{"id":5266,"date":"2014-05-21T17:47:35","date_gmt":"2014-05-21T08:47:35","guid":{"rendered":"\/sawamura\/?p=5266"},"modified":"2021-11-01T17:39:35","modified_gmt":"2021-11-01T08:39:35","slug":"fourthventricletumo","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/sawamura\/pediattumor\/fourthventricletumo\/","title":{"rendered":"\u7b2c\uff14\u8133\u5ba4\u816b\u760d"},"content":{"rendered":"<ul>\n<li><span style=\"color: #000066; font-size: 17px;\">\u7b2c\uff14\u8133\u5ba4\u816b\u760d\u306f\u5c0f\u5150\u306b\u591a\u3044\u3082\u306e\u3067\u3059<\/span><\/li>\n<li><span style=\"color: #000066; font-size: 17px;\">\u9589\u585e\u6027\u6c34\u982d\u75c7\u3092\u751f\u3058\u307e\u3059\u304b\u3089\uff0c\u75c7\u72b6\u306f\u982d\u75db\u3068\u5455\u5410\u3067\u3059<\/span><\/li>\n<li><span style=\"color: #000066; font-size: 17px;\">\u9ac4\u82bd\u816b\uff0c\u4e0a\u8863\u816b\u306a\u3069\u306e\u60aa\u6027\u816b\u760d\u304c\u591a\u3044\u3067\u3059<\/span><\/li>\n<li><span style=\"color: #000066; font-size: 17px;\">\u624b\u8853\u306f\u6b63\u4e2d\u5f8c\u982d\u7aa9\u958b\u982d\u3067\u3057\u307e\u3059\u304c\uff0c\u96e3\u3057\u3044\u3067\u3059<\/span><\/li>\n<\/ul>\n<h4>\u00a0\u7b2c\uff14\u8133\u5ba4\u3068\u306f<a href=\"\/sawamura\/pediattumor\/fourthventricletumo\/attachment\/fourthventsag\/\" rel=\"attachment wp-att-5278\"><br \/>\n<\/a><\/h4>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/fourthventsag1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-5280\" title=\"fourthventsag\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/fourthventsag1-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/fourthvent3d1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-5281\" title=\"fourthvent3d\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/fourthvent3d1-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a>\u5f8c\u982d\u90e8\u306b\u8fd1\u3044\u6240\u306b\u3042\u308a\u307e\u3059\u3002\u9ec4\u8272\u304c<span style=\"color: #000000;\">\u7b2c\uff14\u8133\u5ba4<\/span>\u3067\uff0c\u9ac4\u6db2\u306e\u901a\u308a\u9053\uff08\u51fa\u53e3\uff09\u3067\u3059\u3002<br \/>\n\u524d\u65b9\u306b\u306f\u8133\u5e79\u90e8\uff0c\u5f8c\u308d\u306f\u5c0f\u8133\u866b\u90e8\u3067\u3059 \u3002<br \/>\n\u4e0a\u306f\u7d30\u3044\u4e2d\u8133\u6c34\u9053\u306b\u3064\u306a\u304c\u3063\u3066\uff0c\u4e0b\u306f\u30de\u30b8\u30e3\u30f3\u30c7\u30a3\u30fc\u5b54\u3068\u5de6\u53f3\u306e\u30eb\u30b7\u30e5\u30ab\u5b54\u306b\u958b\u3044\u3066\u3044\u307e\u3059\u3002<\/p>\n<h3><strong><span style=\"color: #000080;\">\u7b2c4\u8133\u5ba4\u816b\u760d\u306e\u7a2e\u985e<\/span><\/strong><\/h3>\n<h4>\u7b2c\uff14\u8133\u5ba4\u816b\u760d\u306f3\u3064\u306b\u5206\u3051\u3066\u8003\u3048\u308b<\/h4>\n<h5>1. \u00a0\u5c0f\u8133\u7d44\u7e54\u304b\u3089\u767a\u751f\u3057\u3066\u7b2c\uff14\u8133\u5ba4\u306b\u7a81\u51fa\u3057\u305f\u3082\u306e<br \/>\n2. \u00a0\u8133\u5e79\u90e8\u767a\u751f\u304b\u3089\u767a\u751f\u3057\u3066\u7b2c\uff14\u8133\u5ba4\u306b\u7a81\u51fa\u3057\u305f\u3082\u306e<br \/>\n3. \u00a0\u7b2c\uff14\u8133\u5ba4\u306e\u8108\u7d61\u53e2\u304b\u3089\u767a\u751f\u3057\u305f\u3082\u306e<\/h5>\n<ul>\n<li>\u3053\u306e3\u3064\u306e\u767a\u751f\u6bcd\u5730\u306e\u3069\u3053\u304b\u3089\u51fa\u305f\u306e\u304b\u3092\u8003\u3048\u308b\u306e\u304c\u5927\u5207\u3067\u3059<\/li>\n<li><a title=\"\u8108\u7d61\u53e2\u4e73\u982d\u816b\" href=\"\/sawamura\/pediattumor\/choroidplexus\/\">\u8108\u7d61\u53e2\u4e73\u982d\u816b\uff0f\u8108\u7d61\u53e2\u4e73\u982d\u764c<\/a>\u3068<a title=\"\u985e\u8868\u76ae\u306e\u3046\u80de\" href=\"\/sawamura\/braintumors\/epidermoid\/\">\u985e\u8868\u76ae\u306e\u3046\u80de<\/a>\u3092\u9664\u3051\u3070\uff0c\u7d14\u7c8b\u306a\u7b2c\uff14\u8133\u5ba4\u816b\u760d\u3068\u3044\u3046\u3082\u306e\u306f\u3042\u308a\u307e\u305b\u3093<\/li>\n<li>\u3060\u304b\u3089\uff0c\u7b2c\uff14\u8133\u5ba4\u816b\u760d\u3068\u3044\u3046\u306e\u306f\uff0c<span style=\"color: #ff0000;\"><strong>\u5c0f\u8133\u3082\u3057\u304f\u306f\u8133\u5e79\u90e8\u306b\u767a\u751f<\/strong><span style=\"color: #000000;\">\u3057\u3066\u7b2c4\u8133\u5ba4\u306b\u7a81\u51fa\u3057\u305f\u816b\u760d<\/span><span style=\"color: #000000;\">\u306e\u3053\u3068\u3092\u3044\u3044\u307e\u3059<\/span><\/span><\/li>\n<li>\u3044\u3044\u63db\u3048\u308c\u3070\uff0c\u7b2c4\u8133\u5ba4\u816b\u760d\u3068\u306f\u5c0f\u8133\u816b\u760d\u304b\u8133\u5e79\u90e8\u816b\u760d\u306e\u3069\u3061\u3089\u304b\u306b\u5206\u985e\u3055\u308c\u307e\u3059<\/li>\n<\/ul>\n<h4><span style=\"color: #000080;\">\u7b2c\uff14\u8133\u5ba4\u816b\u760d\u306eMRI\u50cf<\/span><\/h4>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/fourthgangli2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-5401\" title=\"fourthgangli\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/fourthgangli2-300x292.jpg\" alt=\"\" width=\"300\" height=\"292\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/fourthgangli2-300x292.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/fourthgangli2.jpg 390w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/fourthpilo.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-5402\" title=\"fourthpilo\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/fourthpilo-300x289.jpg\" alt=\"\" width=\"300\" height=\"289\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/fourthpilo-300x289.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/fourthpilo.jpg 365w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>\u5de6\u306f\u8133\u5e79\u90e8\u816b\u760d\uff08\u9000\u5f62\u6210\u6027\u795e\u7d4c\u7bc0\u81a0\u816b\uff09\uff0c\u53f3\u306f\u5c0f\u8133\u816b\u760d\uff08\u6bdb\u69d8\u7d30\u80de\u6027\u661f\u7d30\u80de\u816b\uff09\u3067\u3059\u3002\u3069\u3061\u3089\u3082\u7b2c\uff14\u8133\u5ba4\u3092\u57cb\u3081\u5c3d\u304f\u3059\u3088\u3046\u306b\u767a\u80b2\u3057\u3066\u3044\u307e\u3059\u3002\u3053\u308c\u3089\u306f\u3069\u3061\u3089\u5074\u304b\u3089\u767a\u751f\u3057\u305f\u304b\u304c\u660e\u77ad\u306a\u4f8b\u3067\u3059\u304c\uff0c\u7b2c\uff14\u8133\u5ba4\u816b\u760d\u306e\u4e2d\u306b\u306f\u8133\u5e79\u90e8\u304b\u3089\u304b\u5c0f\u8133\u304b\u3089\u304b\u89e3\u3089\u306a\u3044\u3082\u306e\u3082\u3042\u308a\u307e\u3059\u3002\u3067\u3082\u591a\u304f\u306f\u5c0f\u8133\u5074\u304b\u3089\u3067\u3059\u3002\u8133\u5e79\u90e8\u5074\u304b\u3089\u3067\u6ce8\u610f\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u306e\u306f\u4e0a\u8863\u816b\u3068\u8840\u7ba1\u82bd\u816b\u3067\u3059\u3002<\/p>\n<ul>\n<li>\u5c0f\u8133\u306f\uff0c\u5c0f\u5150\u306e\u8133\u816b\u760d\u306e\u597d\u767a\u90e8\u4f4d\u3067\u3059\u3002\u983b\u5ea6\u306e\u9ad8\u3044\u9806\u306b\u5217\u6319\u3059\u308c\u3070\uff0c<strong><a title=\"\u6bdb\u69d8\u7d30\u80de\u6027\u661f\u7d30\u80de\u816b\" href=\"\/sawamura\/pediattumor\/pilo\/\">\u6bdb\u69d8\u7d30\u80de\u6027\u661f\u7d30\u80de\u816b<\/a>\uff0c<a title=\"\u9ac4\u82bd\u816b\" href=\"\/sawamura\/pediattumor\/medullo\/\">\u9ac4\u82bd\u816b<\/a>\uff0c<a title=\"\u4e0a\u8863\u816b\" href=\"\/sawamura\/pediattumor\/ependy\/\">\u4e0a\u8863\u816b\u3068\u9000\u5f62\u6210\u6027\u4e0a\u8863\u816b<\/a><\/strong>\u3068\u306a\u308a\u307e\u3059\u3002\u305d\u306e\u4ed6\u306b\u3082\u69d8\u3005\u306a\u3082\u306e\u304c\u3042\u3063\u3066\uff0c<strong><a title=\"\u8840\u7ba1\u82bd\u816b\" href=\"\/sawamura\/braintumors\/hemangioblastoma\/\">\u8840\u7ba1\u82bd\u816b<\/a>\uff0c<a title=\"AT\/RT\" href=\"\/sawamura\/pediattumor\/atrt\/\">AT\/RT (atypical teratoid\/rhabdoid tumor)\u00a0<\/a>\uff0c<a title=\"\u6d77\u7dbf\u72b6\u8840\u7ba1\u816b\" href=\"\/sawamura\/braintumors\/cavernoma\/\">\u6d77\u7dbf\u72b6\u8840\u7ba1\u816b<\/a>\uff0c<a title=\"\u985e\u8868\u76ae\u306e\u3046\u80de\" href=\"\/sawamura\/braintumors\/epidermoid\/\">\u985e\u76ae\u306e\u3046\u80de<\/a>\uff0c<a title=\"\u3073\u307e\u3093\u6027\u661f\u7d30\u80de\u816b\" href=\"\/sawamura\/braintumors\/glioma\/diffuseastrocytoma\/\">\u3073\u307e\u3093\u6027\u661f\u7d30\u80de\u816b<\/a>\uff0c<a title=\"\u661f\u7d30\u80de\u7cfb\u816b\u760d\" href=\"\/sawamura\/braintumors\/glioma\/astrocytictumor\/\">\u9000\u5f62\u6210\u6027\u661f\u7d30\u80de\u816b<\/a>\uff0c<a title=\"\u81a0\u82bd\u816b\uff08\u3053\u3046\u304c\u3057\u3085\uff09\" href=\"\/sawamura\/braintumors\/glioma\/glioblastom\/\">\u81a0\u82bd\u816b<\/a>\uff0c<a title=\"\u795e\u7d4c\u82bd\u816b\" href=\"\/sawamura\/braintumors\/neuroblastoma\/\">\u795e\u7d4c\u82bd\u816b<\/a>\uff0c<a title=\"\u795e\u7d4c\u7bc0\u7d30\u80de\u816b\uff0c\u795e\u7d4c\u7bc0\u81a0\u816b\" href=\"\/sawamura\/braintumors\/glioma\/gangliocyto\/\">\u795e\u7d4c\u7bc0\u81a0\u816b<\/a>\uff0c<a title=\"\u4e4f\u7a81\u8d77\u81a0\u7d30\u80de\u7cfb\u816b\u760d\" href=\"\/sawamura\/braintumors\/olig\/\">\u4e4f\u7a81\u8d77\u81a0\u816b<\/a>\uff0c<a title=\"\u80da\u7d30\u80de\u816b\u760d germ cell tumors\" href=\"\/sawamura\/pediattumor\/germ\/\">\u80da\u7d30\u80de\u816b\u760d<\/a><\/strong>\u306a\u3069\u304c\u767a\u751f\u3057\u307e\u3059\u3002<\/li>\n<li>\u8133\u5e79\u90e8\u306b\u767a\u751f\u3057\u3066\u7b2c4\u8133\u5ba4\u306b\u7a81\u51fa\u3059\u308b\u816b\u760d\u306b\u306f\uff0c\u661f\u7d30\u80de\u7cfb\u816b\u760d\uff08WHO grade 2\u304b\u3089\uff14\u307e\u3067\uff09\uff0c\u6bdb\u69d8\u7d30\u80de\u6027\u661f\u7d30\u80de\u816b\uff0c\u4e0a\u8863\u816b\u3068\u9000\u5f62\u6210\u6027\u4e0a\u8863\u816b\uff0c<strong><a title=\"\u8133\u5e79\u30b0\u30ea\u30aa\u30fc\u30de\uff08\u8133\u5e79\u90e8\u795e\u7d4c\u81a0\u816b\uff0c\u8133\u5e79\u90e8\u30b0\u30ea\u30aa\u30fc\u30de\uff0c\u6a4b\u81a0\u816b\uff09\" href=\"\/sawamura\/pediattumor\/brainstemglioma\/\">\u3073\u307e\u3093\u6027\u6a4b\u81a0\u816b<\/a><\/strong>\uff0c\u795e\u7d4c\u7bc0\u81a0\u816b\uff0cAT\/RT\uff0c\u5947\u5f62\u816b\u3092\u542b\u3080\u80da\u7d30\u80de\u816b\u760d\u306a\u3069\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<li>\u8133\u5e79\u90e8\u304b\u3089\u5c0f\u8133\u306b\u307e\u305f\u304c\u3063\u3066\u5b58\u5728\u3059\u308b\u3082\u306e\u306b\uff0c\u4e0a\u8863\u816b\uff0c\u6bdb\u69d8\u7d30\u80de\u6027\u661f\u7d30\u80de\u816b\uff0c\u795e\u7d4c\u7bc0\u81a0\u816b\u304c\u3042\u308a\u307e\u3059\u304c\uff0c\u3069\u3061\u3089\u304b\u3089\u767a\u751f\u3057\u305f\u306e\u304b\u308f\u304b\u3089\u306a\u3044\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n<h4>\u75c7\u72b6\u3068\u75c7\u5019<\/h4>\n<ul>\n<li>\u5c0f\u8133\u816b\u760d\u306f\uff0c\u3069\u306e\u3088\u3046\u306a\u7d44\u7e54\u578b\u3067\u3042\u308c\u304b\u306a\u308a\u5927\u304d\u304f\u306a\u3089\u306a\u3044\u3068\u75c7\u72b6\u3092\u51fa\u3055\u306a\u3044\u306e\u3067\uff0c\u9589\u585e\u6027\u6c34\u982d\u75c7\u3092\u4f34\u3063\u3066\u767a\u75c7\u3059\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u982d\u75db\u3068\u5614\u5410<\/strong><\/span>\u3067\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u65e9\u671d\u6642\u306b\u982d\u75db<\/strong><\/span>\u3092\u8a34\u3048\u308bmorning headache\u306f\u9589\u585e\u6027\u6c34\u982d\u75c7\u306e\u521d\u671f\u306b\u307f\u3089\u308c\uff0c\u672b\u671f\u306b\u306a\u308b\u3068\u610f\u8b58\u969c\u5bb3\u3068\u306a\u308a\u307e\u3059<\/li>\n<li>\u5c0f\u8133\u75c7\u72b6\u306f\uff0c\u4f53\u5e79\u5931\u8abf\u306b\u3088\u308b<span style=\"color: #000080;\"><strong>\u4e0d\u5b89\u5b9a\u6b69\u884c<\/strong><\/span>\u3067\u3059<\/li>\n<li>\u53f3\u5c0f\u8133\u534a\u7403\u306b\u9650\u5c40\u3059\u308b\u3082\u306e\u3067\u3042\u308c\u3070\u53f3\u4e0a\u4e0b\u80a2\u3067\u306e\u5931\u8abf\u75c7\u72b6\u304c\u76ee\u7acb\u3064\u3053\u3068\u3082\u3042\u308a\u307e\u3059<\/li>\n<li>\u8840\u7ba1\u82bd\u816b\u3084\u6bdb\u69d8\u7d30\u80de\u6027\u661f\u7d30\u80de\u816b\u306a\u3069\u3068\u3066\u3082\u3086\u3063\u304f\u308a\u5897\u5927\u3059\u308b\u5c0f\u8133\u816b\u760d\u3067\u306f\uff0c\u5e74\u4f59\u306b\u308f\u305f\u3063\u3066\u6c34\u982d\u75c7\u304c\u5b58\u5728\u3057\uff0c\u6b63\u5e38\u5727\u6c34\u982d\u75c7\u306e\u75c7\u72b6\u3092\u51fa\u3059\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u3064\u307e\u308a\uff0c<span style=\"color: #000080;\"><strong>\u6162\u6027\u982d\u75db\uff0c\u98df\u6b32\u306e\u4f4e\u4e0b\u3068\u4f53\u91cd\u6e1b\u5c11\uff0c\u975e\u5e38\u306b\u8efd\u5ea6\u306e\u8a8d\u77e5\u6a5f\u80fd\u306e\u4f4e\u4e0b\uff0c\u3075\u3089\u3064\u304d\u6b69\u884c\u3067\u3059<\/strong><\/span><\/li>\n<li>\u9589\u585e\u6027\u6c34\u982d\u75c7\u306b\u3088\u308b\u982d\u84cb\u5185\u5727\u4ea2\u9032\u304c\u9032\u3080\u3068\uff0c\u5916\u8ee2\u795e\u7d4c\u9ebb\u75fa\u306b\u3088\u308b\u8907\u8996\uff08<span style=\"color: #000080;\"><strong>\u3082\u306e\u304c2\u91cd\u306b\u898b\u3048\u308b<\/strong><\/span>\uff09\u304c\u3067\u305f\u308a\uff0c\u3046\u3063\u8840\u4e73\u982d\uff08\u7db2\u819c\u304c\u816b\u308c\u308b\uff09\u306b\u3088\u308b<strong><span style=\"color: #000080;\">\u8996\u529b\u4f4e\u4e0b<\/span><\/strong>\u304c\u3067\u307e\u3059\u304c\uff0c\u5b50\u3069\u3082\u305f\u3061\u306f\u3053\u308c\u3092\u8a34\u3048\u306a\u3044\u306e\u3067\u6c17\u3065\u304b\u308c\u306a\u3044\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u8133\u5e79\u90e8\u816b\u760d\u3067\u306f\u7b2c4\u8133\u5ba4\u9589\u585e\u306b\u3088\u308b\u6c34\u982d\u75c7\u306e\u75c7\u72b6\u304c\u51fa\u306a\u3044\u3067\uff0c\u773c\u7403\u904b\u52d5\u969c\u5bb3\uff08\u773c\u306e\u4f4d\u7f6e\u304c\u304a\u304b\u3057\u3044\uff09\uff0c\u9854\u9762\u795e\u7d4c\u9ebb\u75fa\uff0c\u5931\u8abf\u6027\u6b69\u884c\uff08\u3075\u3089\u3064\u304d\u3068\u8ee2\u5012\uff09\uff0c\u98df\u6b32\u4e0d\u632f\u3068\u5614\u5410\u306a\u3069\u306e\u8133\u5e79\u90e8\u75c7\u72b6\u304c\u5148\u884c\u3059\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059<\/li>\n<li>\u7b2c\uff14\u8133\u5ba4\u816b\u760d\u304c\u5927\u5f8c\u982d\u5b54\u8fd1\u508d\u306b\u3042\u308b\u3068\u304d\uff0c\u5ef6\u9ac4\u5185\u306b\u306e\u3046\u80de\uff08\u5ef6\u9ac4\u7a7a\u6d1e\u75c7\uff0csyringobulbia\uff09\u3092\u5f62\u6210\u3057\u3066\uff0c\u56a5\u4e0b\u969c\u5bb3\u3084\u56db\u80a2\u4f53\u5e79\u306e\u611f\u899a\u969c\u5bb3\uff0c\u8d77\u7acb\u6027\u4f4e\u8840\u5727\u3092\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\uff0c\u3053\u308c\u306f\u5371\u967a\u306a\u5fb4\u5019\u3067\u3059<\/li>\n<\/ul>\n<h4 align=\"left\"><a title=\"\u6c34\u982d\u75c7\u306e\u7ba1\u7406\" href=\"\/sawamura\/pediattumor\/gliomachemo-2\/\">\u6c34\u982d\u75c7\u306e\u7ba1\u7406<\/a><\/h4>\n<ul>\n<li>\u982d\u75db\u3084\u5614\u5410\u3067\u767a\u75c7\u3059\u308b\u3068\uff0c\u9589\u585e\u6027\u6c34\u982d\u75c7\u3068\u3044\u3063\u3066\uff0c\u982d\u306e\u4e2d\u306b\u6c34\uff08\u9ac4\u6db2\uff09\u304c\u305f\u307e\u3063\u3066\u3044\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059<\/li>\n<li>\u3067\u3082\uff0c\u6c34\u982d\u75c7\u306e\u51e6\u7f6e\u306f\u5fc5\u305a\u3057\u3082\u6025\u3050\u5fc5\u8981\u306f\u306a\u3044\u306e\u3067\uff0c\u307e\u305a\u306f\u614e\u91cd\u306b\u6cbb\u7642\u8a08\u753b\u5168\u4f53\u3078\u306e\u5bfe\u7b56\u3092\u7df4\u308b\u3053\u3068\u304c\u5927\u5207\u3067\u3059<\/li>\n<li>\u610f\u8b58\u969c\u5bb3\u3092\u4f34\u3046\u6025\u6027\u6c34\u982d\u75c7\u3067\u306f\uff0c\u7dca\u6025\u306e\u8133\u5ba4\u30c9\u30ec\u30ca\u30fc\u30b8\u3068\u3044\u3046\u7c21\u5358\u306a\u624b\u8853\u3092\u3059\u308b\u3068\uff0c\u610f\u8b58\u306f\u623b\u308a\u307e\u3059<\/li>\n<\/ul>\n<div><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/pilodm2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-6880\" title=\"pilodm2\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/pilodm2-297x300.jpg\" alt=\"\" width=\"297\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/pilodm2-297x300.jpg 297w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/pilodm2-550x553.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/pilodm2.jpg 850w\" sizes=\"auto, (max-width: 297px) 100vw, 297px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/pilodm1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-6881\" title=\"pilodm1\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/pilodm1-295x300.jpg\" alt=\"\" width=\"295\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/pilodm1-295x300.jpg 295w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/pilodm1-550x558.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/pilodm1.jpg 850w\" sizes=\"auto, (max-width: 295px) 100vw, 295px\" \/><\/a><\/div>\n<div><\/div>\n<p>\u5c0f\u8133\u866b\u90e8\u306e\u6bdb\u69d8\u7c98\u6db2\u6027\u661f\u7d30\u80de\u816b\u304c\u7b2c\uff14\u8133\u5ba4\u3092\u9589\u585e\u3057\u3066\uff0c\u9589\u585e\u6027\u6c34\u982d\u75c7\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u5de6\u306e\u753b\u50cf\u306e\u3088\u3046\u306b\u5074\u8133\u5ba4\u306b\u6c34\u304c\u305f\u307e\u3063\u3066\u30d1\u30f3\u30d1\u30f3\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u982d\u75db\u304c\u751f\u3058\u3066\u5614\u5410\u3057\u307e\u3059\u304c\uff0c\u3072\u3069\u304f\u306a\u308b\u3068\u610f\u8b58\u969c\u5bb3\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n<h5 align=\"left\"><strong><a title=\"\u6c34\u982d\u75c7\u306e\u7ba1\u7406\" href=\"\/sawamura\/pediattumor\/gliomachemo-2\/\">\u5408\u4f75\u3059\u308b\u6c34\u982d\u75c7\u306e\u51e6\u7f6e\u306f\u4ed6\u306e\u30da\u30fc\u30b8\u306b\u8a73\u3057\u304f\u66f8\u3044\u3066\u3044\u308b\u306e\u3067\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af\u3057\u3066\u4e0b\u3055\u3044<\/a><\/strong><\/h5>\n<h5 align=\"left\"><strong><a title=\"\u6c34\u982d\u75c7\u306e\u7ba1\u7406\" href=\"\/sawamura\/pediattumor\/gliomachemo-2\/\">I\uff1a \u5f8c\u982d\u4e0b\u958b\u982d\u306b\u3088\u308b\u816b\u760d\u6458\u51fa\u8853<\/a><\/strong><\/h5>\n<h5 align=\"left\"><strong><a title=\"\u6c34\u982d\u75c7\u306e\u7ba1\u7406\" href=\"\/sawamura\/pediattumor\/gliomachemo-2\/\">II\uff1a\u795e\u7d4c\u5185\u8996\u93e1\u306b\u3088\u308b\u7b2c\uff13\u8133\u5ba4\u5e95\u958b\u7a93\u8853<\/a><\/strong><\/h5>\n<h5 align=\"left\"><strong><a title=\"\u6c34\u982d\u75c7\u306e\u7ba1\u7406\" href=\"\/sawamura\/pediattumor\/gliomachemo-2\/\">III\uff1a\u5916\u30c9\u30ec\u30ca\u30fc\u30b8\u8853<\/a><\/strong><\/h5>\n<h5 align=\"left\"><strong><a title=\"\u6c34\u982d\u75c7\u306e\u7ba1\u7406\" href=\"\/sawamura\/pediattumor\/gliomachemo-2\/\">IV\uff1a\u8853\u524d\u88dc\u52a9\u7642\u6cd5<\/a><\/strong><\/h5>\n<h5 align=\"left\"><strong><a title=\"\u6c34\u982d\u75c7\u306e\u7ba1\u7406\" href=\"\/sawamura\/pediattumor\/gliomachemo-2\/\">V\uff1a<\/a><a title=\"\u6c34\u982d\u75c7\u306e\u7ba1\u7406\" href=\"\/sawamura\/pediattumor\/gliomachemo-2\/\">\u8133\u5ba4\u8179\u8154\u77ed\u7d61\u8853\uff08\u3044\u308f\u3086\u308b\u30b7\u30e3\u30f3\u30c8\u8853\uff09<\/a><\/strong><\/h5>\n<p align=\"left\">\u60aa\u6027\u816b\u760d\u306e\u521d\u671f\u6cbb\u7642\u3067\uff0c\u6c34\u982d\u75c7\u306b\u5bfe\u3059\u308b\u51e6\u7f6e\u304c\u3046\u307e\u304f\u884c\u304b\u305a\u88dc\u52a9\u7642\u6cd5\uff08\u653e\u5c04\u7dda\u5316\u5b66\u7642\u6cd5\uff09\u306e\u9045\u308c\u3092\u6765\u3059\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u6c34\u982d\u75c7\u306e\u7ba1\u7406\u306e\u6210\u5426\u306f\u60aa\u6027\u816b\u760d\u306e\u6cbb\u7652\u7387\u3092\u5927\u304d\u304f\u5909\u3048\u308b\u3068\u8003\u3048\u308b\u3079\u304d\u3067\u3059\u3002<br \/>\n\u816b\u760d\u304c\u6cbb\u7652\u3057\u3066\u305a\u3044\u3076\u3093\u5f8c\u306b\uff0c\u7b2c4\u8133\u5ba4\u306e\u51fa\u53e3\uff08\u4e2d\u8133\u6c34\u9053\u3084\u30de\u30b8\u30e3\u30f3\u30c7\u30a3\u30fc\u5b54\u3068\u30eb\u30b7\u30e5\u30ab\u5b54\u306e\u5468\u56f2\uff09\u306b\u7652\u7740\u6027\u9589\u585e\u3092\u751f\u3058\u3066\u6c34\u982d\u75c7\u304c\u6539\u5584\u3057\u306a\u3044\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u306e\u5834\u5408\uff0c\u9ac4\u6db2\u5438\u53ce\u969c\u5bb3\u304c\u306a\u3051\u308c\u3070\u7b2c\uff13\u8133\u5ba4\u958b\u7a93\u8853\u3092\u884c\u3063\u3066\u30b7\u30e3\u30f3\u30c8\u3092\u629c\u53bb\u3057\u307e\u3059\u3002\u524d\u8ff0\u306e\u5185\u8996\u93e1\u306b\u3088\u308b\u65b9\u6cd5\u3068\u524d\u982d\u958b\u982d\u8853\u3067\u7070\u767d\u7d42\u677f lamina terminalis\u3092\u7a7f\u7834\u3059\u308b\uff12\u3064\u306e\u65b9\u6cd5\u304c\u3042\u3059\u306e\u3067\u3059\u304c\uff0c\u30b9\u30ea\u30c3\u30c8\u72b6\u8133\u5ba4 slit ventricle\u3068\u306a\u308a\u7b2c\uff13\u8133\u5ba4\u306e\u62e1\u5927\u304c\u306a\u3044\u5834\u5408\u306f\u5f8c\u8005\u3092\u9078\u629e\u3057\u307e\u3059\u3002<\/p>\n<h4 align=\"left\">\u624b\u8853\u306e\u76ee\u7684\u3068\u8981\u70b9<\/h4>\n<p align=\"left\">\u3000\u7b2c\uff14\u8133\u5ba4\u816b\u760d\u306b\u306f\u624b\u8853\u6458\u51fa\u3042\u308b\u3044\u306f\u6cbb\u7642\u305d\u306e\u3082\u306e\u304c\u5fc5\u8981\u306e\u306a\u3044\u3082\u306e\u3042\u308a\u307e\u3059\u3002\u7121\u75c7\u5019\u6027\u306e\u8108\u7d61\u53e2\u4e73\u982d\u816b\uff0c\u985e\u8868\u76ae\u306e\u3046\u80de\uff0c\u6d77\u7dbf\u72b6\u8840\u7ba1\u816b\uff0c\u8840\u7ba1\u82bd\u816b\uff0c\u8108\u7d61\u53e2\u306e\u3046\u80de\uff0c\u304f\u3082\u819c\u306e\u3046\u80de\uff0c\u8102\u80aa\u816b\u306a\u3069\u3067\u3059\u3002<br \/>\n\u7b2c\uff14\u8133\u5ba4\u816b\u760d\u3067\u306f\u5185\u8996\u93e1\u3084\u5b9a\u4f4d\u8133\u624b\u8853\u306b\u3088\u308b\u751f\u691c\u8853\u304c\u3067\u304d\u306a\u3044\uff0c\u3042\u308b\u3044\u306f\u5229\u70b9\u304c\u3042\u307e\u308a\u306a\u3044\u3053\u3068\u304c\u591a\u3044\u3067\u3057\u3087\u3046\u3002\u5f93\u3063\u3066\u624b\u8853\u76ee\u7684\u306f\uff0c\u6839\u6cbb\u3092\u76ee\u6307\u3059\u5168\u6458\u51fa\u3092\u884c\u3046\u3053\u3068\u306b\u306a\u308a\u307e\u3059\u3002\u9ac4\u82bd\u816b\u3084\u4e0a\u8863\u816b\u306b\u304a\u3044\u3066\u306f\u53d6\u308a\u6b8b\u3057\u304c\u591a\u3044\u307b\u3069\u6b7b\u4ea1\u7387\u306f\u9ad8\u304f\u306a\u308b\u306e\u3067\uff0c\u624b\u8853\u3067\u6700\u3082\u3057\u3066\u3044\u3051\u306a\u3044\u3053\u3068\u306f\u53d6\u308c\u308b\u306f\u305a\u306e\u90e8\u5206\u306e\u816b\u760d\u3092\u53d6\u308a\u6b8b\u3059\u3053\u3068\u3068\u8a00\u3048\u307e\u3059\u3057\uff0c\u3053\u308c\u3089\u306e\u624b\u8853\u306b\u304a\u3044\u3066\u306f\u305d\u3082\u305d\u3082\u816b\u760d\u7d30\u80de\u306e\u6e1b\u91cf\u3092\u8a08\u308bbulk-reduction surgery\u306b\u306f\u3042\u307e\u308a\u610f\u5473\u304c\u3042\u308a\u307e\u305b\u3093\u3002<br \/>\n\u9ac4\u82bd\u816b\u306e\u8133\u5e79\u90e8\u6d78\u6f64\u306f\u5b9f\u969b\u306b\u306f\u983b\u5ea6\u306f\u4f4e\u304f\uff0cM0\/1 stage\u306e\u9ac4\u82bd\u816b\u306f\u5927\u304d\u306a\u3082\u306e\u3067\u3082\u5168\u6458\u51fa\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002\u3057\u304b\u3057\uff0c\u5b9f\u969b\u306b\u8853\u4e2d\u306b\u89b3\u5bdf\u3057\u3066\u307f\u308b\u3068\u5c0f\u8133\u3084\u8133\u5e79\u90e8\u306b\u7652\u7740\u3057\u3066\u3044\u3066\u8133\u7d44\u7e54\u304b\u3089\u5265\u96e2\u3059\u308b\u3053\u3068\u306f\u96e3\u3057\u3044\u3082\u306e\u3067\u3059\u3002\u3057\u304b\u3057\u3053\u308c\u306f\u591a\u304f\u306e\u5834\u5408\u306f\u6d78\u6f64\u3067\u306f\u306a\u3044\u3057\uff0c\u4e2d\u5c0f\u8133\u811a\u306e\u5185\u9762\u3092\u8133\u5e79\u90e8\u3068\u8aa4\u8a8d\u3057\u3066\u816b\u760d\u306e\u7a4d\u6975\u7684\u306a\u6458\u51fa\u3092\u9021\u5de1\u3059\u308b\u3053\u3068\u306f\u3042\u3063\u3066\u306a\u308a\u307e\u305b\u3093\u3002\u8133\u5e79\u80cc\u5074\u306e\u640d\u50b7\u306f\u91cd\u3044\u795e\u7d4c\u8131\u843d\u75c7\u72b6\u3092\u6b8b\u3057\u307e\u3059\u304c\u4e2d\u5c0f\u8133\u811a\u306e\u640d\u50b7\u306f\u76ee\u7acb\u3063\u305f\u5931\u8abf\u75c7\u3092\u5f8c\u907a\u3057\u307e\u305b\u3093\u3002<br \/>\n\u4e00\u65b9\uff0c\u9ac4\u82bd\u816b\u3088\u308a\u3082\u4e0a\u8863\u816b\uff08\u7279\u306b\u9000\u5f62\u6210\u6027\u4e0a\u8863\u816b\uff09\u306e\u624b\u8853\u306f\u96e3\u6613\u5ea6\u304c\u9ad8\u3044\u3068\u3044\u3048\u307e\u3059\u3002\u4e0a\u8863\u816b\u306e\u5834\u5408\u306b\u306f\u30eb\u30b7\u30e5\u30ab\u5b54\u304b\u3089\u5c0f\u8133\u6a4b\u89d2\u90e8\u3078\u306e\u4f38\u5c55\u304c\u554f\u984c\u3068\u306a\u308a\uff0c\u305d\u306e\u90e8\u4f4d\u3067\u3055\u307e\u3056\u307e\u306a\u8133\u795e\u7d4c\u3084\u52d5\u8108\u3092\u53d6\u308a\u8fbc\u307f\u7652\u7740\u3059\u308b\u304b\u3089\u3067\u3059\u3002<\/p>\n<h4 align=\"left\">\u624b\u8853\u306e\u5408\u4f75\u75c7<\/h4>\n<p align=\"left\">\u3000\u9ac4\u82bd\u816b\u3042\u308b\u3044\u306f\u4e0a\u8863\u816b\u306e\u624b\u8853\u306e\u5408\u4f75\u75c7\u3067\u983b\u5ea6\u304c\u9ad8\u3044\u306e\u306f\uff0c\u8133\u5e79\u90e8\u80cc\u5074\u640d\u50b7\u3068\u8133\u795e\u7d4c\u306e\u76f4\u63a5\u640d\u50b7\u306b\u3088\u308b\u8133\u795e\u7d4c\u9ebb\u75fa\u3067\u3059\u3002\u624b\u8853\u5f8c\u907a\u75c7\u3068\u3057\u3066\uff0c\u5916\u8ee2\u795e\u7d4c\u9ebb\u75fa\uff0c\u9854\u9762\u795e\u7d4c\u9ebb\u75fa\uff0c\u773c\u7403\u904b\u52d5\u969c\u5bb3\uff0c\u56a5\u4e0b\u969c\u5bb3\u304c\u3042\u308a\u307e\u3059\u3002\u7a4d\u6975\u7684\u306a\u6458\u51fa\u3068\u3053\u308c\u3089\u5f8c\u907a\u75c7\u306e\u30ea\u30b9\u30af\u3068\u306f\u5e38\u306b\u76f8\u53cd\u3059\u308b\u4e8b\u9805\u3067\u3059\u304c\uff0c\u60aa\u6027\u5ea6\u306e\u3042\u308b\u4e0a\u8863\u816b\u306e\u6458\u51fa\u306a\u3069\u3067\u306f\u624b\u8853\u6458\u51fa\u5ea6\u3068\u4e88\u5f8c\u306b\u304b\u306a\u308a\u5927\u304d\u306a\u95a2\u9023\u304c\u3042\u308b\u306e\u3067\uff0c\u3042\u308b\u7a0b\u5ea6\u306e\u795e\u7d4c\u8131\u843d\u75c7\u72b6\u306f\u8a31\u5bb9\u3055\u308c\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3082\u306e\u3067\u3059\u3002<\/p>\n<p align=\"left\">\u00a0\u4e3b\u3068\u3057\u3066\u5c0f\u8133\u866b\u90e8\u767a\u751f\u306e\u816b\u760d\u306e\u8853\u5f8c\u306b\u51fa\u308b\u75c7\u72b6\u3068\u3057\u3066<span style=\"color: #ff0000;\"><strong>\u5c0f\u8133\u6027\u7121\u8a00\u75c7\uff08cerebellar mutism) <span style=\"color: #000080;\">\u3068\u5f8c\u982d\u4e0b\u75c7\u5019\u7fa4 (posterior fossa syndrome\uff09<\/span><\/strong><\/span>\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u306f\u901a\u5e38\uff0c\u6570\u65e5\u304b\u3089\u6570\u9031\u9593\u3067\u6539\u5584\u3057\u307e\u305a\u304c\uff0c\u5c0f\u5150\u3067\u3053\u306e\u75c7\u72b6\u304c\u3067\u308b\u3068\u5c06\u6765\u306e\u8a8d\u77e5\u6a5f\u80fd\u3068\u8a00\u8a9e\u306e\u767a\u9054\u306b\u9045\u308c\u304c\u3067\u307e\u3059\u3002\u5c0f\u8133\u6df1\u90e8\u767d\u8cea\u3042\u308b\u3044\u306f\u866b\u90e8\u306e\u5927\u304d\u306a\u624b\u8853\u640d\u50b7\u304c\u306a\u3051\u308c\u3070\u3053\u306e\u5c0f\u8133\u6027\u7121\u8a00\u75c7\u306f\u751f\u3058\u307e\u305b\u3093\u3002<span style=\"color: #000080;\"><strong>50%\u306e\u60a3\u5150\u3067\u306f\uff0c\u8853\u5f8c16\u65e5\u4ee5\u5185\u306b\u7121\u8a00\u75c7\u304b\u3089\u8a00\u8a9e\u767a\u51fa\u4f4e\u4e0b\u306b\u79fb\u884c\u3057\u307e\u3059<\/strong><\/span>\u3002\u3053\u306e\u6642\u70b9\u3067\u3082\u56de\u5fa9\u3057\u306a\u3044\u5834\u5408\u306b\u306f\u8a8d\u77e5\u6a5f\u80fd\u969c\u5bb3\u304c\u6b8b\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3057\u3087\u3046\u3002<\/p>\n<p align=\"left\">\u3000\u9ac4\u82bd\u816b\u306b\u304a\u3044\u3066\u624b\u8853\u306e\u524d\u306b\u64ad\u7a2e\u304c\u306a\u304f\u3066\u3082\uff0c\u64ad\u7a2e\u518d\u767a\u3057\u3066\u6b7b\u4ea1\u3059\u308b\u4f8b\u306f\u5c11\u306a\u304f\u3042\u308a\u307e\u305b\u3093\u3002\u3053\u306e\u3088\u3046\u306a\u4f8b\u3067\u306f\uff0c\u624b\u8853\u3067\u816b\u760d\u7d30\u80de\u3092\u9ac4\u6db2\u8154\u306b\u6563\u5e03\u3057\u305f\u53ef\u80fd\u6027\u304c\u5426\u5b9a\u3067\u304d\u307e\u305b\u3093\u3002\u9ac4\u82bd\u816b\u7d30\u80de\u306f\u9ac4\u6db2\u306e\u4e2d\u3067\u751f\u304d\u6b8b\u308c\u308b\u306e\u3067\uff0c\u67d4\u3089\u304b\u304f\u5d29\u308c\u3084\u3059\u3044\u9ac4\u82bd\u816b\u3092\u6458\u51fa\u3059\u308b\u969b\u306b\u816b\u760d\u7d30\u80de\u3092\u9ac4\u6db2\u306e\u4e2d\u306b\u843d\u3068\u305b\u3070\u8ee2\u79fb\u306f\u6210\u7acb\u3057\u5f97\u308b\u304b\u3089\u3067\u3059\u3002\u7279\u306b\u3053\u308c\u3092\u907f\u3051\u308b\u305f\u3081\u306b\uff0c\u632f\u52d5\u3068\u5f37\u3044\u6d17\u6d44\u6c34\u3067\u7d30\u80de\u3092\u307e\u304d\u6563\u3089\u3059\u8d85\u97f3\u6ce2\u5438\u5f15\u5668\u306f\u4f7f\u7528\u3057\u306a\u3044\u3053\u3068\u3082\u91cd\u8981\u3067\u3059\u3002<\/p>\n<p align=\"left\">\u3000\u8853\u76f4\u5f8c\u306e\u5408\u4f75\u75c7\u3068\u3057\u3066\u907f\u3051\u308b\u3079\u304d\u306a\u306e\u306f\u9ac4\u6db2\u3068\u611f\u67d3\u306e\u554f\u984c\u3067\u3042\u308a\uff0c\u5b9f\u969b\u306b\u6c34\u982d\u75c7\u3084\u9ac4\u6db2\u6f0f\u304c\u3042\u308b\u3068\u5316\u5b66\u7642\u6cd5\u3084\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u958b\u59cb\u306e\u6642\u671f\u304c\u9045\u308c\u307e\u3059\u3002\u5fc5\u8981\u4ee5\u4e0a\u306b\u5927\u304d\u306a\u958b\u982d\u3092\u3057\u306a\u3044\uff0c\u8133\u5727\u304c\u9ad8\u304f\u3066\u3082\u6e1b\u5727\u958b\u982d\u306e\u610f\u5473\u306f\u306a\u3044\uff0c\u8edf\u90e8\u7d44\u7e54\u306e\u5265\u96e2\u3092\u6700\u5c0f\u9650\u306b\u3068\u3069\u3081\u308b\uff0c\u786c\u819c\u3092\u713c\u304b\u305a\u306b\u9589\u5275\u3057\u3066\u4eba\u5de5\u786c\u819c\u3092\u4f7f\u308f\u306a\u3044\uff0c\u4e0d\u6ce8\u610f\u306a\u8853\u5f8c\u51fa\u8840\u3092\u8d77\u3053\u3055\u306a\u3044\uff0c\u4e2d\u8133\u6c34\u9053\u3092\u78ba\u5b9f\u306b\u958b\u3051\u308b\u306a\u3069\u7d30\u90e8\u306b\u308f\u305f\u308b\u624b\u8853\u306e\u64cd\u4f5c\u304c\u3057\u3063\u304b\u308a\u3057\u3066\u3044\u308c\u3070\u3053\u306e\u3088\u3046\u306a\u554f\u984c\u306f\u56de\u907f\u3067\u304d\u307e\u3059\u3002<\/p>\n<h4 align=\"left\"><strong>\u6b63\u4e2d\u5f8c\u982d\u4e0b\u958b\u982d<\/strong><\/h4>\n<p align=\"left\"><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/midlinesuboccipital.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-5756\" title=\"midlinesuboccipital\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/midlinesuboccipital-286x300.jpg\" alt=\"\" width=\"286\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/midlinesuboccipital-286x300.jpg 286w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/midlinesuboccipital.jpg 412w\" sizes=\"auto, (max-width: 286px) 100vw, 286px\" \/><\/a>\u8d64\u306e\u77e2\u5370\u304b\u3089\u7b2c\uff14\u8133\u5ba4\u4e0a\u90e8\u306b\u3082\u884c\u3051\u308b\u306e\u3067\u3059\u304c\uff0c\u307b\u3068\u3093\u3069\u306f\u4e0b\u65b9\u304b\u3089\u306e\u624b\u8853\u306b\u306a\u308a\u307e\u3059\u3002\u9ec4\u8272\u306e\u77e2\u5370\u304b\u3089\u5230\u9054\u3059\u308b\u624b\u8853\u65b9\u6cd5\u3067\u3059\u3002\u7b2c\uff14\u8133\u5ba4\u816b\u760d\u306b\u306f\u4e3b\u3068\u3057\u3066\u3053\u306e\u6b63\u4e2d\u5f8c\u982d\u4e0b\u958b\u982d\u8853\u3092\u7528\u3044\u307e\u3059\u3002<\/p>\n<p align=\"left\">\u3000\u4f53\u4f4d\u306f\u8179\u81e5\u4f4d\u3068\u3057\uff0c\u30d9\u30c3\u30c9\u64cd\u4f5c\u3067\u982d\u90e8\u5c11\u3057\u6319\u4e0a\u3057\u3066\u304b\u3089\uff0c\u984e\u3092\u5f15\u304f\u3088\u3046\u306b\u9838\u90e8\u3092\u524d\u5c48\u3059\u308b\u3002\u3053\u306e\u4f53\u4f4d\u3067\uff0c\u5c0f\u8133\u866b\u90e8\u3092\u5207\u958b\u3057\u306a\u304f\u3066\u3082\u4e2d\u8133\u6c34\u9053\u5468\u8fba\u307e\u3067\u306f\u5341\u5206\u306b\u64cd\u4f5c\u3067\u304d\u308b\u3002\u6e1b\u5727\u958b\u982d\u3092\u5927\u304d\u304f\u3057\u3066\u3082\u5c0f\u8133\u306e\u816b\u8139\u3092\u8efd\u6e1b\u3067\u304d\u308b\u308f\u3051\u3067\u306f\u306a\u3044\u306e\u3067\uff0c\u3067\u304d\u308b\u9650\u308a\u5c0f\u3055\u3044\u958b\u982d\u3067\u884c\u3046\u3002\u3069\u306e\u3088\u3046\u306a\u5f8c\u982d\u7aa9\u816b\u760d\u3067\u3042\u308c\uff0c\u6e1b\u5727\u306e\u305f\u3081\u306b\u7b2c\uff11\u981a\u690e\u690e\u5f13\u3092\u5207\u9664\u3059\u308b\u3053\u3068\u306b\u306f\u610f\u5473\u304c\u306a\u3044\u306e\u3067\u3057\u306a\u3044\u3002<\/p>\n<p align=\"left\">\u3000\u5927\u5f8c\u982d\u5b54\u6b63\u4e2d\u306e\u90e8\u5206\u306e\u786c\u819c\u3068\u304f\u3082\u819c\u3092\u5c0f\u3055\u304f\u5207\u958b\u3059\u308b\u3068\u9ac4\u6db2\u304c\u5674\u51fa\u3057\u3066\u5f8c\u982d\u7aa9\u8133\u5727\u3092\u4e00\u6c17\u306b\u4e0b\u3052\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3002\u3055\u3089\u306b\u786c\u819c\u3092Y\u5b57\u5207\u958b\u3057\u305f\u3068\u304d\u306b\u6b63\u4e2d\u90e8\u306eoccipital sinus\u304b\u3089\u306e\u9759\u8108\u51fa\u8840\u306b\u6238\u60d1\u3046\u3053\u3068\u304c\u3042\u308b\u304c\uff0c\u3053\u308c\u3092\u30d0\u30a4\u30dd\u30fc\u30e9\u3067\u713c\u707c\u3057\u3066\u306f\u3044\u3051\u306a\u3044\u3002\u7e2b\u5408\u3057\u3066\u6b62\u8840\u3057\u3066\u304a\u3051\u3070\u9589\u5275\u6642\u306b\u786c\u819c\u3092\u304d\u3061\u3093\u3068\u9589\u3058\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3002<\/p>\n<p align=\"left\">\u3000\u786c\u819c\u3092\u958b\u3051\u308b\u3068\u4e21\u5074\u306e\u5c0f\u8133\u534a\u7403\uff0c\u6241\u6843\uff0c\u866b\u90e8\u4e0b\u7aef\uff0c\u5ef6\u9ac4\u4e0b\u90e8\u3068\u810a\u9ac4\u80cc\u9762\u304c\u898b\u3048\u308b\u3002\u5c0f\u3055\u306a\u958b\u982d\u3067\u3082\u690e\u9aa8\u52d5\u8108\uff0c\u5f8c\u4e0b\u5c0f\u8133\u52d5\u8108\u3068\u305d\u306e\u5206\u679d\u306f\u7247\u5074\u306e\u5c0f\u8133\u6241\u6843\u3092\u6301\u3061\u4e0a\u3052\u308c\u3070\u7c21\u5358\u306b\u78ba\u4fdd\u3067\u304d\u308b\u3057\uff0c\u4e0b\u4f4d\u8133\u795e\u7d4c\u3092\u307f\u308b\u3053\u3068\u3082\u96e3\u3057\u304f\u306f\u306a\u3044\u3002<\/p>\n<p align=\"left\">\u3000\u307e\u305a\u4e21\u5074\u306e\u5c0f\u8133\u6241\u6843\u3092\u53ef\u52d5\u5316\u3059\u308b\u3053\u3068\u304b\u3089\u59cb\u3081\u308b\u3002\u5c0f\u8133\u6241\u6843\u306f\u5ef6\u9ac4\u80cc\u9762\u3068\u306e\u7652\u7740\u90e8\u306earachnoid trabeculae\u3092\u5207\u65ad\u3057\u3066\u304b\u3089\u8108\u7d61\u53e2\u3092\u898b\u3064\u3051\u3066\uff0c\u8108\u7d61\u7d44\u7e54 (tela choroidea) \u3092\u5265\u96e2\u5207\u65ad\u3057\u3066\u884c\u304f\u3053\u3068\u3067\u5927\u304d\u304f\u52d5\u304b\u305b\u308b\u3088\u3046\u306b\u306a\u308b\u3002\u4e21\u5074\u306e\u30eb\u30b7\u30e5\u30ab\u5b54\u3092\u3057\u3063\u304b\u308a\u307f\u308b\u3053\u3068\u304c\u30b3\u30c4\u3067\u3042\u308b\u3002\u3053\u306e\u6642\u70b9\u3067\u5f8c\u4e0b\u5c0f\u8133\u52d5\u8108\u3068\u305d\u306e\u5206\u679d\u304c\u307b\u3068\u3093\u3069\u8a8d\u8b58\u3067\u304d\u308b\u3002\u3053\u306e\u5265\u96e2\u64cd\u4f5c\u4e2d\u306b\u306f\uff0c\u5f8c\u4e0b\u5c0f\u8133\u52d5\u8108\u3042\u308b\u3044\u306f\u305d\u306e\u5206\u679d\u304c\u5c0f\u8133\u7d44\u7e54\u3068\u8108\u7d61\u53e2\u3068\u8133\u5e79\u90e8\u306b\u5c0f\u3055\u306a\u5206\u679d\u3092\u51fa\u3059\u3053\u3068\u304c\u591a\u3044\u3053\u3068\u3092\u77e5\u3063\u3066\u304a\u304f\u3079\u304d\u3067\u3042\u308b\u3002\u5ef6\u9ac4\u5074\u306b\u5165\u308b\u5c0f\u3055\u306a\u52d5\u8108\u3092\u640d\u50b7\u3057\u3066\u306f\u3044\u3051\u306a\u3044\u3057\uff0c\u9006\u306b\u5c0f\u8133\u6241\u6843\u3084\u8108\u7d61\u7d44\u7e54\u306b\u884c\u304f\u52d5\u8108\u306f\u5207\u3063\u3066\u3082\u3088\u3044\u3057\uff0c\u305d\u3046\u3057\u306a\u3044\u3068\u30eb\u30b7\u30e5\u30ab\u5b54\u306f\u898b\u3048\u306a\u3044\u3002<\/p>\n<p align=\"left\">\u3000&#8221;<span style=\"color: #000080;\"><strong>telovelar approach&#8221;<\/strong><span style=\"color: #333333;\">\u3068\u547c\u3070\u308c\u308b\u3053\u3068\u3082\u3042\u308b\u304c\uff0c\u3053\u308c\u306f\u81f3\u6975\u3042\u305f\u308a\u307e\u3048\u306e\u57fa\u672c\u8133\u795e\u7d4c\u5916\u79d1\u6280\u8853\u3067\u3042\u308a\uff0c\u7279\u5225\u306a\u3082\u306e\u3067\u306f\u306a\u3044\u3002\u624b\u8853\u6a19\u7684\u306b\u5165\u308b\u8996\u91ce\u3092\u78ba\u4fdd\u3059\u308b\u305f\u3081\u306b\u304f\u3082\u819c\u7d44\u7e54\u3092\u6700\u5927\u9650\u306b\u5207\u958b\u3057\u3066\u5165\u53e3\u90e8\u3092\u958b\u5927\u3059\u308b\u3068\u3044\u3046\u306e\u306f\uff0c\u7279\u5225\u306a\u540d\u524d\u3092\u3064\u3051\u308b\u4ee5\u524d\u306e\u8133\u5916\u79d1\u624b\u8853\u306e\u5927\u539f\u5247\u3067\u3042\u308b\u30022021\u5e74\u306e\u30e8\u30fc\u30ed\u30c3\u30d1\u306e\u591a\u65bd\u8a2d\u8abf\u67fb\u3067\u306f\uff0ctransvermian approach\u3068telovelar approach\u306b\u5c0f\u8133\u6027\u8a00\u8a9e\u969c\u5bb3\u306e\u5dee\u304c\u306a\u304b\u3063\u305f\u3068\u3055\u308c\u305f\u3002\u3057\u304b\u3057\uff0c\u8981\u3059\u308b\u306b\uff0ctelovelar approach\u3068\u79f0\u3057\u3066\u3082\uff0c\u7d50\u679c\u7684\u306b\u5c0f\u8133\u866b\u90e8\u3084\u6df1\u90e8\u767d\u8cea\u306b\u5927\u304d\u306a\u727d\u5f15\u529b\u3092\u304b\u3051\u3066\uff0c\u7121\u7406\u306b\u7b2c\uff14\u8133\u5ba4\u3092\u958b\u5927\u3057\u3066\u624b\u8853\u64cd\u4f5c\u3092\u3059\u308c\u3070\u7d50\u679c\u7684\u306b\u306f\u540c\u3058\u306b\u306a\u308b\u3068\u3044\u3046\u3060\u3051\u306e\u3053\u3068\u3067\u3042\u308b\u3002<\/span><\/span><\/p>\n<p align=\"left\">\u3000\u5c0f\u8133\u6241\u6843\u3068\u866b\u90e8\u306e\u9593\u3092\u5265\u96e2\u3057\u3066\u884c\u304f\u304c\u5b9f\u969b\u306b\u306f\u3042\u307e\u308a\u5265\u304c\u308c\u306a\u3044\u3002\u3053\u306e\u6642\u306b\u306f\u866b\u90e8\u52d5\u8108 vermian arteries\u304c\u898b\u3048\u308b\u306e\u3067\u6e29\u5b58\u3059\u308b\u3002\u7b2c4\u8133\u5ba4\u6b63\u4e2d\u4e0a\u58c1\u306b\u3042\u308b\u8108\u7d61\u7d44\u7e54\u306f\u6804\u990a\u52d5\u8108\u3054\u3068\u5207\u308a\u53d6\u3063\u3066\u3057\u307e\u3063\u3066\u304b\u307e\u308f\u306a\u3044\u3002\u304b\u306a\u308a\u5927\u304d\u306a\u7b2c\uff14\u8133\u5ba4\u816b\u760d\u3067\u3082\u5c0f\u8133\u866b\u90e8\u6b63\u4e2d\u90e8\u3092\u5207\u958b\u3057\u306a\u3044\u3067\u3082\u6458\u51fa\u3067\u307e\u3059\u304c\uff0c\u56f0\u3063\u305f\u6642\u306b\u306f10 mm\u304f\u3089\u3044\u306f\u5207\u958b\u3057\u3066\u3082\u4f53\u5e79\u5931\u8abf\u306f\u6b8b\u308a\u307e\u305b\u3093\u3002\u4e00\u65b9\uff0c\u866b\u90e8\u3092\u5927\u304d\u304f\u5207\u958b\u3059\u308c\u3070\u5c0f\u8133\u6027\u7121\u8a00\u75c7\u3092\u62db\u304f\u306e\u3067\u7d76\u5bfe\u306b\u3057\u306a\u3044\u3002\u3053\u308c\u3067\u4e21\u5074\u306e\u5c0f\u8133\u6241\u6843\u3092\u5916\u5074\u306b\u727d\u5f15\u3059\u308c\u3070\uff0c\u4e2d\u5c0f\u8133\u811a\u306e\u5f8c\u4e0b\u9762\u304b\u3089\u4e2d\u8133\u6c34\u9053\u307e\u3067\u306f\u5341\u5206\u306b\u89b3\u5bdf\u3067\u304d\u308b\u8996\u91ce\u304c\u5f97\u3089\u308c\u308b\u3002<\/p>\n<p align=\"left\">\u3000\u30eb\u30b7\u30e5\u30ab\u5b54\u306e\u6240\u306b\u306f\u5927\u304d\u306a\u9759\u8108\u304c\u3042\u308b\u306e\u304c\u901a\u5e38\u3060\u304c\u3053\u308c\u306f\u306a\u308b\u3079\u304f\u6b8b\u3057\u3066\u304a\u3044\u305f\u307b\u3046\u304c\u4f59\u5206\u306a\u3046\u3063\u8840\u6027\u51fa\u8840\u3092\u9632\u3052\u308b\u3002\u9ac4\u82bd\u816b\u306f\u67d4\u3089\u304b\u304f\u5d29\u308c\u3066\u304d\u3066\u51fa\u8840\u3059\u308b\u3057\uff0c\u816b\u760d\u8840\u7ba1\u304c\u3082\u308d\u3044\u306e\u3067\u30d0\u30a4\u30dd\u30fc\u30e9\u3067\u51dd\u56fa\u3057\u3088\u3046\u3068\u3057\u3066\u3082\u306a\u304b\u306a\u304b\u6b62\u307e\u3089\u306a\u3044\u3002\u3053\u308c\u3092\u4e00\u3005\u6b62\u8840\u3057\u3066\u3044\u3066\u306f\u624b\u8853\u304c\u3059\u3059\u307e\u306a\u3044\u306e\u3067\uff0c\u3042\u308b\u7a0b\u5ea6\u306e\u51fa\u8840\u304c\u3042\u3063\u3066\u3082\u30d0\u30a4\u30dd\u30fc\u30e9\u3067\u51dd\u56fa\u3057\u3064\u3064\u816b\u760d\u7d44\u7e54\u3092\u7834\u58ca\u3057\u3066\u4e00\u6c17\u306b\u77ed\u6642\u9593\u3067\u5438\u5f15\u6458\u51fa\u3057\u3066\u3057\u307e\u3046\u3002\u7dda\u7dad\u6027\u306b\u786c\u3044\u90e8\u5206\u304c\u3042\u308c\u3070\u5207\u308a\u53d6\u308b\u3002\u51fa\u8840\u3057\u3066\u3044\u308b\u90e8\u5206\u3092\u8ffd\u6c42\u3057\u3066\u884c\u3051\u3070\u6804\u990a\u52d5\u8108\u306e\u6839\u5143\u306b\u884c\u304d\u7740\u304f\u306e\u3067\uff0c\u8840\u304c\u51fa\u3066\u3044\u308b\u65b9\u5411\u306b\u5411\u304b\u3063\u3066\u816b\u760d\u3092\u5438\u3063\u3066\u884c\u304f\u3053\u3068\u3082\u8981\u9818\u3067\u3042\u308b\u3002\u816b\u760d\u304c\u307b\u3068\u3093\u3069\u53d6\u308c\u308b\u3068\u81ea\u7136\u306b\u51fa\u8840\u306f\u3068\u307e\u308b\u3057\uff0c\u9006\u306b\u51fa\u8840\u304c\u3057\u3064\u3053\u3044\u90e8\u5206\u304c\u3042\u308c\u3070\u305d\u3053\u306b\u306f\u816b\u760d\u7d44\u7e54\u304c\u6b8b\u3063\u3066\u3044\u308b\u3068\u8003\u3048\u305f\u65b9\u304c\u826f\u3044\u3002<\/p>\n<p align=\"left\">\u3000\u9ac4\u82bd\u816b\u306e\u5834\u5408\u306b\u306f\u4e2d\u5c0f\u8133\u811a\u3078\u306e\u6d78\u6f64\u306f\u591a\u3044\u304c\u305d\u306e\u90e8\u5206\u306f\u6458\u51fa\u3059\u308b\u3002\u3053\u306e\u3068\u304d\u9023\u7d9a\u3059\u308b\u771f\u306e\u8133\u5e79\u90e8\u80cc\u5074\u3068\u306e\u533a\u5225\u304c\u3067\u304d\u306a\u3044\u3068\u8133\u5e79\u90e8\u3092\u640d\u50b7\u3057\u3066\u3044\u308b\u306e\u3067\u306f\u306a\u3044\u304b\u3068\u306e\u6050\u308c\u304b\u3089\u816b\u760d\u3092\u6b8b\u3057\u3066\u3057\u307e\u3046\u3053\u3068\u304c\u3042\u308b\u3002\u816b\u760d\u6458\u51fa\u306b\u6642\u9593\u3092\u304b\u3051\u308c\u3070\u305d\u308c\u3060\u3051\u9ac4\u8154\u5185\u306b\u307e\u304d\u6563\u3089\u3059\u816b\u760d\u7d30\u80de\u306e\u91cf\u304c\u591a\u304f\u306a\u308b\u3068\u8003\u3048\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3002\u816b\u760d\u3092\u6458\u51fa\u3059\u308b\u305f\u3081\u306b\uff0c\u5f8c\u4e0b\u5c0f\u8133\u52d5\u8108\u306e\u534a\u7403\u679d\u3084\u866b\u90e8\u52d5\u8108\u3092\u5207\u65ad\u3059\u308b\u5fc5\u8981\u304c\u3042\u308c\u3070\u8e8a\u8e87\u305b\u305a\u306b\u816b\u760d\u6458\u51fa\u3092\u512a\u5148\u9078\u629e\u3059\u308b\u3002\u816b\u760d\u304c\u8133\u795e\u7d4c\u3084\u8133\u5e79\u90e8\u304b\u3089\u7c21\u5358\u306b\u5265\u304c\u308c\u305f\u5f8c\u306e\u64cd\u4f5c\u3067\uff0c\u305b\u3063\u304b\u304f\u5265\u96e2\u3057\u305f\u305d\u306e\u7d44\u7e54\u3092\u50b7\u3081\u3066\u3057\u307e\u3046\u3053\u3068\u306f\u591a\u3044\u3002\u8133\u5e79\u90e8\u80cc\u5074\u306e\u8edf\u819c\u306a\u3069\u3092\u640d\u50b7\u3057\u306a\u3044\u305f\u3081\u306b\u306f\uff0c\u8133\u7d44\u7e54\u306b\u5bc6\u7740\u3057\u3066\u3057\u307e\u3046\u7dbf\u30b7\u30fc\u30c4\u3092\u4f7f\u308f\u305a\u306b\u30b8\u30a7\u30eb\u30d5\u30a9\u30fc\u30e0\u3084\u30b3\u30e9\u30fc\u30b2\u30f3\u88fd\u306e\u30b7\u30fc\u30c4\u3067\u306a\u3069\u5265\u304c\u308c\u3084\u3059\u3044\u624b\u8853\u6750\u6599\u3067\u8853\u4e2d\u306b\u4fdd\u8b77\u3057\u3066\u304a\u304f\u306a\u3069\u306e\u7d30\u304b\u3044\u30c6\u30af\u30cb\u30c3\u30af\u304c\u5fc5\u8981\u306b\u306a\u308b\u3002\u00a0<strong>\u00a0<\/strong><\/p>\n<h4 align=\"left\"><span style=\"color: #ff0000;\"><strong>\u5c0f\u8133\u6027\u7121\u8a00\u75c7 cerebellar mutism<\/strong><\/span>\uff0c\u5f8c\u982d\u4e0b\u75c7\u5019\u7fa4 posterior fossa syndrome<\/h4>\n<p><span style=\"color: #000080;\"><strong><span class=\"highlight\">\u5c0f\u8133\u866b\u90e8\u306e\u640d\u50b7\u306b\u3088\u308b<span style=\"color: #000080;\">\u5c0f\u8133\u6027\u7121\u8a00\u75c7 cerebellar mutism<\/span> \u306f\uff0c\u8853\u5f8c\u4e00\u904e\u6027\u306e\u3082\u306e\u3068\u4fe1\u3058\u308b\u8133\u795e\u7d4c\u5916\u79d1\u533b\u306f2021\u5e74\u6642\u70b9\u3067\u3082\u591a\u3044\u3067\u3059\u3002\u3057\u304b\u3057\uff0c\u305d\u3046\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u73fe\u5728\u3067\u306f\uff0c\u9577\u671f\u8a8d\u77e5\u6a5f\u80fd\u767a\u9054\u306b\u5927\u304d\u306a\u5f71\u97ff\u3092\u751f\u3058\u308b\u3082\u306e\u3068\u8003\u3048\u3089\u308c\u3066\u307e\u3059\u3002\u5f8c\u982d\u4e0b\u75c7\u5019\u7fa4\u3068\u547c\u79f0\u3055\u308c\u305f\u8a8d\u77e5\u6a5f\u80fd\u969c\u5bb3\u3082\u540c\u69d8\u3067\u3059\u3002<\/span><\/strong><\/span><\/p>\n<p>\u5c0f\u5150\u306e\u5f8c\u982d\u4e0b\u816b\u760d\u306e\u5b9f\u306b25%\u307b\u3069\u3067\uff0c\u8853\u5f8c\u306e\u8a00\u8a9e\u306e\u969c\u5bb3\u304c\u89b3\u5bdf\u3055\u308c\u307e\u3059\u3002<\/p>\n<p><span class=\"highlight\">Schmahmann JD:\u00a0<\/span><span role=\"menubar\">Childs Nerv Syst<\/span>\u00a02019\u306b\u3088\u308c\u3070\uff0c&#8221;There is consensus among investigators in the international Posterior Fossa Society that the designation be retired. &#8220;\u3068\u66f8\u304b\u308c\u3066\u3044\u307e\u3059\u3002\u5f8c\u982d\u7aa9\u624b\u8853\u5f8c\u306e\u5408\u4f75\u75c7\u3092\u7dcf\u79f0\u3059\u308b\uff0c<span style=\"color: #ff0000;\"><strong>\u5f8c\u982d\u7aa9\u75c7\u5019\u7fa4\u306f\u4eca\u5f8c\u7528\u3044\u3089\u308c\u306a\u304f\u306a\u308b<\/strong><\/span>\u3068\u3044\u3046\u610f\u5473\u3067\u3059\u3002\u5916\u79d1\u624b\u8853\u5408\u4f75\u75c7\u3092\u6e1b\u3058\u308b\u30ea\u30b9\u30af\u968e\u5c64\u5316\u306e\u305f\u3081\u306b\uff0ccerebellar motor syndrome, cerebellar vestibular syndrome, cerebellar cognitive affective syndrome including emotional dyscontrol, and <span class=\"highlight\">mutism\u306e\u7406\u89e3\u304c\u5fc5\u8981\u3068\u8aac\u304b\u308c\u3066\u3044\u307e\u3059\u3002\u6b8b\u5ff5\u306a\u304c\u3089\u3053\u308c\u3089\u306e\u75c7\u5019\u3092\u65e5\u672c\u8a9e\u306b\u8a33\u3059\u3053\u3068\u304c\u3067\u304d\u305a\uff0c\u65e5\u672c\u306e\u8133\u5916\u79d1\u533b\u306e\u9593\u306e\u7406\u89e3\u306f\u9045\u308c\u308b\u3068\u601d\u3044\u307e\u3059\u3002<\/span><\/p>\n<h2 align=\"left\"><span style=\"color: #000080;\">\u4ee3\u8868\u7684\u306a\u7b2c\uff14\u8133\u5ba4\u816b\u760d<\/span><\/h2>\n<h4>\u9ac4\u82bd\u816b medulloblastoma<\/h4>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/fourthmedullo1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-6869\" title=\"fourthmedullo1\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/fourthmedullo1-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/fourthmedullo1-300x300.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/fourthmedullo1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/fourthmedullo1-550x550.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/fourthmedullo1.jpg 567w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/fourthmedullo2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-6870\" title=\"fourthmedullo2\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/fourthmedullo2-300x226.jpg\" alt=\"\" width=\"300\" height=\"226\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/fourthmedullo2-300x226.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/fourthmedullo2-550x416.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/fourthmedullo2.jpg 567w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>\u5c0f\u5150\u306e\u7b2c\uff14\u8133\u5ba4\u816b\u760d\u3067\u306f\u6bdb\u69d8\u7d30\u80de\u6027\u661f\u7d30\u80de\u816b\u306b\u6b21\u3044\u3067\u591a\u3044\u3082\u306e\u3067\u3059\u3002\u9ac4\u82bd\u816b\u306e\u5927\u90e8\u5206\u306f\u7b2c\uff14\u8133\u5ba4\u816b\u760d\u3068\u3082\u8a00\u3048\u307e\u3059\u3002\u7d30\u80de\u5bc6\u5ea6\u304c\u9ad8\u3044\u306e\u3067CT\u3067\u306f\u5c11\u3057\u9ad8\u5bc6\u5ea6\u306b\u898b\u3048\u307e\u3059\uff0c\u77f3\u7070\u5316\u3082\u591a\u3044\u3067\u3059\u3002<\/p>\n<h4 align=\"left\">\u6bdb\u69d8\u7d30\u80de\u6027\u661f\u7d30\u80de\u816b pilocytic astrocytoma<\/h4>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/fourthpilo2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-6872\" title=\"fourthpilo1\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/fourthpilo1-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/fourthpilo1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/fourthpilo1-298x300.jpg 298w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/fourthpilo1.jpg 399w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-6871\" title=\"fourthpilo2\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/fourthpilo2-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/fourthpilo3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-6873\" title=\"fourthpilo3\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/fourthpilo3-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><\/p>\n<p>\u6bdb\u69d8\u7d30\u80de\u6027\u661f\u7d30\u80de\u816b\u3067\u3059\u3002\u5de6\u306e\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u5897\u5f37T1\u50cf\u3067\u306f\u9ac4\u82bd\u816b\u3068\u533a\u5225\u3067\u304d\u307e\u305b\u3093\u304c\uff0c\u771f\u3093\u4e2d\u306eCISS\u306e\u753b\u50cf\u3067\u4f4e\u4fe1\u53f7\uff0c\u53f3\u306eT2\u5f37\u8abf\u753b\u50cf\u3067\u5f37\u3044\u9ad8\u4fe1\u53f7\u306b\u306a\u308b\u306e\u304c\u7279\u5fb4\u3067\u3059\u3002\u6700\u4e0a\u90e8\u306b\u5c0f\u3055\u306a\u306e\u3046\u80de\u304c2\u3064\u3042\u308a\u307e\u3059\u3002<\/p>\n<h4>\u8840\u7ba1\u82bd\u816b hemangioblastoma<\/h4>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/fourthhemangi2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-6877\" title=\"fourthhemangi2\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/fourthhemangi2-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/fourthhemangi.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-6876\" title=\"fourthhemangi\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/fourthhemangi-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/><\/a><\/p>\n<p>\u5de6\u306e\u4f8b\u306f\u5ef6\u9ac4\u304b\u3089\u810a\u9ac4\u306b\u306e\u3046\u80de\u5f62\u6210\u3059\u308b\u3082\u306e\u3067\uff0c\u3068\u3066\u3082\u5927\u304d\u304f\u624b\u8853\u306f\u8d85\u9ad8\u96e3\u6613\u5ea6\u624b\u8853\u3068\u306a\u308a\u307e\u3059\u3002\u53f3\u306e\u4f8b\u3067\u3082\u304b\u306a\u308a\u56f0\u96e3\u306a\u624b\u8853\u3067\uff0c\u3053\u306e\u3088\u3046\u306a\u8840\u7ba1\u82bd\u816b\u306e\u624b\u8853\u306e\u624b\u8853\u3092\u5b89\u5b9a\u3057\u305f\u6210\u7e3e\u3067\u3067\u304d\u308b\u8133\u5916\u79d1\u306e\u5148\u751f\u306f\u65e5\u672c\u306b\u6570\u4eba\u304f\u3089\u3044\u3057\u304b\u3044\u306a\u3044\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002\u753b\u50cf\u8a3a\u65ad\u306e\u7279\u5fb4\u306f\uff0c\u8840\u7ba1\u3092\u63cf\u51fa\u3067\u304d\u308b\u753b\u50cf\u3092\u307f\u308b\u3068\uff0c\u816b\u760d\u306e\u5468\u56f2\u306b\u62e1\u5f35\u3057\u305f\u9759\u8108\u304c\u305f\u304f\u3055\u3093\u898b\u3048\u3066\uff0c\u8840\u6d41\u304c\u304b\u306a\u308a\u591a\u3044\u816b\u760d hypervascular tumor\u306e\u6240\u898b\u304c\u3042\u308b\u3053\u3068\u3067\u3059\u3002<\/p>\n<h4>\u985e\u8868\u76ae\u306e\u3046\u80de epidermoid cyst<\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-11024\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/epidermoidwk3-1-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/epidermoidwk3-1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/epidermoidwk3-1-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-11025\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/epidermoidwk1-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/epidermoidwk1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/epidermoidwk1-300x300.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/epidermoidwk1-768x766.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/epidermoidwk1-550x549.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/epidermoidwk1-144x144.jpg 144w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/epidermoidwk1.jpg 850w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><br \/>\n\u8133\u5e79\u90e8\u306b\u98df\u3044\u8fbc\u3080\u3088\u3046\u306b\u3057\u3066\u5897\u5927\u3057\u305f\u7b2c\uff14\u8133\u5ba4\u306e\u985e\u8868\u76ae\u306e\u3046\u80de\u3067\u3059\u3002\u53f3\u5074\u306e\u753b\u50cf\u306f\u62e1\u6563\u5f37\u8abf\u753b\u50cf DWI\u3067\u3059\u3002\u3053\u308c\u3067\u9ad8\u4fe1\u53f7\uff08\u767d\u304f\uff09\u306b\u307f\u3048\u308b\u306e\u304c\u7279\u5fb4\u3067\u3059\u3002<\/p>\n<h4>\u810a\u9ac4\u7a7a\u6d1e\u75c7 syringomyelia\u306e\u5408\u4f75<\/h4>\n<p>\u4e0a\u3068\u540c\u3058\u60a3\u8005\u3055\u3093\u3067\u3059\u3002<span style=\"color: #000080;\"><strong>\u5927\u5f8c\u982d\u5b54\u3067\u306e\u9ac4\u6db2\u6d41\u304c\u60aa\u304f\u306a\u308b<\/strong><\/span>\u305f\u3081\uff0c\u307e\u305f\u816b\u760d\u304c\u4f55\u5e74\u3082\u304b\u304b\u3063\u3066\u3086\u3063\u304f\u308a\u5927\u304d\u304f\u306a\u308b\u306e\u3067\uff0c\u810a\u9ac4\u306b\u7a7a\u6d1e\u304c\u3067\u304d\u307e\u3057\u305f\uff08\u810a\u9ac4\u7a7a\u6d1e\u75c7\uff09\u3002\u810a\u9ac4\u306e\u5185\u90e8\u304c\u88c2\u3051\u3066\u3057\u307e\u3046\u306e\u3067\uff0c\u5f37\u3044\u80f8\u90e8\u306e\u75bc\u75db\u304c\u3067\u3066\u767a\u75c7\u3057\u307e\u3057\u305f\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-11027 size-large\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/epidermoidsyringomyelia-342x600.jpg\" alt=\"\" width=\"342\" height=\"600\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/epidermoidsyringomyelia-342x600.jpg 342w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/epidermoidsyringomyelia-171x300.jpg 171w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/epidermoidsyringomyelia.jpg 567w\" sizes=\"auto, (max-width: 342px) 100vw, 342px\" \/><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-11123\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/epidermoidwk4-212x300.jpg\" alt=\"\" width=\"212\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/epidermoidwk4-212x300.jpg 212w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/epidermoidwk4-425x600.jpg 425w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/epidermoidwk4.jpg 567w\" sizes=\"auto, (max-width: 212px) 100vw, 212px\" \/><\/p>\n<p>\u7b2c\uff14\u8133\u5ba4\u816b\u760d\u3092\u6458\u51fa\u3059\u308b\u3068\u3053\u306e\u7a7a\u6d1e\u75c7\u306f\u81ea\u7136\u306b\u6cbb\u308b\u306e\u3067\uff0c\u4f55\u3082\u3057\u307e\u305b\u3093\u3002\u307e\u305f\u75c7\u72b6\u3082\u826f\u304f\u306a\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-11126 size-medium\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/pilosyringo-198x300.jpg\" alt=\"\" width=\"198\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/pilosyringo-198x300.jpg 198w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/pilosyringo-397x600.jpg 397w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2014\/05\/pilosyringo.jpg 562w\" sizes=\"auto, (max-width: 198px) 100vw, 198px\" \/><br \/>\n\u5e7c\u5150\u306e\u5ef6\u9ac4\u306b\u767a\u751f\u3057\u3066\u7b2c\uff14\u8133\u5ba4\u306b\u4f38\u5c55\u3057\u305f\u6bdb\u69d8\u7d30\u80de\u6027\u661f\u7d30\u80de\u816b\u306b\u5408\u4f75\u3057\u305f\u810a\u9ac4\u7a7a\u6d1e\u75c7\u3067\u3059\u3002<br \/>\n\u3061\u306a\u307f\u306b\u3053\u308c\u306f\u6bdb\u69d8\u7d30\u80de\u6027\u661f\u7d30\u80de\u816b\u306b\u5408\u4f75\u3059\u308b\u810a\u9ac4\u5185\u306e\u3046\u80de\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<br \/>\n\u3053\u306e\u4f8b\u306e\u5834\u5408\u306f\uff0c\u539f\u56e0\u3068\u306a\u3063\u305f\u5ef6\u9ac4\u816b\u760d\u304c\u6458\u51fa\u3067\u304d\u306a\u3044\u306e\u3067\uff0c\u96e3\u6cbb\u6027\u306e\u810a\u9ac4\u7a7a\u6d1e\u75c7\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<h2>\u6587\u732e<\/h2>\n<h4>\u5c0f\u5150\u306e\u5f8c\u982d\u4e0b\u624b\u8853\u5f8c\u306e\u8a00\u8a9e\u969c\u5bb3\uff0c\u7121\u8a00\u75c7\u306a\u3069<\/h4>\n<p class=\"authors-list\"><span class=\"authors-list-item \">Gr\u00f8nb\u00e6k JK:\u00a0<\/span>Postoperative speech impairment and surgical approach to posterior fossa tumours in children: a prospective European multicentre cohort study. Lancet Child Adolesc Health 2021<br \/>\n18\u6b73\u672a\u6e80\u306e\u5c0f\u5150\u306e\u5f8c\u982d\u4e0b\u816b\u760d\u3092\u6458\u51fa\u3059\u308b\u306825%\u307b\u3069\u306b\u306a\u3093\u3089\u304b\u306e\u8a00\u8a9e\u6027\u306e\u969c\u5bb3\u304c\u8a8d\u3081\u3089\u308c\u307e\u3059\u3002telovelar approach\u304c\u539f\u5247\u3067\u3059\u304c\uff0c\u3044\u307e\u3067\u3082transvermian route\u3092\u9078\u629e\u3059\u308b\u8133\u5916\u79d1\u533b\u3082\u591a\u3044\u3067\u3059\u3002\u307e\u305f\uff0cOTA\u3067\u4e0a\u90e8\u304b\u3089\u5c0f\u8133\u866b\u90e8\u3092\u5207\u958b\u3059\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u30e8\u30fc\u30ed\u30c3\u30d1\u3067426\u4f8b\u306e\u624b\u8853\u5f8c\u8abf\u67fb\u304c\u306a\u3055\u308c\u307e\u3057\u305f\u3002\u624b\u8853\u5f8c\u306b\u8a00\u8a9e\u306e\u72b6\u614b\u304c\u78ba\u8a8d\u3055\u308c\u305f\u60a3\u5150376\u4eba\u306e\u5185\u3067\uff0c112\u4eba (30%)\u306b\u8853\u5f8c\u8a00\u8a9e\u969c\u5bb3\u304c\u8a8d\u3081\u3089\u308c\u307e\u3057\u305f\u300253\u4eba (14%)\u304c\u7121\u8a00\u75c7\u3067\u3042\u308a\uff0c59\u4eba (16%)\u304c\u8a00\u8a9e\u767a\u51fa\u306e\u4f4e\u4e0b\u3067\u3057\u305f\u3002\u5e74\u9f62\u304c\u82e5\u3044\u307b\u3069\uff0c\u816b\u760d\u304c\u6b63\u4e2d\u306b\u3042\u308b\u307b\u3069\uff0c\u816b\u760d\u306e\u60aa\u6027\u5ea6\u304c\u9ad8\u3044\u307b\u3069\u3053\u308c\u3089\u306e\u75c7\u72b6\u306f\u5f37\u304f\u767a\u73fe\u3057\u307e\u3057\u305f\u3002\u6bdb\u69d8\u7d30\u80de\u6027\u661f\u7d30\u80de\u816b\u3088\u308a\u9ac4\u82bd\u816b\u3068AT\/RT\u3067\u30ea\u30b9\u30af\u306f\u9ad8\u304f\u306a\u308a\u307e\u3059\u3002<span style=\"color: #333333;\">50%\u306e\u60a3\u5150\u3067\u306f\uff0c\u8853\u5f8c16\u65e5\u4ee5\u5185\u306b\u7121\u8a00\u75c7\u304b\u3089\u8a00\u8a9e\u767a\u51fa\u4f4e\u4e0b\u306b\u79fb\u884c\u3057\u307e\u3059\u3002<\/span><\/p>\n<h4 class=\"cit\">\u5f8c\u982d\u7aa9\u75c7\u5019\u7fa4 posteriro fossa syndrome\u3068\u3044\u3046\u7528\u8a9e\u306f\u5ec3\u3055\u308c\u305f<\/h4>\n<p><span class=\"highlight\">Schmahmann JD:\u00a0<\/span>Pediatric post-operative cerebellar <span class=\"highlight\">mutism<\/span> syndrome, cerebellar cognitive affective syndrome, and posterior fossa syndrome: historical review and proposed resolution to guide future study. <span role=\"menubar\">Childs Nerv Syst.<\/span> 2019<br \/>\nThere is consensus among investigators in the international Posterior Fossa Society that the designation be retired. \u3068\u66f8\u304b\u308c\u3066\u3044\u307e\u3059\u3002\u5f8c\u982d\u7aa9\u624b\u8853\u5f8c\u306e\u5408\u4f75\u75c7\u3092\u7dcf\u79f0\u3059\u308b\uff0c\u5f8c\u982d\u7aa9\u75c7\u5019\u7fa4\u306f\u4eca\u5f8c\u7528\u3044\u3089\u308c\u306a\u304f\u306a\u308a\u307e\u3059\u3002\u5916\u79d1\u624b\u8853\u5408\u4f75\u75c7\u3092\u6e1b\u3058\u308b\u30ea\u30b9\u30af\u968e\u5c64\u5316\u306e\u305f\u3081\u306b\uff0ccerebellar motor syndrome, cerebellar vestibular syndrome, cerebellar cognitive affective syndrome including emotional dyscontrol, and <span class=\"highlight\">mutism\u306e\u7406\u89e3\u304c\u5fc5\u8981\u3068\u8aac\u304b\u308c\u3066\u3044\u307e\u3059\u3002\u6b8b\u5ff5\u306a\u304c\u3089\u3053\u308c\u3089\u306e\u75c7\u5019\u3092\u65e5\u672c\u8a9e\u306b\u8a33\u3059\u3053\u3068\u304c\u3067\u304d\u305a\uff0c\u65e5\u672c\u306e\u8133\u5916\u79d1\u533b\u306e\u9593\u306e\u7406\u89e3\u306f\u9045\u308c\u308b\u3068\u601d\u3044\u307e\u3059\u3002<\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u7b2c\uff14\u8133\u5ba4\u816b\u760d\u306f\u5c0f\u5150\u306b\u591a\u3044\u3082\u306e\u3067\u3059 \u9589\u585e\u6027\u6c34\u982d\u75c7\u3092\u751f\u3058\u307e\u3059\u304b\u3089\uff0c\u75c7\u72b6\u306f\u982d\u75db\u3068\u5455\u5410\u3067\u3059 \u9ac4\u82bd\u816b\uff0c\u4e0a\u8863\u816b\u306a\u3069\u306e\u60aa\u6027\u816b\u760d\u304c\u591a\u3044\u3067\u3059 \u624b\u8853\u306f\u6b63\u4e2d\u5f8c\u982d\u7aa9\u958b\u982d\u3067\u3057\u307e\u3059\u304c\uff0c\u96e3\u3057\u3044\u3067\u3059 \u00a0\u7b2c\uff14\u8133\u5ba4\u3068\u306f \u5f8c\u982d\u90e8\u306b\u8fd1\u3044\u6240\u306b\u3042\u308a\u307e\u3059\u3002\u9ec4\u8272\u304c\u7b2c\uff14 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