このエントリーをはてなブックマークに追加
ID 16812
Eprint ID
16812
FullText URL
Thumnail 94_545.pdf 371 KB
Title Alternative
A Clinical and Prognostic Study of Facial Spasm
Author
Nishii, Yasuyuki
Suwaki, Hiroshi
Otsuki, Saburo
Abstract
We conducted a prognostic study of 78cases with hemifacial spasm by questionaire from January to June, 1980. On the avarage 11.5 years had passed since consultation with a physician. There were 44 respondents, the response rate being 56.4 percent. Excluding 2 deceased, the results obtained from 42 cases were compared mainly with the reports of Ehni and Wakasugi. There were 29 female cases(69.0%) and 13 male cases (31.0%). As to the age at onset, the disease started from the age of 20 on but developed most frequently in their 20s-50s. Aggravation of symptoms due to psychological stress was seen in many of the cases. Three cases (7.0%) showed a family history of facial spasm. According to the clinical course after medical treatment, 7cases became worsen (15.9%), 10 remained unchanged (22.7%), 20 improved (45.5%), 5 remitted (11.4%) and 2 died (4.5%), which was nearly in agreement with the results of Ehni. As to the treatment, pharmacotherapy led to improvement in symptoms in about half of the cases but the duration of effectiveness was not satisfactory. As for fifteen cases which had been under facial nerve block, all but one case showed recurrence of the symptoms within three years. Psychological factors were concerned with the clinical course of this disease. In the treatment, therefore, it appeared necessary to give enough consideration to the psychosomatic aspect.
Keywords
facial syasm
prognosis
facial nerve block
Published Date
1982-06-30
Publication Title
岡山医学会雑誌
Publication Title Alternative
Journal of Okayama Medical Association
Volume
volume94
Issue
issue5-6
Publisher
岡山医学会
Publisher Alternative
Okayama Medical Association
Start Page
545
End Page
551
ISSN
0030-1558
NCID
AN00032489
Content Type
Journal Article
Official Url
https://www.jstage.jst.go.jp/article/joma1947/94/5-6/94_5-6_545/_article/-char/ja/
Related Url
http://www.okayama-u.ac.jp/user/oma/index.html
language
日本語
Copyright Holders
岡山医学会
File Version
publisher
Refereed
True
Eprints Journal Name
joma