{"created":"2023-06-19T11:24:21.235603+00:00","id":5050,"links":{},"metadata":{"_buckets":{"deposit":"0e49ef16-9ad0-4f42-acd1-4459a0fed759"},"_deposit":{"created_by":1,"id":"5050","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"5050"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00005050","sets":["7","7:23"]},"author_link":["15850","15847","15849","15848","15845","15846","15844"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2013-12-01","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"52","bibliographicPageStart":"47","bibliographicVolumeNumber":"32","bibliographic_titles":[{"bibliographic_title":"てんかんをめぐって"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"転倒発作を抑制することを目的として脳梁離断術を行った潜因性レノックス・ガストー症候群の2症例について報告した。症例1は特別支援学校中等部に通学中の15歳の女子であり、幼児期より知的に遅れがあり、6歳時よりてんかんを発症した。14歳時に全脳梁離断術を受けた。症例2は特別支援学校中等部に通学中の13歳の男子で、3歳時に強直発作を起こしてんかんを発症した。8歳時に全脳梁離断術を受けた。症例1は脱力発作に伴い転倒することが多く、このような転倒発作は脳梁離断術後に完全に消失した。しかし、症例2は強直発作に伴い転倒することが多く、脳梁離断術後も転倒発作の頻度は減少しなかった。脳梁離断術の効果はてんかん発作型により異なり、脱力発作に対して最も効果的であることが示唆された。また、この事実はレノックス・ガストー症候群で見られる全般発作における脳梁の果たす役割が、発作型により異なるということを示していると考えられた。","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"出版社版","subitem_description_type":"Other"}]},"item_5_description_37":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"text","subitem_description_type":"Other"}]},"item_5_description_41":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_5_relation_27":{"attribute_name":"医中誌ID","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"2014369989","subitem_relation_type_select":"ICHUSHI"}}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1349-3078","subitem_source_identifier_type":"ISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2014369989"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"550"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"743"}]},"item_5_text_7":{"attribute_name":"著者 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