대한핵의학회지 (1967년~2009년)
대한핵의학회지 1978;12(1)17~12
정상한국인 및 각종갑상선질환에서의 아킬레스건반사 시간에 관한 연구 ( A Study on Achiles Tendon Reflex in Normal Korean Persons and Various Thyroid Diseases )
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Author 강진영(Jin Yung Kang), 김명덕(Myung Duk Kim), 이홍규(Hong Kyu Lee), 이정상(Jung Sang Lee), 고창순(Chang Soon Koh), 이문호(Mun Ho Lee),
Affiliation
Abstract

Since Chaney reported the measurement of ankle jerk in Patients with myxedema for the first time, slowing of the reflex in myxedema has been well documented by many authors. Although its mechanisms have not been elucidated clearly, it has long been held in esteem by clinicians a near pathognomonic sign in myxedema. Possible mechanisms suggested include (a) abnormal activity of the central nervous system, (b) a disorder of muscle like that of myotonia (c) lowered temperature of the muscle, (d) increased viscosity of themuscle due to myxdematous infiltration and (e) part of a general slowing of all vital processes. The brisk reflex in thyrotoxicosis has also been noted to be characteristic. The recent development of several simple methods of quantitating the deep tendon reflex time has made its application an easy, rapid, inexpensive and accurate test in the results of our examinations on the Achilles tendon reflex(ATR) times in normal Koreans along their sexes, ages and in various thyroid diseases. Also we observed the changes of ATR times in the thyrotoxicosis and myxedema after the initiation of treatment and compared them with other thyroid function tests.

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Full text Article 28503110.pdf 28503110.pdf
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