45\u3092\u6301\u3063\u305f\u52d5\u304d\u3067\u3042\u308a\u3001\u304b\u3064\u3000rhythmic \u300c\u898f\u5247\u7684\u300d\u3067\u3042\u308b\u3053\u3068\u3067\u3059\u3002\u60a3\u8005\u3055\u3093\u81ea\u8eab\u304c shaking \u3068\u8868\u73fe\u3059\u308b\u4e00\u65b9\u3001\u7b2c\u4e09\u8005\u304b\u3089\u306f fidgeting<\/strong> \u300c\u305d\u308f\u305d\u308f\u3057\u3066\u3044\u308b\u300d\u3068\u3044\u3046\u5f62\u5bb9\u8a5e\u3067\u8868\u73fe\u3055\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

\u3053\u306e tremor \u4ee5\u5916\u306b\u3082\u300c\u4e0d\u968f\u610f\u904b\u52d5\u300d involuntary movements \u306b\u306f\u69d8\u3005\u306a\u3082\u306e\u304c\u3042\u308a\u307e\u3059\u3002\u305d\u306e\u4e2d\u3067\u3082\u300c\u6700\u3082\u52d5\u304d\u304c\u901f\u3044\u300d most explosive \u3068\u8a00\u3048\u308b\u306e\u304cmyoclonus<\/strong><\/span> \u3067\u3059\u3002\u3053\u308c\u306f \u201carrhythmic shock-like jerks<\/strong>\u201d \u306e\u5b9a\u7fa9\u304c\u793a\u3059\u3088\u3046\u306b\u3001 arrhythmic \u300c\u4e0d\u898f\u5247\u7684\u300d\u3067\u3042\u308b\u3053\u3068\u304c tremor \u3068\u306e\u9055\u3044\u306e\u4e00\u3064\u3067\u3059\u3002\u4e0d\u968f\u610f\u306b\u7a81\u7136\u8d77\u3053\u308b explosive \u306a\u52d5\u304d\u306e\u3053\u3068\u3092\u4e00\u822c\u82f1\u8a9e\u3067 jerk \u3068\u8a00\u3044\u3001 deep tendon reflexes \u300c\u6df1\u90e8\u8171\u53cd\u5c04\u300d\u3067\u306e\u53cd\u5c04\u904b\u52d5\u3092\u8868\u3059\u969b\u306b\u3082\u4f7f\u308f\u308c\u307e\u3059\u3002\u3061\u306a\u307f\u306b\u4e00\u822c\u306e\u65b9\u306b\u3082\u99b4\u67d3\u307f\u304c\u3042\u308b\u300c\u3057\u3083\u3063\u304f\u308a<\/strong>\u30fb\u5403\u9006<\/strong>\u300d hiccup<\/strong> \u3082\u3053\u306emyoclonus \u306e\u4e00\u7a2e\u3067\u3059\u3002<\/span><\/p>\r\n\r\n

\u809d\u786c\u5909 liver cirrhosis \u306e\u809d\u6027\u8133\u75c7 hepatic encephalopathy \u3067\u8a8d\u3081\u3089\u308c\u308b asterixis<\/strong><\/span> \u306f flapping tremor<\/span><\/strong> \u300c\u7fbd\u3070\u305f\u304d\u632f\u6226<\/span><\/strong>\u300d\u3068\u547c\u3070\u308c\u307e\u3059\u304c\u3001\u5b9f\u969b\u306e asterixis \u306f \u201csudden, transient, repetitive loss of muscle tone<\/strong><\/span> when holding a posture\u201d \u306e\u5b9a\u7fa9\u304c\u793a\u3059\u3088\u3046\u306b\u3001\u300c\u624b\u3092\u6c34\u5e73\u306b\u4fdd\u6301\u3057\u305f\u969b\u306b\u7b4b\u7dca\u5f35\u304c\u4f4e\u4e0b<\/strong><\/span>\u3057\u3066\u7e70\u308a\u8fd4\u3057\u6307\u5148\u304c\u843d\u3061\u308b\u52d5\u304d\u300d\u3068\u306a\u308a\u307e\u3059\u3002\u3067\u3059\u304b\u3089\u82f1\u8a9e\u3067\u306f asterixis \u306e\u3053\u3068\u3092 negative myoclonus<\/strong> \u3068\u3082\u8868\u73fe\u3059\u308b\u306e\u3067\u3059\u3002\u3044\u305a\u308c\u306b\u3057\u3066\u3082 asterixis \u306e flapping tremor \u3068\u3044\u3046\u540d\u79f0\u306f\u300c\u901a\u79f0\u300d\u3067\u3042\u308a\u3001asterixis \u81ea\u4f53\u306f \u300c\u5b9a\u7fa9\u4e0a tremor \u3067\u306f\u306a\u3044\u300d\u3068\u3044\u3046\u3053\u3068\u3092\u78ba\u8a8d\u3057\u3066\u304a\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n\r\n

\u65e5\u672c\u8a9e\u306b\u3082\u306a\u3063\u3066\u3044\u308b tic<\/strong><\/span> \u3067\u3059\u304c\u3001myoclonus \u3068\u306f\u300c\u4e00\u6642\u7684\u306b\u6291\u5236\u304c\u52b9\u304f\u300d temporarily suppressible\u3068\u3044\u3046\u70b9\u3067\u7570\u306a\u308a\u307e\u3059\u3002\u82e5\u3044\u4eba\u306b motor tics & vocalizations\u3092\u5f15\u304d\u8d77\u3053\u3059 Tourette Syndrome<\/strong> \u300c\u30c8\u30a5\u30ec\u30c3\u30c8\u75c7\u5019\u7fa4<\/strong>\u30fb\u6c5a\u8a00\u75c7\u300d\u306f\u65e5\u672c\u3067\u306f\u4e00\u822c\u306e\u65b9\u306b\u306f\u307b\u3068\u3093\u3069\u77e5\u3089\u308c\u3066\u3044\u307e\u305b\u3093\u304c\u3001\u82f1\u8a9e\u570f\u3067\u306f\u4e00\u822c\u306e\u65b9\u306b\u3082\u304b\u306a\u308a\u77e5\u3089\u308c\u3066\u3044\u308b\u75be\u60a3\u540d\u3067\u3059\u3002<\/span><\/p>\r\n\r\n

\u201cflinging<\/strong> movements of the proximal limb muscles\u201d \u3067\u3042\u308bballismus<\/strong><\/span> \u306f myoclonus \u306b\u6b21\u3044\u3067\u52d5\u304d\u306e\u901f\u3044\u4e0d\u968f\u610f\u904b\u52d5\u3068\u8a00\u3048\u307e\u3059\u3002fling \u3068\u306f\u300c\uff08\u52e2\u3044\u3092\u6301\u3063\u3066\uff09\u6295\u3052\u308b\u300d\u3068\u3044\u3046\u610f\u5473\u306e\u52d5\u8a5e\u3067\u3001\u7247\u5074\u306e\u4e0a\u4e0b\u80a2\u306b\u73fe\u308c\u308b ballismus \u306fhemiballismus<\/strong> \u3068\u547c\u3070\u308c\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

\u65e5\u672c\u306e\u533b\u5b66\u90e8\u3067\u306f\u30c0\u30f3\u30b9\u3092\u3059\u308b\u5b66\u751f\u3055\u3093\u304c\u5897\u3048\u3066\u3044\u3066\u3001\u305d\u306e\u632f\u308a\u4ed8\u3051\u3092\u3059\u308b\u4eba\u3092 choreo<\/strong><\/span>grapher \u3068\u547c\u3076\u3053\u3068\u3082\u5b9a\u7740\u3057\u3066\u304d\u3066\u3044\u307e\u3059\u306d\u3002\u3053\u3053\u3067\u3082\u4f7f\u308f\u308c\u3066\u3044\u308b chorea<\/strong><\/span> \u306f\u300c\u8e0a\u308a\u300d\u3092\u610f\u5473\u3057\u3066\u3001\u767a\u97f3\u306f\u96a3\u56fd Korea \u3068\u540c\u3058\u3067\u3059\u3002\u4e0d\u968f\u610f\u904b\u52d5\u306e\u4e00\u7a2e\u3067\u3042\u308b\u300c\u821e\u8e0f\u75c7\u300d\u3068\u3057\u3066\u3082\u3053\u306e\u8a00\u8449\u306f\u4f7f\u308f\u308c\u3066\u3044\u3066\u3001\u305d\u306e\u5834\u5408\u306f \u201cdance-like involuntary movements often approximating a purpose<\/strong><\/span>\u201d \u3068\u5b9a\u7fa9\u3055\u308c\u307e\u3059\u3002 \u3061\u306a\u307f\u306bapproximating a purpose \u3068\u306f\u300c\u76ee\u7684\u3092\u6301\u3063\u305f\u884c\u52d5\u306b\u4f3c\u3066\u3044\u308b\u300d\u3068\u3044\u3046\u610f\u5473\u3067\u3001 chorea \u304c\u4e00\u898b\u3059\u308b\u3068\u968f\u610f\u904b\u52d5\u306e\u3088\u3046\u306b\u898b\u3048\u308b\u3053\u3068\u3092\u610f\u5473\u3057\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

\u632f\u6226\u3068\u6bd4\u8f03\u3059\u308b\u3068\u304b\u306a\u308a\u300c\u304a\u305d\u3044\u300d\u52d5\u304d\u3068\u3057\u3066 athetosis<\/strong><\/span> \u304c\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u306f \u201cwrithing<\/strong><\/span>, twisting, and snake-like slow movements\u201d \u3068\u5b9a\u7fa9\u3055\u308c\u307e\u3059\u3002\u3053\u306e writhe<\/strong>\u306f\u300c\u8eab\u60b6\u3048\u3059\u308b\u300d\u3068\u3044\u3046\u610f\u5473\u306e\u52d5\u8a5e\u3067\u3059\u3002athetosis \u3068\u306f\u5143\u3005\u300c\u3057\u3063\u304b\u308a\u3068\u56fa\u5b9a\u3067\u304d\u306a\u3044\u300d\u3068\u3044\u3046\u610f\u5473\u3067\u3059\u306e\u3067\u3001\u300c\u3086\u3063\u304f\u308a\u3068\u637b\u308a\u306a\u304c\u3089\u52d5\u304f\u4e0d\u968f\u610f\u904b\u52d5\u300d\u3068\u3057\u3066\u4f7f\u308f\u308c\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

\u300c\u7b4b\u7dca\u5f35 \u3067\u3042\u308b tone \u304c\u7570\u5e38\u306b\u4ea2\u9032\u3057\u3066\u3044\u308b\u72b6\u614b\u300d\u3068\u3044\u3046\u306e\u304c dystonia<\/strong><\/span> \u306e\u8a9e\u7fa9\u3067\u3059\u3002\u9838\u90e8\u306b\u73fe\u308c\u308b cervical dystonia<\/strong> \u306e\u4e00\u7a2e\u3067\u3042\u308b\u300c\u659c\u9838<\/strong>\u300d torticollis<\/strong> \u306f\u3001 twisted neck<\/strong> \u3084 wry neck<\/strong> \u3068\u3044\u3063\u305f\u8868\u73fe\u3067\u4e00\u822c\u306e\u4eba\u306b\u306f\u547c\u3070\u308c\u3066\u3044\u307e\u3059\u3002\u3053\u306e wry \u306f\u300c\u30a5\u30e9\u30a1\u30a3\u300d\u306e\u3088\u3046\u306a\u767a\u97f3\u3067\u300c\u3088\u3058\u308c\u308b\u300d\u3092\u610f\u5473\u3057\u3001 wry face \u300c\u3057\u304b\u3081\u3063\u9762\u300d\u306e\u3088\u3046\u306b\u4f7f\u308f\u308c\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

\u300c\u75d9\u6523\u300d\u3092\u82f1\u8a9e\u306b\u3059\u308b\u3068\u306a\u308b\u3068 convulsion<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u304c\u3001\u7b4b\u675f\u306e\u30ec\u30d9\u30eb\u306b\u751f\u3058\u308b\u4e0d\u968f\u610f\u904b\u52d5\u306e\u4e00\u7a2e\u3068\u3057\u3066 fasciculation<\/strong><\/span> \u3068\u3044\u3046\u3082\u306e\u3082\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u306f \u300c\u30d4\u30af\u30d4\u30af\u300d\u3068\u3057\u305f\u7b4b\u8089\u306e\u75d9\u6523\u3067\u3042\u308a\u3001\u4e00\u822c\u7684\u306b\u306f muscle twitch<\/strong> \u3068\u547c\u3070\u308c\u3066\u3044\u307e\u3059\u3002\u3053\u306e fasciculation \u306f\u4e0b\u4f4d\u904b\u52d5\u30cb\u30e5\u30fc\u30ed\u30f3\u969c\u5bb3\u306b\u304a\u3044\u3066\u91cd\u8981\u306a\u30c1\u30a7\u30c3\u30af\u9805\u76ee\u3068\u306a\u308a\u307e\u3059\u304c\u3001\u305d\u3053\u3067\u306f spastic paresis<\/strong> \u3084 flaccid paralysis<\/strong> \u306a\u3069\u306e\u7528\u8a9e\u3082\u51fa\u3066\u304d\u307e\u3059\u3002\u3088\u304f\u5b66\u751f\u3055\u3093\u304b\u3089\u805e\u304b\u308c\u308b\u306e\u304c palsy<\/strong>\/paresis<\/strong>\/paralysis<\/strong> \u3068\u3044\u30463\u3064\u306e\u7528\u8a9e\u306e\u9055\u3044\u3067\u3059\u3002\u7c21\u5358\u306b\u8a00\u3046\u3068 palsy<\/strong>\u306f\u300c\u9ebb\u75fa\u3092\u5f15\u304d\u8d77\u3053\u3059\u75be\u60a3\u30fb\u75c5\u614b<\/strong>\u300d\u3001paresis\u306f\u300c\u4e00\u90e8\u3082\u3057\u304f\u306f\u8efd\u5ea6\u306e\u9ebb\u75fa<\/strong>\u300d\u3001paralysis<\/strong>\u306f\u300c\u5b8c\u5168\u306a\u9ebb\u75fa<\/strong>\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u306b\u306a\u308a\u307e\u3059\u3002\u4e00\u822c\u82f1\u8a9e\u3067 numbness<\/strong> \u3068\u3044\u3046\u3082\u306e\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u3053\u308c\u306f\u300c\u904b\u52d5\u300d\u3067\u306f\u306a\u304f\u300c\u611f\u899a\u300d\u306e\u554f\u984c\u3067\u3059\u306e\u3067\u3001\u533b\u5b66\u82f1\u8a9e\u3067\u306f anesthesia<\/strong> \u300c\u7121\u611f\u899a<\/strong>\u300d\u3068\u306a\u308a\u307e\u3059\u306e\u3067\u3054\u6ce8\u610f\u3092\u3002<\/span><\/p>\r\n\r\n

\r\n\u300c\u59ff\u52e2\u6642\u632f\u6226\u300d\u300c\u5b89\u9759\u6642\u632f\u6226\u300d\u300c\u4f01\u56f3\u632f\u6226\u300d\u306e\u9451\u5225\u306b\u5f79\u7acb\u3064\u82f1\u8a9e\u8868\u73fe<\/span><\/strong><\/span>
\r\n\u60a3\u8005\u3055\u3093\u304c\u8a00\u3046 shaking \u304c tremor \u3067\u3042\u308b\u3068\u78ba\u8a8d\u3057\u305f\u3089\u3001\u6b21\u306b tremor \u306b\u95a2\u3059\u308b \u201cred flags<\/strong><\/span>\u201d \u3092\u78ba\u8a8d\u3057\u307e\u3059\u3002\u82f1\u8a9e\u3067\u306e red flags \u300c\u8d64\u3044\u65d7\u300d\u3068\u3044\u3046\u306e\u306f\u300c\u5371\u967a\u306a\u75c7\u72b6<\/strong>\u30fb\u6240\u898b<\/strong>\u30fb\u75be\u60a3<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u3067\u3059\u3002\u632f\u6226\u306ered flag \u3068\u3057\u3066\u5fd8\u308c\u3066\u306f\u3044\u3051\u306a\u3044\u306e\u304c stroke<\/strong> \u300c\u8133\u5352\u4e2d<\/strong>\u300d\u3067\u3059\u3002\u3053\u306e stroke \u306f\u300c\u8133\u51fa\u8840<\/strong>\u300d hemorrhagic stroke<\/strong> \u3068\u300c\u8133\u6897\u585e<\/strong>\u300d ischemic stroke<\/strong> \u306b\u5206\u985e\u3055\u308c\u307e\u3059\u304c\u3001\u524d\u8005\u306e\u4ee3\u8868\u683c\u300c\u30af\u30e2\u819c\u4e0b\u51fa\u8840<\/strong>\u300ds<\/strong><\/span>uba<\/strong><\/span>rachnoid h<\/strong><\/span>emorrhage \u306e\u7565\u8a9e\u3067\u3042\u308b SAH<\/strong> \u306e\u767a\u97f3\u306f\u300c\u30b6\u30fc\u300d\u3067\u306f\u306a\u304f\u3001\u300c\u30a8\u30b9<\/strong>\u30fb\u30a8\u30fc<\/strong>\u30fb\u30a8\u30a4\u30c1<\/strong>\u300d\u306e\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u306e\u3067\u3054\u6ce8\u610f\u3092\u3002\u307e\u305f\u65e5\u672c\u3067\u306f\u3053\u306e SAH \u306b\u3088\u308b\u75db\u307f\u3092\u300c\u30d0\u30c3\u30c8\u3067\u6bb4\u3089\u308c\u305f\u3088\u3046\u306a\u300d\u306e\u3088\u3046\u306b\u5f62\u5bb9\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u82f1\u8a9e\u3067\u306f thunderclap<\/strong> \u300c\u96f7\u3067\u6253\u305f\u308c\u305f\u3088\u3046\u306a<\/strong>\u300d\u306e\u3088\u3046\u306b\u5f62\u5bb9\u3059\u308b\u3053\u3068\u304c\u4e00\u822c\u7684\u3067\u3059\u3002<\/span>\r\n<\/p>\r\n\r\n

\r\n\u3053\u306e stroke \u306e\u4ed6\u3001 intoxication<\/strong> \u300c\u4e2d\u6bd2<\/strong>\u300d\u3084 hypoglycemia<\/strong> \u300c\u4f4e\u8840\u7cd6<\/strong>\u300d\u306b\u4ee3\u8868\u3055\u308c\u308b metabolic conditions<\/strong> \u306a\u3069\u306e red flags \u3092\u9664\u5916\u3057\u305f\u3089\u3001\u60a3\u8005\u3055\u3093\u306e tremor \u304c\u3069\u306e\u30bf\u30a4\u30d7\u306e tremor \u306a\u306e\u304b\u3092\u78ba\u8a8d\u3057\u3066\u3044\u304d\u307e\u3059\u3002\u5177\u4f53\u7684\u306b\u306f \u201cWhen do you have the shaking?<\/strong><\/span>\u201d \u3068\u5c0b\u306d\u3066\u3001\u305d\u308c\u304c postural tremor<\/span><\/strong> \u300c\u59ff\u52e2\u6642\u632f\u6226<\/strong><\/span>\u300d\u306a\u306e\u304b\u3001 resting tremor<\/strong><\/span> \u300c\u5b89\u9759\u6642\u632f\u6226<\/strong><\/span>\u300d\u306a\u306e\u304b\u3001\u305d\u308c\u3068\u3082 intention<\/strong>\/action<\/strong>\/kinetic tremor<\/strong><\/span> \u300c\u4f01\u56f3<\/strong>\u30fb\u904b\u52d5\u6642\u632f\u6226<\/strong><\/span>\u300d\u306a\u306e\u304b\u3092\u78ba\u8a8d\u3057\u307e\u3059\u3002\u5177\u4f53\u7684\u306b\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u8cea\u554f\u3092\u3057\u307e\u3059\u3002<\/span>
\r\n\u2022 Postural<\/strong> tremor: \u201cDo you have the shaking when your hands are outstretched?<\/strong>\u201d <\/span>
\r\n\u2022 Resting<\/strong> tremor: \u201cDo you have the shaking when you are sitting and relaxed?<\/strong>\u201d<\/span>
\r\n\u2022 Action<\/strong> tremor: \u201cDo you have the shaking when you are doing a specific task, such as writing or holding a cup?<\/strong>\u201d<\/span>\r\n<\/p>\r\n\r\n

\r\n\u300c\u5be1\u52d5\u300d\u3063\u3066\u3069\u3046\u3084\u3063\u3066\u8a3a\u5bdf\u3059\u308b\u306e\uff1f\u632f\u6226\u306e\u8eab\u4f53\u8a3a\u5bdf\u3067\u5f79\u7acb\u3064\u82f1\u8a9e\u8868\u73fe<\/span><\/strong><\/span>
\r\n\u5b9f\u969b\u306b\u306f\u60a3\u8005\u3055\u3093\u306e\u632f\u6226\u304c\u3069\u306e\u7a2e\u985e\u306a\u306e\u304b\u5224\u65ad\u3059\u308b\u306b\u306f history taking<\/strong> \u3088\u308a\u3082\u3001\u6b21\u306b\u884c\u3046 physical exam<\/strong> \u3067\u78ba\u8a8d\u3059\u308b\u3053\u3068\u304c\u4e00\u822c\u7684\u3067\u3059\u3002\u305d\u306e\u969b\u306b\u306f\u4e0b\u8a18\u306e\u3088\u3046\u306a\u6307\u793a\u3092\u3059\u308b\u3068\u3044\u3044\u3067\u3057\u3087\u3046\u3002<\/span>
\r\n\u2022 Postural<\/strong> tremor: \u201cPlease extend your arms and fingers and hold them.<\/strong>\u201d <\/span>
\r\n\u2022 Resting<\/strong> tremor: \u201cPlease place your hands on the knees with your palms facing up.<\/strong>\u201d<\/span>
\r\n\u2022 Action<\/strong> tremor: \u201cTake your index finger and touch your nose. Touch my finger, then your nose. Back and forth.<\/strong>\u201d<\/span>
\r\n\u7279\u306b action tremor \u3067\u306f\u4e0a\u8a18\u306e\u3088\u3046\u306b finger-to-nose test<\/strong> \u3092\u884c\u3046\u306e\u3067\u3059\u304c\u3001\u3053\u3053\u3067\u306f\u5c0f\u8133\u6a5f\u80fd\u3092\u78ba\u8a8d\u3059\u308b\u306e\u304c\u76ee\u7684\u3067\u306f\u306a\u304f\u3001\u904b\u52d5\u6642\u306b\u632f\u6226\u304c\u51fa\u308b\u304b\u3069\u3046\u304b\u3092\u78ba\u8a8d\u3059\u308b\u3053\u3068\u304c\u76ee\u7684\u3067\u3059\u306e\u3067\u3001\u533b\u5e2b\u306f\u81ea\u5206\u306e\u6307\u3092\u52d5\u304b\u3055\u306a\u3044\u3088\u3046\u306b\u3057\u307e\u3059\u3002<\/span>\r\n<\/p>\r\n\r\n

\r\n\u3082\u3057\u632f\u6226\u304c Parkinson\u2019s disease \u300c\u30d1\u30fc\u30ad\u30f3\u30bd\u30f3\u75c5\u300d\u304c\u539f\u56e0\u3067\u3042\u308b\u3068\u8003\u3048\u308b\u306a\u3089\u3070\u3001\u4ed6\u306b\u3082 bradykinesia<\/strong> <\/span>\u300c\u5be1\u52d5<\/strong>\u300d\u3001rigidity<\/strong><\/span> \u300c\u56fa\u7e2e<\/strong>\u300d\u3001\u305d\u3057\u3066 postural instability<\/strong><\/span> \u300c\u59ff\u52e2\u53cd\u5c04\u969c\u5bb3<\/strong>\u300d\u306a\u3069\u3082\u78ba\u8a8d\u3057\u307e\u3059\u3002\u7279\u306b bradykinesia \u3067\u306f\u60a3\u8005\u3055\u3093\u306e\u52d5\u304d\u3092\u9ed9\u3063\u3066\u89b3\u5bdf\u3059\u308b\u306e\u3067\u306f\u306a\u304f\u3001 rapid alternating movements \u3092\u3057\u3066\u3082\u3089\u3046\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u624b\u306e\u5be1\u52d5\u306b\u304a\u3044\u3066\u6700\u3082\u611f\u5ea6\u304c\u9ad8\u3044\u306e\u304c finger-tapping maneuver<\/strong> \u3068\u3044\u3046\u300c\u4eba\u5dee\u3057\u6307\u3068\u89aa\u6307\u3092\u51fa\u6765\u308b\u3060\u3051\u3064\u3051\u305f\u308a\u96e2\u3057\u305f\u308a\u3092\u51fa\u6765\u308b\u3060\u3051\u5927\u304d\u304f\u3001\u304b\u3064\u65e9\u304f\u7e70\u308a\u8fd4\u3059\u52d5\u4f5c\u300d\u3067\u3059\u3002\u4e0b\u8a18\u306b\u305d\u308c\u305e\u308c\u306e\u8eab\u4f53\u8a3a\u5bdf\u3067\u306e\u6307\u793a\u3092\u307e\u3068\u3081\u3066\u304a\u304d\u307e\u3059\u3002<\/span>
\r\n\u2022 Bradykinesia<\/strong> (finger-tapping maneuver<\/strong>): \u201cPlease tap your thumb and index finger as big as you can, and as fast as you can. Please try the other hand. As big as you can, and as fast as you can. Very good. Now you can relax.\u201d<\/span>
\r\n\u2022 Rigidity<\/strong>: \u201cI will move your arm. Please keep your arm as floppy<\/strong><\/span> as possible.\u201d<\/span>
\r\n\u2022 Postural instability<\/strong>: \u201cI’m going to give you a tug<\/strong><\/span> backwards on your shoulders and what I want you to do is to take one or two steps back to catch your balance. I’m right behind you, and I won’t let you fall.\u201d<\/span>
\r\nrigidity \u3067\u306e floppy<\/strong> \u306f\u300c\u3050\u3093\u306b\u3083\u308a\u3057\u305f\u300d\u3068\u3044\u3046\u610f\u5473\u3067\u3001\u60a3\u8005\u3055\u3093\u3092\u30ea\u30e9\u30c3\u30af\u30b9\u3055\u305b\u308b\u969b\u306b\u306f\u5f79\u306b\u7acb\u3064\u5f62\u5bb9\u8a5e\u3067\u3059\u3002\u307e\u305f postural instability \u306e pull test \u3067\u4f7f\u3046 tug<\/strong> \u306f\u300c\u5f37\u304f\u5f15\u3063\u5f35\u308b\u300d\u3068\u3044\u3046\u610f\u5473\u306e\u540d\u8a5e\u3067\u3059\u3002<\/span>\r\n<\/p>\r\n\r\n

\u3055\u3066\u305d\u308d\u305d\u308d\u30ab\u30c3\u30d7\u306e\u30b3\u30fc\u30d2\u30fc\u3082\u6b8b\u308a\u308f\u305a\u304b\u3067\u3059\u3002\u6700\u5f8c\u306b\u672c\u65e5\u3054\u7d39\u4ecb\u3057\u305f\u300c\u632f\u6226\u300d\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u3092\u307e\u3068\u3081\u3066\u304a\u304d\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

\r\nInvoluntary Movements \u300c\u4e0d\u968f\u610f\u904b\u52d5\u300d<\/span><\/strong><\/span>
\r\n\u2022 tremor<\/strong><\/span>: rhythmic \u201cto-and-fro\u201d muscle movements <\/span>
\r\n\u2022 myoclonus<\/span><\/strong>: arrhythmic shock-like jerks commonly triggered by a stimulus<\/span>
\r\n\u2022 asterixis<\/span><\/strong>: sudden, transient, and repetitive loss of muscle tone<\/span>
\r\n\u2022 tic<\/strong><\/span>: sudden and brief movements preceded by a strong urge<\/span>
\r\n\u2022 ballismus<\/strong><\/span>: flinging movements of the proximal limb muscles<\/span>
\r\n\u2022 chorea<\/strong><\/span>: dance-like involuntary movements often approximating a purpose<\/span>
\r\n\u2022 athetosis<\/strong><\/span>: writhing, twisting, and snake-like slow movements <\/span>
\r\n\u2022 dystonia<\/strong><\/span>: sustained or repetitious muscular contractions<\/span>
\r\n\u2022 fasciculation<\/strong><\/span>: involuntary contractions of groups of muscle fibers<\/span>
\r\nTremor \u3092\u9451\u5225\u3059\u308b\u305f\u3081\u306e\u8cea\u554f<\/span><\/strong>
\r\n\u2022 Postural<\/strong> tremor: \u201cDo you have the shaking when your hands are outstretched?<\/span><\/strong>\u201d <\/span>
\r\n\u2022 Resting<\/strong> tremor: \u201cDo you have the shaking when you are sitting and relaxed?<\/strong><\/span>\u201d<\/span>
\r\n\u2022 Action<\/strong> tremor: \u201cDo you have the shaking when you are doing a specific task, such as writing or holding a cup?<\/span><\/strong>\u201d<\/span>
\r\nTremor \u3092\u9451\u5225\u3059\u308b\u305f\u3081\u306e\u8eab\u4f53\u8a3a\u5bdf\u3067\u306e\u6307\u793a<\/span><\/strong>
\r\n\u2022 Postural<\/strong> tremor: \u201cPlease extend your arms and fingers and hold them.<\/strong>\u201d <\/span>
\r\n\u2022 Resting<\/strong> tremor: \u201cPlease place your hands on the knees with your palms facing up.<\/strong>\u201d<\/span>
\r\n\u2022 Action<\/strong> tremor: \u201cTake your index finger and touch your nose. Touch my finger, then your nose. Back and forth.<\/strong>\u201d<\/span>\r\n<\/p>\r\n\r\n

\u3067\u306f\u3001\u307e\u305f\u306e\u3054\u6765\u5e97\u3092\u304a\u5f85\u3061\u3057\u3066\u304a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

\u300cDr. \u62bc\u5473\u306e\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7\u300d\u3067\u306f\u7686\u3055\u3093\u304b\u3089\u6271\u3063\u3066\u6b32\u3057\u3044\u30c8\u30d4\u30c3\u30af\u3092\u52df\u96c6\u3044\u305f\u3057\u307e\u3059\u3002\u3053\u3061\u3089\u306e\u30ea\u30f3\u30af<\/strong><\/span><\/a>\u304b\u3089\u3053\u306e\u30ab\u30d5\u30a7\u3067\u6271\u3063\u3066\u6b32\u3057\u3044\u3068\u601d\u3046\u533b\u5b66\u82f1\u8a9e\u306e\u30c8\u30d4\u30c3\u30af\u3092\u3054\u81ea\u7531\u306b\u8a18\u8f09\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

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