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Neurological CPC・49
歩行障害，眼球運動障害を主症状とした70歳男性
A 70-year-old Man with a Progressive Gait Disturbance and Gaze Palsy
中村 利生
1
,
頼高 朝子
2
,
角野 禎子
3
,
鈴木 宏昌
4
,
森 秀生
2
,
須田 耕一
4
,
田久保 秀樹
2
,
水野 美邦
2
Toshiki Nakamura
1
,
Asako Yoritaka
2
,
Sadako Sumino
3
,
Hiromasa Suzuki
4
,
Hideo Mori
2
,
Koichi Suda
4
,
Hideki Takubo
2
,
Yoshikuni Mizuno
2
1三郷順心病院神経内科
2順天堂大学医学部脳神経内科
3青木病院
4順天堂大学医学部第1病理
1Department of Neurology, Misato Junshin Hospital
2Department of Neurology, Juntendo University School of Medicine
3Aoki Hospital
4Department of Pathology, Juntendo University School of Medicine
キーワード：
parkinsonism
,
progressive supra-nuclear palsy
,
gaze palsy
,
dementia
,
frontal atrophy
Keyword:
parkinsonism
,
progressive supra-nuclear palsy
,
gaze palsy
,
dementia
,
frontal atrophy
pp.93-100
発行日 1997年1月1日
Published Date 1997/1/1
DOI https://doi.org/10.11477/mf.1406902087
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症例呈示
症例 K．N．（ID 0155639-1），70歳，男性。
主訴 眼球運動障害，歩行障害，嚥下困難。
既往歴 1990年腰椎圧迫骨折。
We report a 70-year-old man with progressive gait disturbance and gaze palsy. The patient was well until summer of 1991 when he was 66-year-old, when he noted a gradual onset of difficulty in gait and looking downward. He was evaluated in our hospital in May, 1994 when he was 69-year-old.
On admission, he was alert but markedly demented with disorientation and memory loss. Constructional apraxia and dressing apraxia were noted. He had difficulty in gaze to all directions ; he could move his eyes only 20% of the normal range. Oculocephalic response was retained.
Copyright © 1997, Igaku-Shoin Ltd. All rights reserved.
