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Ⅰ.緒言
従来より境界領域疾患としてつとに注目されてきた本症は,咽喉頭部異常感症,知覚異常症,ヒステリー球症,咽喉頭食道症候群,嚥下困難性頸椎関節症,あるいは咽喉頭神経症など種々な名称で呼ばれてきたが,整形外科領域においては,頸椎柱およびその周辺軟部組織に帰因する頸部症候群や交通外傷に見られる鞭打ち傷害,これらに付随した後部頸交感神経症候群の一分症として脚光を浴びてきた。臨床的には,頸部症候群や鞭うち傷害ではくび,かた,うでの痛み,凝り,脱力感,緊張感,知覚異常などが病像の前景に立ち,耳鼻咽喉科的愁訴は看過される事が多いが,詳しい問診により多数にその発症を見,しばしば多彩な症状に困惑を覚えることがある。
Chrisman O. D. は変形性脊椎症を伴つた頸部症候群の約四分の一症例に本症の合併を見,われわれの臨床経験でも,頸部症候群の四分の一に,また鞭うち傷害のほぼ全例に一過性あるいは持続的の本症の合併を見ている。
With the abnormal sensations of the throat that may be possibly caused by changes in the cervical vertebrae and their surrounding soft tissues, anatomical studies of these structures were made along with clinical investigation by means of x-ray examination of patients.
From these studies it is pointed that, from anthropological point of view, the cervical vertebrae forms necessarily a weak point in the human anatomy and, consequently, they are easily injured.
Clinically, the muscular structures surrounding the cervical vertebrae may be easily affected with spasms forming a trigger point of trouble.
No particular point of importance is revealed by x-ray examination except that a long standing malposture may produce symptoms pertinent to malarticulation of the cervical spines.
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