{"created":"2023-06-20T15:59:58.599919+00:00","id":18156,"links":{},"metadata":{"_buckets":{"deposit":"cdb6ffb8-8688-4859-9ce5-2b2159b5f06b"},"_deposit":{"created_by":49,"id":"18156","owners":[49],"pid":{"revision_id":0,"type":"depid","value":"18156"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00018156","sets":["561:562:566"]},"author_link":["68895","68891","68893","68892","68894"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2017-03","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"29","bibliographicPageStart":"27","bibliographicVolumeNumber":"29","bibliographic_titles":[{"bibliographic_title":"旭川赤十字病院医学雑誌"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"36歳男。肩こりに対し頸部側方に急激な側屈をした直後から回転性めまい、複視、後頭部痛を自覚し、症状が改善せず搬送となった。脳MRIでは左後下小脳動脈領域の小脳半球に拡散強調像で高信号を認め、脳MRAでは左椎骨動脈の口径不整を認めた。エダラボン、ヘパリンの保存的治療を開始し、めまい、頭痛は改善した。頭部造影CTで右椎骨動脈にも口径不整を認め、再度の脳MRIでは右橋にも拡散強調像で高信号を認め、最終的に両側椎骨動脈解離に伴う左小脳梗塞、右橋梗塞の診断となった。経過観察としたところ、症状の増悪は認めず、左右椎骨動脈の口径不整は改善傾向にあった。ヘパリンを中止し、シロスタゾールとアスピリンの抗血小板療法に変更したが、シロスタゾールによると思われる頭痛が出現し、クロピドグレル、イコサペント酸内服に変更した。その後、新たな神経症状は出現せず、外来経過観察となった。","subitem_description_type":"Abstract"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0913-4417","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"丸尾, 優爾"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"長沼, 亮滋"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"黒島, 研美"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"浦, 茂久"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"吉田, 一人"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2022-05-27"}],"displaytype":"simple","filename":"asahikawa201516-9症例2.pdf","filesize":[{"value":"1.5 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"asahikawa20151610","url":"https://redcross.repo.nii.ac.jp/record/18156/files/asahikawa201516-9症例2.pdf"},"version_id":"29f0ec42-570d-4a64-8d6f-abaf0b5ccf38"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Eicosapentaenoic Acid","subitem_subject_scheme":"Other"},{"subitem_subject":"運動療法(有害作用)","subitem_subject_scheme":"Other"},{"subitem_subject":"*頸部(画像診断)","subitem_subject_scheme":"Other"},{"subitem_subject":"小脳疾患(病因,画像診断,薬物療法)","subitem_subject_scheme":"Other"},{"subitem_subject":"X線CT","subitem_subject_scheme":"Other"},{"subitem_subject":"脳梗塞(病因,画像診断,薬物療法)","subitem_subject_scheme":"Other"},{"subitem_subject":"MRA","subitem_subject_scheme":"Other"},{"subitem_subject":"*椎骨動脈解離(病因,画像診断)","subitem_subject_scheme":"Other"},{"subitem_subject":"Clopidogrel","subitem_subject_scheme":"Other"},{"subitem_subject":"肩こり(治療,画像診断)","subitem_subject_scheme":"Other"},{"subitem_subject":"頭部CT","subitem_subject_scheme":"Other"},{"subitem_subject":"ヒト","subitem_subject_scheme":"Other"},{"subitem_subject":"成人(19〜44)","subitem_subject_scheme":"Other"},{"subitem_subject":"男","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":"急激な頸部運動を契機に椎骨動脈解離を発症した1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"急激な頸部運動を契機に椎骨動脈解離を発症した1例"}]},"item_type_id":"10001","owner":"49","path":["566"],"pubdate":{"attribute_name":"公開日","attribute_value":"2022-05-27"},"publish_date":"2022-05-27","publish_status":"0","recid":"18156","relation_version_is_last":true,"title":["急激な頸部運動を契機に椎骨動脈解離を発症した1例"],"weko_creator_id":"49","weko_shared_id":-1},"updated":"2023-06-20T17:46:12.670353+00:00"}