Loeys Dietz Syndrome: Virtual Medical Symposium Series (11/8/18)
19:36-21:07
Something that's unique to Loyes-Dietz syndrome that we pay a lot of attention to is the possibility of a problem in the spine in the neck, something we called cervical spine malformation or instability. It's present in about half of all people with Loyes-Dietz syndrome and can put someone at risk for injury to the spinal cord. We recommend that at the time of diagnosis, people have X-rays of their neck to look for malformation or instability. If severe, this can require surgical stabilization as you can see in the two young people at the upper right side of the slide.
ロイス・ディーツ症候群に特有で注意を要する所見は、頚椎不安定症と呼ばれる所見です。ロイス・ディーツ症候群の方の約半数にみられ、頚椎損傷のリスクが生じます。診断にあたっては首のレントゲン撮影を推奨しています。重度の場合には、スライド右上の子ども達のように、外科的な固定が必要となることもあります。
Sometimes this is complicated by poor bone healing, so it's very important for your doctors to be looking at the quality of the bone, something that we call osteoporosis, means that the bone doesn't have enough calcium and can be treated with vitamin supplements and also calcium supplements.
頚椎不安定症に骨の治癒不良が合併することもありますので、骨に含まれるカルシウムが不足する骨粗鬆症となっていないかを主治医に調べてもらうことが非常に重要です。骨粗鬆症はビタミンやカルシウムのサプリメントで治療することができます。
So we do believe that the initial evaluation should include neck films with a head bent forward and bent back and also something called the DEXA scan that looks at the quality of the bone, the amount of calcium in the bone.
最初に行うべき検査としては、首を前と後ろに傾けた状態での首のレントゲン、骨密度（骨のカルシウム量）を測定するDXA法があります。
The Marfan Foundation did not participate in the translation of these materials and does not in any way endorse them. If you are interested in this topic, please refer to our website, Marfan.org, for materials approved by our Professional Advisory Board.
The Marfan Foundation は、当翻訳には関与しておらず、翻訳内容に関してはいかなる承認も行っておりません。このトピックに興味をお持ちの方は、Marfan.orgにアクセスし、当協会の専門家から成る諮問委員会が承認した内容をご参照ください。
