{"created":"2023-06-20T15:51:48.034684+00:00","id":5553,"links":{},"metadata":{"_buckets":{"deposit":"0a76bf6d-fdd7-4521-9782-6208f5c25f89"},"_deposit":{"created_by":22,"id":"5553","owners":[22],"pid":{"revision_id":0,"type":"depid","value":"5553"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00005553","sets":["100:90:176"]},"author_link":["18008"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2013-12-01","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"15","bibliographicPageStart":"2","bibliographicVolumeNumber":"34","bibliographic_titles":[{"bibliographic_title":"京都第二赤十字病院医学雑誌 "},{"bibliographic_title":"Medical journal of Kyoto Second Red Cross Hospital","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"比較的大径の穿通枝が母動脈から分岐するその近傍に生じるアテロームプラークを基盤とした血栓により穿通枝全域に及ぶ梗塞は，branch atheromatous disease（BAD）という一病型として提起されている．放線冠を灌流するレンズ核線条体動脈外側枝，内包後脚を灌流する前脈絡叢動脈，橋底面を灌流する傍正中動脈に好発し，錐体路の傷害により急性期に進行性運動麻痺を示し，機能予後不良となる場合が多い．一方，線条体内包梗塞（striatocapsular infarction :SCI）はレンズ核線条体動脈領域ほぼ全域にわたる梗塞で，最大径20 mm 以上，研究者によれば30 mm 以上の大径の皮質下梗塞で，内包の症状のみならずしばしば皮質症状を呈する．心原性脳塞栓が多く，中大脳動脈アテローム血栓性梗塞でも生じうる．BAD に対してtPA 治療は，BAD が緩徐進行の経過をとることや，投与後の再増悪がみられることがあり最適といえない．アルガトロバン，シロスタゾール，クロピドグレル，エダラボンの，カクテル・強化抗血小板療法が有用である可能性がある．SCI にはtPA 適応となる場合が多い．","subitem_description_type":"Abstract"}]},"item_10001_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{},{}],"names":[{"name":"Yamamoto, Yasumasa"}]}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"京都第二赤十字病院"}]},"item_10001_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00357778 ","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0389-4908 ","subitem_source_identifier_type":"ISSN"}]},"item_10001_version_type_20":{"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":"山本, 康正"}],"nameIdentifiers":[{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2014-02-21"}],"displaytype":"simple","filename":"MJKSRCH34_2.pdf","filesize":[{"value":"1.1 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"kyo2_000031","url":"https://redcross.repo.nii.ac.jp/record/5553/files/MJKSRCH34_2.pdf"},"version_id":"04cacb88-165a-465a-9d4f-f36614d121a7"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"分枝粥腫症","subitem_subject_scheme":"Other"},{"subitem_subject":"穿通枝梗塞","subitem_subject_scheme":"Other"},{"subitem_subject":"微小粥腫","subitem_subject_scheme":"Other"},{"subitem_subject":"線条体内包梗塞","subitem_subject_scheme":"Other"},{"subitem_subject":"Branch atheromatous disease","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"penetrating artery disease","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"microatheroma","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"striatocapsular infarct","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":"Branch atheromatous disease および 線条体内包梗塞の病態と治療","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Branch atheromatous disease および 線条体内包梗塞の病態と治療"},{"subitem_title":"The concept, pathophysiology and treatment for branch atheromatous disease and striatocapsular infarction","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"22","path":["176"],"pubdate":{"attribute_name":"公開日","attribute_value":"2014-02-23"},"publish_date":"2014-02-23","publish_status":"0","recid":"5553","relation_version_is_last":true,"title":["Branch atheromatous disease および 線条体内包梗塞の病態と治療"],"weko_creator_id":"22","weko_shared_id":-1},"updated":"2023-06-20T20:35:33.989384+00:00"}