{"created":"2023-06-20T15:49:23.092184+00:00","id":3973,"links":{},"metadata":{"_buckets":{"deposit":"a42596c1-894e-4039-a8ce-66ac85b13587"},"_deposit":{"created_by":4,"id":"3973","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"3973"},"status":"published"},"_oai":{"id":"oai:hama-med.repo.nii.ac.jp:00003973","sets":["1:12:80"]},"author_link":["12169","12170","12171","12172","12173","12174","12175","12176","12177"],"item_3_biblio_info_5":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2022-03-18","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"90","bibliographicPageStart":"78","bibliographicVolumeNumber":"11","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":"脳動静脈奇形Arteriovenous malformation（AVM）は妊娠中に頭蓋内出血を起こす主要な脳血管疾患であるが、妊娠中の破裂で初めて診断されることが多い。また、AVMが出血原因とわかっても、その大きさや病変部位により根治的治療が困難な症例では、再出血のリスクをかかえたまま妊娠継続をはかることになる。\n今回、妊娠中期にAVM破裂をきたし、Spetzler-Martin分類grade 4、 5で外科的摘出が困難と診断され、保存的に治療した2症例を経験した。症例1は36歳、妊娠前に左前頭頭頂葉AVMを診断され経過観察されていたが、妊娠21週に脳室内出血を認め、妊娠37週に硬膜外麻酔下に選択的帝王切開術を行なった。症例2は31歳、妊娠24週で右被殻出血を認め、妊娠31週に全身麻酔下に選択的帝王切開術を行った。自験例を含め、過去に国内で報告された40症例について検討した。","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"Arteriovenous malformation (AVM) is a major cerebrovascular disease that causes intracranial hemorrhage during pregnancy and is often first diagnosed due to rupture during pregnancy. Even if an AVM is known to be the cause of bleeding, in cases where curative treatment is difficult due to the size and location of the lesion, pregnancy will need to be continued in spite of the risk of re-bleeding.\nWe have managed two cases of AVM rupture during the second trimester of pregnancy. The lesions were of high Spetzler-Martin grades (grades 4 and 5); therefore, surgical removal was deemed difficult in these patients and they were treated conservatively. The first patient was a 36-year-old woman who was under surveillance after being diagnosed with a left frontal parietal lobe AVM before pregnancy. Intraventricular hemorrhage was observed during week 21 of gestation, and delivery was achieved through caesarean section at 37 weeks, under epidural anesthesia. The second case was a 31-year-old woman in whom right putamen hemorrhage was noted during week 24 of gestation. She underwent selective caesarean section under general anesthesia during week 31 of gestation. We examined 40 prior cases reported in Japan, along with our cases.","subitem_description_language":"en","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":"鈴木, 隆之","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"根本, 泰子","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"佐々木, 貴充","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"荒木, 甫","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"黒柳, 雅文","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"松井, 友哉","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"栗原, みずき","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小谷, 倫子","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"市川, 義一","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":"2022-03-24"}],"displaytype":"detail","filename":"jsog_11_1_78.pdf","filesize":[{"value":"664.1 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"jsog_11_1_78","url":"https://hama-med.repo.nii.ac.jp/record/3973/files/jsog_11_1_78.pdf"},"version_id":"35fccaf3-cf48-4d39-83f2-41566954a9f3"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"arteriovenous malformation","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"intracerebral hemorrhage","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"pregnancy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"stroke","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"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":"妊娠中に脳動静脈奇形による頭蓋内出血をきたしたSpetzler-Martin high gradeの2症例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"妊娠中に脳動静脈奇形による頭蓋内出血をきたしたSpetzler-Martin high gradeの2症例","subitem_title_language":"ja"},{"subitem_title":"Two pregnant cases of intracranial hemorrhage due to arteriovenous malformation of high Spetzler-Martin grades","subitem_title_language":"en"}]},"item_type_id":"3","owner":"4","path":["80"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2022-03-24"},"publish_date":"2022-03-24","publish_status":"0","recid":"3973","relation_version_is_last":true,"title":["妊娠中に脳動静脈奇形による頭蓋内出血をきたしたSpetzler-Martin high gradeの2症例"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2023-08-01T07:00:28.739347+00:00"}