《みんなの家庭の医学》原因不明の手足のしびれ・麻痺が治らない！「首の椎間板ヘルニア」と診断されたが、胸の神経の異常が原因だった！
※たけしのみんなの家庭の医学 2013年9月24日放送分より
貴方の長引く不調を解消！
病の本当の原因を探る、
セカンドオピニオンスペシャルの第9弾。
セカンドオピニオンとは主治医とは異なる別の医師に、
診断や治療についての意見を求める事。
主治医からの紹介状が必要で自費診療が原則だが、
その結果、思わぬ原因や解決法が発見出来る可能性がある。
4年間のしびれと麻痺が治らない！
「首の椎間板ヘルニア」と診断されたが、
→実は胸の神経の異常が原因
東京・世田谷区の日産厚生会玉川病院に勤務する、
整形外科部長・佐藤良治先生が視聴者の悩みを解決。
36歳男性 伊藤正さん（仮名）の悩みは以下の通り。
①4年前から両手にしびれを感じ、
右足全体の感覚が鈍く、左足が上げにくい。
②整形外科にいくと「首の椎間板ヘルニア」と診断。
③大きなヘルニアではないので様子を見るが、
4年経っても治らない。
④更に2度MRIを撮るが原因不明。
要するにこの男性の、
最初の診断（ファーストオピニオン）は、
「首の椎間板ヘルニア」であった。
佐藤良治先生によると、
しびれや麻痺は、
脊髄や神経の異常が主な原因であり、
神経の支配領域を把握する事が大事であると説明。
相談者の手のしびれに関しては、
やはり「首のヘルニア」が原因であると診断された。
そして足のしびれに関しては、
「痛覚テスト」で本当の麻痺している場所を特定。
すると痛みの感覚が鈍くなっているのは、
足だけにあらず、
胸の辺りにまでのぼる事が明らかになった。
佐藤良治先生はこの事から、
胸の辺りの脊髄に異常が起きて、
「ブラウン・せカール症候群」を発症した疑いがあるという、
二度目の診断（セカンドオピニオン）を出した。
ブラウン・せカール症候群（脊髄半側症候群）は、
脊髄の半分だけに異常が起きる病気である。
今回の男性の場合、
右足は感覚麻痺、左足は運動麻痺を起こしていた事から、
この病が疑われると説明された。
ちなみに脊髄に異常を起こしているとみられる原因としては、
「脊髄腫瘍」、
「脊髄の血管の異常」、
「胸椎の椎間板ヘルニア」、
等が挙げられるが脊髄を精密検査しなければ分からないと説明。
この男性の場合、
該当する脊髄の場所をMRIで撮影して、
相応の治療を主治医と相談した方が良いという。
《もうちょっと調べてみた&所感》
今回の男性の場合、
まさか胸の辺りまで感覚麻痺が起きているとは、
気付かなかった為、
MRIによっても異常が見つからなかったのだと推測出来ます。
通常は手の痺れ・麻痺を感じたら首、
足の痺れ・麻痺を感じたら腰の神経になんらかしらの、
異常をきたしていると考えるのが一般的ですが、
胸にまで実は痺れ・麻痺が起きているというのは、
なかなか動かさない部位だけに気付きにくくなるのでしょう。
謎の痛み・痺れ・麻痺を感じてお悩みの方は、
今回、セカンドオピニオンを提供して下さった、
「日産厚生会玉川病院」に勤務する、
腰痛治療のスペシャリスト佐藤良治先生の、
診察を受けてみた方が良いかもしれません。
オススメ関連記事
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- 《みんなの家庭の医学》「腰痛」に関する悩み！治らない腰痛と足の痛み・しびれは足の血管の病が原因だった！
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タグ：たけしのみんなの家庭の医学, 神経
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