{"created":"2023-06-20T15:48:05.643203+00:00","id":2618,"links":{},"metadata":{"_buckets":{"deposit":"7f343dbe-1323-4fed-856d-d44f9455fe39"},"_deposit":{"created_by":4,"id":"2618","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"2618"},"status":"published"},"_oai":{"id":"oai:hama-med.repo.nii.ac.jp:00002618","sets":["1:12:56"]},"author_link":["7691","7692","7693","7694","7695","7696","7697"],"item_3_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Two cases of anti -N-methyl-D-aspartate receptor encephalitis with ovarian teratoma.","subitem_alternative_title_language":"en"}]},"item_3_biblio_info_5":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2014-06","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"20","bibliographicPageStart":"16","bibliographicVolumeNumber":"3","bibliographic_titles":[{"bibliographic_title":"静岡産科婦人科学会雑誌","bibliographic_titleLang":"ja"}]}]},"item_3_description_9":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"抗NMDAR(N-methyl-D-aspartate receptor) 脳炎は2007 年Dalmau らにより提唱された傍 腫瘍性辺縁脳炎である。今回我々は卵巣成熟嚢 胞性奇形腫を合併した抗NMDAR 脳炎の2 例 を経験したので報告する。 【症例1】22 歳 女性 0 経妊0 経産 発熱・頭痛・嘔吐後に統合失調様症状を発症し、 当初はウイルス性脳炎を疑うも感染は否定的で あった。腹部CT にて右卵巣腫瘍を指摘された ため、抗NMDAR 脳炎が疑われた。発症後51 日目の右付属器切除術にて成熟嚢胞性奇形腫と 判明し、免疫グロブリン大量療法を施行した。 現在も意識障害、不随意運動は持続している。 【症例2】26 歳 女性 0 経妊0 経産 頭痛後に統合失調症様症状を発症したため、ウ イルス性脳炎を疑うも感染は否定的であった。 その後、痙攀を認め、鎮静下に呼吸器管理を開 始した。腹部CT にて左卵巣腫瘍を指摘され、 抗NMDAR 脳炎が疑われた。発症後6 日目の 嚢腫核出術施行にて成熟嚢胞性奇形腫と判明し た。術後、免疫グロブリン大量療法を施行した。 症状は緩徐に改善し、軽度の高次機能障害を認 めるのみとなり、外来にて経過観察中である。","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_3_publisher_6":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"静岡産科婦人科学会","subitem_publisher_language":"ja"}]},"item_3_source_id_19":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"21871914","subitem_source_identifier_type":"ISSN"}]},"item_3_version_type_32":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"竹原, 啓","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"若山, 彩","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"加藤, 雄一郎","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"多々内, 友美子","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"千田, 裕美子","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"望月, 修","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"宇津, 正二","creatorNameLang":"ja"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-08-27"}],"displaytype":"detail","filename":"jsog_3_1_3.pdf","filesize":[{"value":"524.2 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"jsog_3_1_3.pdf","url":"https://hama-med.repo.nii.ac.jp/record/2618/files/jsog_3_1_3.pdf"},"version_id":"1baa6b8b-347d-4291-8d25-549d17b9aa3f"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"卵巣成熟嚢胞性奇形腫に合併した抗NMDAR 脳炎の2 症例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"卵巣成熟嚢胞性奇形腫に合併した抗NMDAR 脳炎の2 症例","subitem_title_language":"ja"}]},"item_type_id":"3","owner":"4","path":["56"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2014-12-15"},"publish_date":"2014-12-15","publish_status":"0","recid":"2618","relation_version_is_last":true,"title":["卵巣成熟嚢胞性奇形腫に合併した抗NMDAR 脳炎の2 症例"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2023-08-01T06:42:29.545646+00:00"}