Spine Neurology—これまでの観察と自験例をもとに

Facts and Cases of Diseases and Observations Are Described from My Own Experience

これまで筆者自身が経験し，観察した事実，また症例について記述した。①脊髄髄節と脊椎椎体高位にはずれがある。正確な相対図を参考にすること。②脊髄根は末梢神経系に属し，くも膜下腔にある部分と定義される。③デルマトーム，皮神経分布に加えて関連痛の重要性，その発生機序を論じた。④Straight-leg-raising testはギラン・バレー症候群，脊柱管狭窄の診断に有用である。⑤いつとはなしに発症する下腿三頭筋萎縮の症例を提示した。原因については不明だが「こむらなえ（腓萎え）」と名付け，注意を喚起した。

Abstract

Facts and cases of diseases and observations are described from my own experience. 1) Refer carefully with correct recognition of the levels of the vertebral body and cord segment. 2) The spinal nerve root is defined as the part of the peripheral nerves in the subarachnoid space. 3) The importance of referred pain and its mechanisms of symptoms are described. 4) The technique of straight-leg-raising test is useful for the diagnosis of Guillain-Barre syndrome and the detection of the lumbar narrow canal. 5) Insidious onset and progress of the calf atrophy are described. Although the cause of this case remains unknown, I naming this disease "OMURANAE"and arousing interest around it.