Japanese
English
Neurological CPC・39
四肢筋力低下・筋萎縮に経過中パーキンソニズムが加わった56歳女性
A63-year-old Woman with Muscle Weakness, Myotonia, and Parkinsonism
大熊 泰之
1
,
田中 茂樹
1
,
野村 芳子
2
,
森 秀生
3
,
梁 広石
4
,
白井 俊一
4
,
近藤 智善
3
,
瀬川 昌也
2
,
水野 美邦
3
Yasuyuki Okuma
1
,
Shigeki Tanaka
1
,
Yoshiko Nomura
2
,
Hideo Mori
3
,
Hiroishi Yan
4
,
Toshikazu Shira
4
,
Tomoyoshi Kondo
3
,
Masaya Segawa
2
,
Yoshikuni Mizuno
3
1順天堂大学浦安病院内科
2瀬川小児神経クリニック
3順天堂大学医学部脳神経内科
4順天堂大学医学部第2病理
1Department of Internal Medicine, Juntendo University Urayasu Hospital
2Segawa Pediatric Neurology Clinic
3Departments of Neurology, Juntendo University School of Medicine
4Departments of Pathology, Juntendo University School of Medicine
キーワード:
myotonia
,
myotonic dystrophy
,
parkinsonism
,
Parkinson's disease
,
leukoaraiosis
Keyword:
myotonia
,
myotonic dystrophy
,
parkinsonism
,
Parkinson's disease
,
leukoaraiosis
pp.287-297
発行日 1996年3月1日
Published Date 1996/3/1
DOI https://doi.org/10.11477/mf.1406900926
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症例呈示
症例 T.M.,63歳,女性(浦安2099799)。
主訴 食欲不振,歩行障害。
We report a 63-year-old woman who presented myotonia and parkinsonism. The patient was well until 15 years of the age when she noted that the ring finger of her left hand at times flexed when she did not intend to do so. She noted weakness in her left upper extremity at the age of 40, and difficulty in relaxing her hand grip at 45. She had an onset of tremor in her right foot at age 50, which was foll-owed by difficulty in gait and hand writing. She was admitted to Juntendo University Urayasu Hospitalwhen she was 63-year-old.
Her mother, two sisters, and a son were affected with similar muscle weakness and myotonia.
Copyright © 1996, Igaku-Shoin Ltd. All rights reserved.