특징적인 신경생리학적 소견을 가진 전신성 파상풍 1례

A case of generalized tetanus with characteristic neurophysiological findings

  • 김정일 (경북대학교 의과대학 신경과학교실) ;
  • 이지만 (경북대학교 의과대학 신경과학교실) ;
  • 김종열 (경북대학교 의과대학 신경과학교실) ;
  • 박성파 (경북대학교 의과대학 신경과학교실) ;
  • 서정규 (경북대학교 의과대학 신경과학교실)
  • Kim, Jung-Il (Department of Neurology, School of Medicine, Kyungpook National University) ;
  • Lee, Ji-Man (Department of Neurology, School of Medicine, Kyungpook National University) ;
  • Kim, Jong-Yeol (Department of Neurology, School of Medicine, Kyungpook National University) ;
  • Park, Sung-Pa (Department of Neurology, School of Medicine, Kyungpook National University) ;
  • Suh, Chung-Kyu (Department of Neurology, School of Medicine, Kyungpook National University)
  • 발행 : 2002.05.01

초록

Tetanus is a disorder known to interfere with inhibitory modulation of the motor system in humans. In this report, we describe the characteristic neurophysiological findings in a 52-year-old patient with generalized tetanus. The cutaneous silent period was absent and the silent period evoked in distal upper limb muscles by transcranial magnetic stimulation was shortened. These findings can be interpreted as evidence of impaired inhibitory mechanisms at multiple levels of the nervous system.

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