{"created":"2023-06-20T15:49:16.248741+00:00","id":1622,"links":{},"metadata":{"_buckets":{"deposit":"38d66394-630a-4c29-9b38-3f799eae0e57"},"_deposit":{"created_by":18,"id":"1622","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"1622"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00001622","sets":["99:64:66"]},"author_link":["238","93","122","237","218","374","133","375","376"],"item_5_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2012-03","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"122","bibliographicPageStart":"118","bibliographicVolumeNumber":"17","bibliographic_titles":[{"bibliographic_title":"徳島赤十字病院医学雑誌"},{"bibliographic_title":"okushima Red Cross Hospital Medical Journal","bibliographic_titleLang":"en"}]}]},"item_5_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"【はじめに】Miller-Fisher 症候群（MFS）は，Guillain-Barré 症候群の亜型であり，多くは先行感染後に眼筋麻痺，運動失調，深部腱反射消失の三主徴を呈する．今回我々は，外眼筋麻痺，深部腱反射消失を呈さないMFS を経験したので報告する．\r\n【症例】31歳・女性．上気道炎罹患の1ヶ月後に副鼻腔炎を発症．1週間後にふらつきが出現，当院を受診した．意識清明，F-N test もほぼ正常，CT で副鼻腔炎のみであったが，失調症状は急速に悪化，2日後起立困難となり再受診した．意識清明，両側瞳孔散大，対光反射減弱，眼球運動障害はなく，F-N test では失調あり，腱反射消失は認めなかった．MRIでは頭蓋内に異常所見を認めず，年齢，先行感染の既往，内眼筋麻痺，小脳失調の所見から，典型的ではないがMFSを疑い，入院加療を開始した．眼科でのピロカルピン検査で過剰反応を呈し，血清抗GQ1b IgG 抗体陽性でMFS と診断した．ビタミン剤処方と副鼻腔炎加療にて症状は徐々に改善し，15日目に独歩退院となった．\r\n【結語】非典型的なMFS の1例を経験した．その確定診断には抗GQ1b IgG 抗体の測定が有用であった．","subitem_description_type":"Abstract"}]},"item_5_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifierScheme":"WEKO"}],"names":[{"name":"Ueda, 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ゆう子"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2012-08-27"}],"displaytype":"simple","filename":"trchmj1701_118-122.pdf","filesize":[{"value":"746.7 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"pdf001536","url":"https://redcross.repo.nii.ac.jp/record/1622/files/trchmj1701_118-122.pdf"},"version_id":"a4db56b9-3d23-42ad-a879-08edca256e3e"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Miller-Fisher症候群","subitem_subject_scheme":"Other"},{"subitem_subject":"抗GQ１b IgG抗体","subitem_subject_scheme":"Other"},{"subitem_subject":"瞳孔散大","subitem_subject_scheme":"Other"},{"subitem_subject":"腱反射消失","subitem_subject_scheme":"Other"},{"subitem_subject":"Miller-Fisher syndrome","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"anti-GQ１b IgG antibody","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"mydriasis","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"tendon areflexia","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":"technical report"}]},"item_title":"外眼筋麻痺、腱反射消失を認めなかったMiller-Fisher症候群の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"外眼筋麻痺、腱反射消失を認めなかったMiller-Fisher症候群の1例"},{"subitem_title":"A case of Miller-Fisher syndrome that did not show external ophthalmoplegia and tendon areflexia","subitem_title_language":"en"}]},"item_type_id":"5","owner":"18","path":["66"],"pubdate":{"attribute_name":"公開日","attribute_value":"2012-08-27"},"publish_date":"2012-08-27","publish_status":"0","recid":"1622","relation_version_is_last":true,"title":["外眼筋麻痺、腱反射消失を認めなかったMiller-Fisher症候群の1例"],"weko_creator_id":"18","weko_shared_id":18},"updated":"2023-06-20T21:21:51.993360+00:00"}