著者

幸田 純治 武田 直也 堀 洋二

出版者

耳鼻咽喉科臨床学会

雑誌

耳鼻咽喉科臨床 補冊 (ISSN:09121870)

巻号頁・発行日

vol.1993, no.Supplement61, pp.84-90, 1993-04-15 (Released:2012-11-27)

参考文献数

34

被引用文献数

1 1

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Voice tremor has been associated with neurological disorders such as essential tremor, Parkinson's disease, cerebellar ataxia. Voice tremor most commonly accompanies essen- tial tremor which is a common neurologic disorder that is often an autosomal dominant trait. It may appear in childhood or later life and runs a slowly progressive course.Voice tremor is characterized by rhythmic alternations in pitch and loudness of vowel sounds, and is usually accompanied by tremor in other parts of the body. The frequency ranges from 4 to 8 Hz. Physiological lesions or mechanisms of voice tremor have not been throughly studied. Essential voice tremor can resemble spasmodic dysphonia, therefore differentiation between essential voice tremor and spasmodic dysphonia must be made. Laryngoscopy and laryngeal electromyography are useful for diagnosis.Currently available therapies for voice tremor are not satisfactory, however propranolol is most commonly used.

著者

松田 和徳 堀 洋二 雫 治彦 武田 憲昭

出版者

The Society of Practical Otolaryngology

雑誌

耳鼻咽喉科臨床 (ISSN:00326313)

巻号頁・発行日

vol.98, no.10, pp.809-814, 2005

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In the present study, we evaluated daytime sleepiness in 32 patients with obstructive sleep apnea syndrome (OSAS) using epworth sleepiness scale (ESS). ESS scores of patients with OSAS were significantly higher than those of patients with simple snoring and healthy subjects. ESS scores of patients with OSAS were significantly correlated with apnea-hypopnea index, the longest apnea time, but not with the lowest oxygenation. It is suggested that ESS score is a predictive index of the severity of OSAS. We then examined whether ESS in combination with body mass index (BMI) can identify patients with OSAS among patients complaining of snoring. When the cut off points were 11 in ESS and 25 in BMI, the combination of ESS and BMI correctly classified 18 of 25 patients with OSAS (sensitivity=72.0%) and 7 of 10 patients without OSAS (specificity=70.0%). We concluded that the combination of ESS and BMI was useful for screening of sleep apnea syndrome.