{"_buckets": {"deposit": "025ed1ad-194d-4a05-9d79-f8581a11cc08"}, "_deposit": {"id": "25414", "owners": [], "pid": {"revision_id": 0, "type": "depid", "value": "25414"}, "status": "published"}, "_oai": {"id": "oai:niigata-u.repo.nii.ac.jp:00025414", "sets": ["456", "1295"]}, "item_7_alternative_title_1": {"attribute_name": "その他のタイトル", "attribute_value_mlt": [{"subitem_alternative_title": "Experience of dysphagia rehabilitation after the operation of aneurysm of the anterior inferior cerebellar artery : case report"}]}, "item_7_biblio_info_6": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2011-12", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "2", "bibliographicPageEnd": "110", "bibliographicPageStart": "107", "bibliographicVolumeNumber": "41", "bibliographic_titles": [{"bibliographic_title": "新潟歯学会雑誌"}, {"bibliographic_title": "新潟歯学会雑誌", "bibliographic_titleLang": "en"}]}]}, "item_7_description_4": {"attribute_name": "抄録", "attribute_value_mlt": [{"subitem_description": "症例は26歳女性で食べ物が喉に詰まる感じがして飲み込みづらいことを主訴とした。2008 年頃より眩暈を自覚するようになったが，2010年頃より増悪し，2011年７月に新潟大学医歯学総合病院脳神経外科にて左前下小脳動脈動脈瘤と診断された。７月28日，全身麻酔下で手術（左前下小脳動脈離断術，脳動脈瘤摘出術）を施行された後より食塊の咽頭通過不全を主訴とする嚥下障害が出現したため，８月９日に摂食・嚥下機能評価およびリハビリテーションを目的として同院摂食・嚥下機能回復部を受診した。初診時，舌は左側へのわずかな偏位を認め，さらに左側口唇および頬には明らかな運動障害を認めた。また，発声時の軟口蓋拳上は可能であったが，左側の拳上が不良で，開鼻声を認め，発声持続時間は６秒であった。嚥下内視鏡検査時に左側披裂および声門の運動不良が観察され，声門閉鎖は不完全であったことから，左側顔面神経麻痺，迷走神経，舌咽神経，軽度の舌下神経障害を伴う嚥下障害と診断して，間接訓練および食事時の嚥下方法として，顎引き嚥下および回旋嚥下を指導した。訓練開始後８日目の再評価時，すべての機能に改善を認め，術後24 日目に経過良好で自宅退院となった。一般的に前下小脳動脈動脈瘤術後の予後は良好とされるが，初診時に認められた脳神経系の運動不全に関する診断に基づいた患者教育や食事指導，間接訓練の提供などによって，良好な予後に貢献できたと考えられた。", "subitem_description_type": "Abstract"}, {"subitem_description": "A 26-years-old woman had pharyngeal residues of boluses. She had a history of operation of aneurysm of the anterior inferior cerebellar artery. After the operation, dysphagia described above occurred. In the first clinical assessment, she had weak and moderate palsy of tongue and facial muscles on the left side, respectively. In the videoendoscopic examination, impairments of elevation of soft palate, arytenoideus and vocal cord were revealed on the left side as well as rhinolalia aperta，shortened phonation time (6 sec). At that time, she had no limitation of diet. Postural compensation including head and neck rotation and chin tuck swallowing was indicated to improve swallowing efficacy and indirect therapy was performed by dentists and dental hygienists. Eight days later, most scores were improved. Although it was reported that prognosis of post operation of operation of the anterior inferior cerebellar artery was good, the present case demonstrated that clinical approaches including indirect therapy and education for patients resulted in a good risk.", "subitem_description_type": "Abstract"}]}, "item_7_full_name_3": {"attribute_name": "著者別名", "attribute_value_mlt": [{"nameIdentifiers": [{"nameIdentifier": "149833", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Nokita, Takeshi"}]}, {"nameIdentifiers": [{"nameIdentifier": "149834", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Nakamura, Yuki"}]}, {"nameIdentifiers": [{"nameIdentifier": "149835", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Inoue, Makoto"}]}]}, "item_7_publisher_7": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "新潟歯学会"}]}, "item_7_select_19": {"attribute_name": "著者版フラグ", "attribute_value_mlt": [{"subitem_select_item": "publisher"}]}, "item_7_source_id_11": {"attribute_name": "書誌レコードID", "attribute_value_mlt": [{"subitem_source_identifier": "AN0018300X", "subitem_source_identifier_type": "NCID"}]}, "item_7_source_id_9": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "03850153", "subitem_source_identifier_type": "ISSN"}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "[ノキ]田, 健史"}], "nameIdentifiers": [{"nameIdentifier": "149830", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "中村, 由紀"}], "nameIdentifiers": [{"nameIdentifier": "149831", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "井上, 誠"}], "nameIdentifiers": [{"nameIdentifier": "149832", "nameIdentifierScheme": "WEKO"}]}]}, "item_files": {"attribute_name": "ファイル情報", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2019-08-19"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "NS_41(2)_107-110.pdf", "filesize": [{"value": "279.8 kB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 279800.0, "url": {"label": "NS_41(2)_107-110.pdf", "url": "https://niigata-u.repo.nii.ac.jp/record/25414/files/NS_41(2)_107-110.pdf"}, "version_id": "4dcb855f-6277-4d71-add8-555471e2825b"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "前下小脳動脈", "subitem_subject_scheme": "Other"}, {"subitem_subject": "小脳動脈瘤", "subitem_subject_scheme": "Other"}, {"subitem_subject": "嚥下障害", "subitem_subject_scheme": "Other"}, {"subitem_subject": "摂食・嚥下リハビリテーション", "subitem_subject_scheme": "Other"}, {"subitem_subject": "anterior inferior cerebellar artery", "subitem_subject_scheme": "Other"}, {"subitem_subject": "cerebral aneurysm", "subitem_subject_scheme": "Other"}, {"subitem_subject": "dysphagia", "subitem_subject_scheme": "Other"}, {"subitem_subject": "dysphagia rehabilitation", "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": "departmental bulletin paper", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "前下小脳動脈動脈瘤術後に嚥下障害を併発した若年者に対しリハビリテーションを行った１例", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "前下小脳動脈動脈瘤術後に嚥下障害を併発した若年者に対しリハビリテーションを行った１例"}, {"subitem_title": "前下小脳動脈動脈瘤術後に嚥下障害を併発した若年者に対しリハビリテーションを行った１例", "subitem_title_language": "en"}]}, "item_type_id": "7", "owner": "1", "path": ["456", "1295"], "permalink_uri": "http://hdl.handle.net/10191/47763", "pubdate": {"attribute_name": "公開日", "attribute_value": "2017-07-26"}, "publish_date": "2017-07-26", "publish_status": "0", "recid": "25414", "relation": {}, "relation_version_is_last": true, "title": ["前下小脳動脈動脈瘤術後に嚥下障害を併発した若年者に対しリハビリテーションを行った１例"], "weko_shared_id": null}