\u76e3\u4fee\u533b\u5e2b\uff1a\u4f0a\u85e4 \u898f\u7d75\uff08\u533b\u5e2b\uff09
\n\u65ed\u5ddd\u533b\u79d1\u5927\u5b66\u533b\u5b66\u90e8\u5352\u696d\u3002\u305d\u306e\u5f8c\u3001\u672d\u5e4c\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u75c5\u9662\u3001\u5e02\u7acb\u5ba4\u862d\u7dcf\u5408\u75c5\u9662\u3001\u5e02\u7acb\u91e7\u8def\u7dcf\u5408\u75c5\u9662\u3001\u5e02\u7acb\u82a6\u5225\u75c5\u9662\u306a\u3069\u3067\u7814\u947d\u3092\u7a4d\u3080\u30022007\u5e74\u672d\u5e4c\u533b\u79d1\u5927\u5b66\u5927\u5b66\u9662\u533b\u5b66\u7814\u7a76\u79d1\u5352\u696d\u3002\u73fe\u5728\u306f\u672d\u5e4c\u897f\u5186\u5c71\u75c5\u9662\u795e\u7d4c\u5185\u79d1\u7dcf\u5408\u533b\u7642\u30bb\u30f3\u30bf\u30fc\u306b\u52e4\u52d9\u30022023\u5e74Medica\u51fa\u7248\u793e\u304b\u3089\u300c\u306d\u3053\u308d\u3093\u3067\u8aad\u3081\u308b\u6b69\u884c\u969c\u5bb3\u300d\u3092\u4e0a\u6893\u30022024\u5e744\u6708\u304b\u3089\u3001FM\u30e9\u30b8\u30aa\u756a\u7d44\u3067\u300c\u30c9\u30af\u30bf\u30fc\u4f0a\u85e4\u306e\u5065\u5eb7\u767e\u5f69\u300d\u306e\u30d1\u30fc\u30bd\u30ca\u30ea\u30c6\u30a3\u30fc\u3092\u52d9\u3081\u308b\u3002\u307e\u305fYou tube\u756a\u7d44\u3067\u3082\u8133\u795e\u7d4c\u5185\u79d1\u3084\u533b\u7642\u30fb\u4ecb\u8b77\u306b\u95a2\u3057\u3066\u308f\u304b\u308a\u3084\u3059\u3044\u767a\u4fe1\u3092\u884c\u3063\u3066\u3044\u308b\u3002\u533b\u5b66\u535a\u58eb\u3002\u65e5\u672c\u795e\u7d4c\u5b66\u4f1a\u8a8d\u5b9a\u5c02\u9580\u533b\u30fb\u6307\u5c0e\u533b\u3001\u65e5\u672c\u5185\u79d1\u5b66\u4f1a\u8a8d\u5b9a\u5185\u79d1\u533b\u30fb\u7dcf\u5408\u5185\u79d1\u5c02\u9580\u533b\u30fb\u6307\u5c0e\u533b\u3001\u65e5\u672c\u8001\u5e74\u533b\u5b66\u4f1a\u5c02\u9580\u533b\u30fb\u6307\u5c0e\u533b\u30fb\u8a55\u8b70\u54e1\u3001\u56fd\u969b\u982d\u75db\u5b66\u4f1a(Headache master)\u3001A\u578b\u30dc\u30c4\u30ea\u30cc\u30b9\u6bd2\u7d20\u88fd\u5264\u30e6\u30fc\u30b6\u3001\u5317\u6d77\u9053\u96e3\u75c5\u6307\u5b9a\u533b\u3001\u8eab\u4f53\u969c\u5bb3\u8005\u798f\u7949\u6cd5\u6307\u5b9a\u533b\u3002
\n\u30d1\u30fc\u30ad\u30f3\u30bd\u30f3\u75c7\u5019\u7fa4\u306f\u3001\u30d1\u30fc\u30ad\u30f3\u30bd\u30f3\u75c5\u3068\u985e\u4f3c\u3057\u305f\u904b\u52d5\u75c7\u72b6\uff08\u52d5\u4f5c\u7de9\u6162\uff5e\u52d5\u304d\u304c\u9045\u304f\u5c11\u306a\u304f\u306a\u308b\u3001\u7b4b\u5f37\u525b\uff5e\u7b4b\u8089\u304c\u56fa\u304f\u306a\u308b\u3001\u632f\u6226\uff5e\u3075\u308b\u3048\u3001\u59ff\u52e2\u4fdd\u6301\u969c\u5bb3\uff09\u3092\u5448\u3059\u308b\u304c\u3001\u30d1\u30fc\u30ad\u30f3\u30bd\u30f3\u75c5\u4ee5\u5916\u3067\u30ec\u30dc\u30c9\u30d1\u306b\u53cd\u5fdc\u304c\u4e0d\u826f\u306e\u4e00\u7fa4\u3092\u7dcf\u79f0\u3059\u308b\u75be\u60a3\u75c7\u5019\u7fa4\u3067\u3059\u3002\u4ee3\u8868\u7684\u306a\u75be\u60a3\u306f\u3001\u9032\u884c\u6027\u6838\u4e0a\u6027\u9ebb\u75fa\uff08Progressive supranuclear palsy\uff1aPSP\uff09\u3084\u5927\u8133\u76ae\u8cea\u57fa\u5e95\u6838\u5909\u6027\u75c7\uff08Corticobasal degeneration\uff1aCBD\u307e\u305f\u306f\u3001\u5927\u8133\u76ae\u8cea\u57fa\u5e95\u6838\u75c7\u5019\u7fa4\uff09\u3001\u591a\u7cfb\u7d71\u840e\u7e2e\u75c7\uff08Multiple system atrophy\uff1aMSA\uff09\u306a\u3069\u306e\u795e\u7d4c\u5909\u6027\u75be\u60a3\u3084\u3001\u85ac\u5264\u6027\u3001\u8133\u8840\u7ba1\u6027\u306a\u3069\u304c\u3042\u308a\u307e\u3059\u3002
\n\u30d1\u30fc\u30ad\u30f3\u30bd\u30f3\u75c7\u5019\u7fa4\u306e\u8a3a\u65ad\u306b\u306f\u3001\u75c7\u72b6\u306e\u7d4c\u904e\u3084\u8eab\u4f53\u6240\u898b\u3001\u8840\u6db2\u691c\u67fb\u3001\u753b\u50cf\u691c\u67fb\u306a\u3069\u304c\u7528\u3044\u3089\u308c\u307e\u3059\u3002\u7279\u306b\u3001MIBG\u5fc3\u7b4b\u30b7\u30f3\u30c1\u30b0\u30e9\u30d5\u30a3\u30fc\u3084\u30c9\u30d1\u30df\u30f3\u30c8\u30e9\u30f3\u30b9\u30dd\u30fc\u30bf\u30fc\u30b7\u30f3\u30c1\u30b0\u30e9\u30d5\u30a3\u30fc\uff08DaT Scan\uff09\u306f\u3001\u30d1\u30fc\u30ad\u30f3\u30bd\u30f3\u75c5\u3068\u306e\u9451\u5225\u306b\u6709\u7528\u306a\u691c\u67fb\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002
\n\u30d1\u30fc\u30ad\u30f3\u30bd\u30f3\u75c7\u5019\u7fa4\u306e\u6cbb\u7642\u306f\u3001\u539f\u56e0\u75be\u60a3\u306b\u5fdc\u3058\u3066\u85ac\u7269\u7642\u6cd5\u3084\u7406\u5b66\u7642\u6cd5\u3001\u4f5c\u696d\u7642\u6cd5\u306a\u3069\u304c\u884c\u308f\u308c\u307e\u3059\u3002\u3057\u304b\u3057\u3001\u795e\u7d4c\u5909\u6027\u75be\u60a3\u3067\u306f\u30d1\u30fc\u30ad\u30f3\u30bd\u30f3\u75c5\u306b\u6bd4\u3079\u308b\u3068\u5185\u670d\u6cbb\u7642\u306e\u53cd\u5fdc\u6027\u304c\u60aa\u304f\u3001\u4e88\u5f8c\u4e0d\u826f\u306a\u5834\u5408\u304c\u591a\u3044\u3088\u3046\u3067\u3059\u3002\u65e9\u671f\u304b\u3089\u306e\u5305\u62ec\u7684\u306a\u30ea\u30cf\u30d3\u30ea\u30c6\u30fc\u30b7\u30e7\u30f3\u304c\u91cd\u8981\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002
\n\u30d1\u30fc\u30ad\u30f3\u30bd\u30f3\u75c7\u5019\u7fa4\u306f\u3001\u30d1\u30fc\u30ad\u30f3\u30bd\u30f3\u75c5\u3068\u540c\u69d8\u306e\u75c7\u72b6\u3092\u793a\u3057\u307e\u3059\u304c\u3001\u539f\u56e0\u306f\u591a\u5c90\u306b\u308f\u305f\u308a\u8907\u96d1\u3067\u3042\u308a\u307e\u3059\u3002\u751f\u6d3b\u7fd2\u6163\u75c5\u3067\u3042\u308b\u9ad8\u8840\u5727\u3084\u7cd6\u5c3f\u75c5\u3001\u9ad8\u8102\u8840\u75c7\u306a\u3069\u304b\u3089\u5408\u4f75\u3059\u308b\u8133\u8840\u7ba1\u969c\u5bb3\u306b\u3088\u308b\u3082\u306e\u3001\u7279\u5b9a\u306e\u5316\u5b66\u7269\u8cea\u3078\u306e\u66dd\u9732\u3001\u4f8b\u3048\u3070\u8fb2\u85ac\u3084\u6eb6\u5264\u306a\u3069\u304c\u767a\u75c7\u30ea\u30b9\u30af\u3092\u9ad8\u3081\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002
\n\u3055\u3089\u306b\u3001\u982d\u90e8\u5916\u50b7\u3084\u4f4e\u9178\u7d20\u8133\u75c7\u306a\u3069\u3082\u539f\u56e0\u3068\u306a\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u3089\u306e\u74b0\u5883\u56e0\u5b50\u306f\u3001\u9178\u5316\u30b9\u30c8\u30ec\u30b9\u3084\u795e\u7d4c\u708e\u75c7\u3092\u5f15\u304d\u8d77\u3053\u3057\u3001\u30c9\u30d1\u30df\u30f3\u795e\u7d4c\u7d30\u80de\u306e\u5909\u6027\u3092\u4fc3\u9032\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002
\n\u4ee3\u8868\u7684\u306a\u75be\u60a3\u3092\u4ee5\u4e0b\u306b\u8a18\u8f09\u3057\u307e\u3059\u3002
\n\u8133\u8840\u7ba1\u6027\u30d1\u30fc\u30ad\u30f3\u30bd\u30f3\u75c7\u5019\u7fa4\u5927\u8133\u57fa\u5e95\u6838\u306e\u30e9\u30af\u30ca\u6897\u585e\u306a\u3069\u8133\u8840\u7ba1\u306e\u969c\u5bb3\u306b\u3088\u308a\u3001\u30c9\u30d1\u30df\u30f3\u795e\u7d4c\u304c\u5f71\u97ff\u3092\u53d7\u3051\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u9032\u884c\u6027\u6838\u4e0a\u6027\u9ebb\u75fa\uff08PSP\uff09\u5782\u76f4\u6027\u773c\u7403\u904b\u52d5\u969c\u5bb3\u3084\u524d\u982d\u8449\u306e\u6a5f\u80fd\u969c\u5bb3\u304c\u898b\u3089\u308c\u307e\u3059\u3002\u591a\u7cfb\u7d71\u840e\u7e2e\u75c7\uff08MSA\uff09\u5c0f\u8133\u6027\u904b\u52d5\u5931\u8abf\u75c7\u3084\u81ea\u5f8b\u795e\u7d4c\u969c\u5bb3\u3092\u4f34\u3046\u3053\u3068\u304c\u7279\u5fb4\u3067\u3059\u3002\u30ec\u30d3\u30fc\u5c0f\u4f53\u578b\u8a8d\u77e5\u75c7\u03b1-\u30b7\u30cc\u30af\u30ec\u30a4\u30f3\u3068\u3044\u3046\u30bf\u30f3\u30d1\u30af\u8cea\u304c\u84c4\u7a4d\u3059\u308b\u3053\u3068\u3067\u5e7b\u8996\u306a\u3069\u3092\u4f34\u3063\u305f\u8a8d\u77e5\u969c\u5bb3\u3092\u5448\u3057\u307e\u3059\u3002\u85ac\u5264\u6027\u30d1\u30fc\u30ad\u30f3\u30bd\u30f3\u75c7\u5019\u7fa4\u7279\u5b9a\u306e\u85ac\u5264\u304c\u539f\u56e0\u3067\u30d1\u30fc\u30ad\u30f3\u30bd\u30f3\u75c7\u72b6\u304c\u5f15\u304d\u8d77\u3053\u3055\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002
\n\u4e3b\u306b\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u75c7\u72b6\u304c\u6319\u3052\u3089\u308c\u307e\u3059\u3002
\n\u9759\u6b62\u6642\u632f\u6226\uff08\u3075\u308b\u3048\uff09\u5b89\u9759\u6642\u306b\u624b\u3084\u8db3\u306b\u73fe\u308c\u308b\u7d30\u304b\u3044\u9707\u3048\u7b4b\u5f37\u525b\u624b\u9996\u306a\u3069\u3092\u4ed6\u52d5\u7684\u306b\u52d5\u304b\u3057\u305f\u6642\u306b\u30ac\u30af\u30ac\u30af\u3068\u6b6f\u8eca\u304c\u565b\u307f\u5408\u3046\u3088\u3046\u306a\u62b5\u6297\uff08\u6b6f\u8eca\u69d8\u7b4b\u5f37\u525b\uff09\u3084\u925b\u7ba1\u306e\u3088\u3046\u306b\u56fa\u304f\u611f\u3058\u308b\uff08\u925b\u7ba1\u69d8\u7b4b\u5f37\u525b\uff09\u52d5\u4f5c\u7de9\u6162\u8eab\u4f53\u306e\u52d5\u304d\u304c\u9045\u304f\u306a\u308a\u3001\u7279\u306b\u6b69\u884c\u6642\u306b\u9855\u8457\uff08\u3059\u304f\u307f\u8db3\u3084\u6b69\u5e45\u304c\u5c0f\u523b\u307f\u3001\u624b\u306e\u632f\u308a\u306e\u6e1b\u5c11\u3001\u65b9\u5411\u8ee2\u63db\u304c\u56f0\u96e3\uff09\u306b\u306a\u308b\u59ff\u52e2\u4fdd\u6301\u969c\u5bb3\u4ed6\u8005\u304c\u591a\u52d5\u7684\u306b\u8eab\u4f53\u3092\u62bc\u3059\u3068\u3001\u81ea\u8eab\u3067\u652f\u3048\u3089\u308c\u305a\u3001\u5f8c\u65b9\u306b\u30d0\u30e9\u30f3\u30b9\u3092\u5d29\u3057\u8ee2\u5012\u304c\u591a\u304f\u306a\u308b
\n\u8133\u795e\u7d4c\u5185\u79d1\uff08\u307e\u305f\u306f\u795e\u7d4c\u5185\u79d1\uff09\u306e\u8a3a\u7642\u79d1\u304c\u3042\u308b\u75c5\u9662\u3084\u30af\u30ea\u30cb\u30c3\u30af\u3092\u53d7\u8a3a\u3057\u3066\u9802\u304d\u307e\u3059\u3002
\n\u5bb6\u65cf\u6b74\u3001\u907a\u4f1d\u6027\u306e\u6709\u7121\u3068\u75c7\u72b6\u306e\u7d4c\u904e\uff08\u767a\u75c7\u6642\u671f\u3084\u9032\u884c\u72b6\u6cc1\u306a\u3069\uff09\u3092\u8a73\u3057\u304f\u8074\u53d6\u3057\u307e\u3059\u3002
\n\u9310\u4f53\u5916\u8def\u75c7\u72b6\uff08\u7b4b\u5f37\u525b\u3084\u52d5\u4f5c\u7de9\u6162\u3001\u7121\u52d5\u3001\u632f\u6226\u306a\u3069\uff09\u3084\u5c0f\u8133\u75c7\u72b6\uff08\u4f53\u5e79\u30fb\u56db\u80a2\u306e\u904b\u52d5\u5931\u8abf\u3084\u4f01\u56f3\u6642\u632f\u6226\u3001\u773c\u7403\u904b\u52d5\u969c\u5bb3\u306a\u3069\uff09\u3001\u81ea\u5f8b\u795e\u7d4c\u75c7\u72b6\uff08\u8d77\u7acb\u6027\u4f4e\u8840\u5727\u3001\u6392\u5c3f\u969c\u5bb3\u306a\u3069\uff09\u306e\u6709\u7121\u3092\u78ba\u8a8d\u3057\u307e\u3059\u3002
\n\u982d\u90e8MRI\u753b\u50cf\u306f\u8133\u8840\u7ba1\u969c\u5bb3\u3084\u8133\u816b\u760d\u3001\u5c0f\u8133\u3084\u8133\u5e79\u306e\u840e\u7e2e\u306a\u3069\u5668\u8cea\u7684\u7570\u5e38\u306e\u6709\u7121\u3092\u78ba\u8a8d\u3059\u308b\u305f\u3081\u306b\u91cd\u8981\u3067\u3059\u3002\u4f8b\u3048\u3070MSA\u3067\u306f\u6a4b\u306e\u4e2d\u90e8\u306b\u5341\u5b57\u30b5\u30a4\u30f3\u304c\u898b\u3089\u308c\u3001\u5225\u540d\uff08\u30db\u30c3\u30c8\u30af\u30ed\u30b9\u30d0\u30f3\u30b5\u30a4\u30f3\uff1aHot Cross Bun sign\uff09\u3068\u8a00\u3044\u307e\u3059\u3002
\n\u81ea\u5f8b\u795e\u7d4c\u6a5f\u80fd\u691c\u67fb\u3092\u884c\u3044\u307e\u3059\u3002\u8d77\u7acb\u8a66\u9a13\uff08\u30b7\u30a7\u30ed\u30f3\u30b0\u30c6\u30b9\u30c8\uff1aSchellong test\uff09\u306f\u3001\u30d9\u30c3\u30c9\u30b5\u30a4\u30c9\u3067\u8d77\u7acb\u6027\u4f4e\u8840\u5727\u306e\u6709\u7121\u3092\u5224\u5b9a\u3059\u308b\u691c\u67fb\u3067\u3001\u8840\u5727\u8a08\u3092\u7528\u610f\u3059\u308b\u3060\u3051\u3067\u7c21\u6613\u306b\u5b9f\u65bd\u3067\u304d\u307e\u3059\u3002
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\nI\u2015MIBG \u5fc3\u7b4b\u30b7\u30f3\u30c1\u30b0\u30e9\u30d5\u30a3\u30fc\u306b\u3088\u308b\u30d1\u30fc\u30ad\u30f3\u30bd\u30f3\u75c5 \u304a\u3088\u3073\u95a2\u9023\u75be\u60a3\u306e\u9451\u5225 MIBG scintigraphy in differential diagnosis<\/p>\n","protected":false},"excerpt":{"rendered":"
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