{"id":7082,"date":"2015-03-15T15:09:42","date_gmt":"2015-03-15T06:09:42","guid":{"rendered":"\/sawamura\/?p=7082"},"modified":"2024-03-18T16:19:19","modified_gmt":"2024-03-18T07:19:19","slug":"epilepsy","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/sawamura\/braintumors\/epilepsy\/","title":{"rendered":"\u8133\u816b\u760d\u3068\u3066\u3093\u304b\u3093"},"content":{"rendered":"<h2><span style=\"color: #000080;\">\u75c7\u5019\u6027\u5c40\u5728\u95a2\u9023\u3066\u3093\u304b\u3093<br \/>\nSLRE symptomatic localized-related epilepsy<\/span><\/h2>\n<ul>\n<li>\u8133\u816b\u760d\u3067\u306f\u3055\u307e\u3056\u307e\u306a\u3066\u3093\u304b\u3093\u767a\u4f5c\uff08\u3051\u3044\u308c\u3093\u767a\u4f5c\uff09\u304c\u751f\u3058\u307e\u3059<\/li>\n<li>\u8133\u816b\u760d\u3067\u751f\u3058\u308b\u3066\u3093\u304b\u3093\u306f\uff0c\u300c\u75c7\u5019\u6027\u3066\u3093\u304b\u3093\u300d\u3068\u8a00\u3044\u307e\u3059<\/li>\n<li>\u3082\u3063\u3068\u6b63\u78ba\u306b\u306f\u300c\u75c7\u5019\u6027\u5c40\u5728\u95a2\u9023\u3066\u3093\u304b\u3093\u300d\u3067\u3059<\/li>\n<li>\u8133\u816b\u760d\u3067\u306f\uff0c<span style=\"color: #000080;\"><strong>\u90e8\u5206\u767a\u4f5c focal seizure<\/strong><\/span>\u304c\u6700\u3082\u591a\u304f\uff0c\u5168\u822c\u5316\u3059\u308b\u3068\u5f37\u76f4\u9593\u4ee3\u767a\u4f5c tonic-clonic seizure \u306b\u306a\u308a\u307e\u3059<\/li>\n<li><strong><span style=\"color: #000080;\">\u3066\u3093\u304b\u3093\u3092\u6b62\u3081\u308b\u3053\u3068\u306f\uff0c\u8133\u816b\u760d\u6cbb\u7642\u306e\u91cd\u8981\u306a\u76ee\u7684<\/span><\/strong>\u3067\u3059<\/li>\n<\/ul>\n<h5>\u3066\u3093\u304b\u3093\u3092\u751f\u3058\u305f\u60a3\u8005\u3055\u3093\u306e\u8133\u816b\u760d\u306f\u6cbb\u308a\u3084\u3059\u3044<\/h5>\n<p>\u3066\u3093\u304b\u3093\u3067\u767a\u75c7\u3059\u308b\u3068\u816b\u760d\u304c\u5c0f\u3055\u3044\u3046\u3061\u306b\u767a\u898b\u3055\u308c\u308b\u3053\u3068\u3068\uff0c\u3066\u3093\u304b\u3093\u3092\u751f\u3058\u308b\u816b\u760d\u306f\u8133\u306e\u8868\u9762\u306b\u3042\u308b\u304b\u3089\u3067\u3059<\/p>\n<h5>\u3066\u3093\u304b\u3093\u3092\u751f\u3058\u308b\u60a3\u8005\u3055\u3093\u306f\u5371\u306a\u3044<\/h5>\n<p>\u816b\u760d\u304c\u6cbb\u3089\u306a\u3044\uff0c\u8133\u306e\u640d\u50b7\u304c\u5927\u304d\u3044\uff0c\u816b\u760d\u304c\u518d\u767a\u3057\u305f\u6642\u3001\u816b\u760d\u5185\u51fa\u8840\u3057\u305f\u6642\uff0c\u653e\u5c04\u7dda\u8133\u969c\u5bb3\u304c\u751f\u3058\u305f\u6642\u306b\u3066\u3093\u304b\u3093\u767a\u4f5c\u304c\u591a\u3044\u304b\u3089\u3067\u3059<\/p>\n<h4>\u8133\u816b\u760d\u306e\u4e3b\u306a\u3066\u3093\u304b\u3093\u306e\u767a\u4f5c\u578b<\/h4>\n<h5>\u90e8\u5206\u767a\u4f5c\u30fb\u7126\u70b9\u767a\u4f5c\uff08\u8133\u306e\u5c40\u6240\u3060\u3051\u306e\u767a\u4f5c\uff09<\/h5>\n<ol>\n<li>\u5358\u7d14\u90e8\u5206\u767a\u4f5c\uff1a\u53f3\u8155\u3060\u3051\u304c\u3051\u3044\u308c\u3093\u3059\u308b\uff0c\u5de6\u4e0b\u80a2\u3060\u3051\u306e\u75fa\u308c\u304c\u751f\u3058\u308b\uff0c\u3080\u304b\u3080\u304b\u5410\u304d\u6c17\u304c\u767a\u4f5c\u7684\u306b\u304a\u3053\u308b\uff0c\u3042\u308a\u3082\u3057\u306a\u3044\u30ab\u30ec\u30fc\u306e\u5302\u3044\u304c\u3059\u308b\uff0c\u3044\u3064\u304b\u805e\u3044\u305f\u97f3\u697d\u304c\u805e\u3053\u3048\u308b\uff0c\u8996\u91ce\u306e\u4e00\u90e8\u304c\u6570\u5341\u79d2\u5149\u308b\u306a\u3069\u306e\u75c7\u72b6\u3067\u3059<\/li>\n<li>\u8907\u96d1\u90e8\u5206\u767a\u4f5c\uff1a\u3054\u304f\u77ed\u6642\u9593\uff0c\u6570\u79d2\u3068\u304b\u610f\u8b58\u6e1b\u640d\uff08\u610f\u8b58\u304c\u306a\u304f\u306a\u308b\uff0c\u98db\u3076\uff09\u3068\u3044\u3046\u72b6\u614b\u306b\u306a\u308b\u3082\u306e\u3067\u3059\uff0c\u5358\u7d14\u90e8\u5206\u767a\u4f5c\u304b\u3089\u610f\u8b58\u304c\u306a\u304f\u306a\u3063\u305f\u308a\uff0c\u610f\u8b58\u304c\u307c\u30fc\u3063\u3068\u3057\u3066\u8a33\u304c\u308f\u304b\u3089\u306a\u3044\u52d5\u304d\u3092\u3057\u305f\u308a\uff0c\u610f\u8b58\u304c\u98db\u3093\u3067\u53e3\u3092\u30e2\u30b4\u30e2\u30b4\u3055\u305b\u3066\u81ea\u5206\u3067\u899a\u3048\u3066\u3044\u306a\u3044\u306a\u3069\u3067\u3059\uff0c\u5012\u308c\u305f\u308a\u3059\u308b\u3053\u3068\u306f\u3042\u307e\u308a\u3042\u308a\u307e\u305b\u3093<\/li>\n<li>\u4e8c\u6b21\u7684\u306b\u5168\u822c\u5316\u3059\u308b\u90e8\u5206\u767a\u4f5c\uff1a\u90e8\u5206\u767a\u4f5c\u304b\u3089\u5168\u822c\u767a\u4f5c\u306b\u306a\u308b\u3082\u306e\u3067\u3059<\/li>\n<\/ol>\n<h5>\u5168\u822c\u767a\u4f5c\uff08\u4e21\u5074\u306e\u8133\u306e\u8133\u6ce2\u7570\u5e38\u306b\u306a\u308b\uff09<\/h5>\n<ol>\n<li>\u6b20\u795e\u767a\u4f5c\uff1a\u307b\u3093\u306e\u5c11\u3057\u306e\u6642\u9593\u3060\u3051\u3069\u610f\u8b58\u304c\u306a\u304f\u3066\u899a\u3048\u3066\u3044\u306a\u3044\uff0c\u610f\u8b58\u304c\u98db\u3093\u3067\u4f53\u304c\u52d5\u3044\u305f\u308a\u4f53\u306e\u4e00\u90e8\u304c\u3064\u3063\u3071\u308b\uff0c\u89e3\u3063\u3066\u3044\u306a\u3044\u3067\u304a\u304b\u3057\u306a\u52d5\u304d\u3092\u3059\u308b\u306a\u3069\u3067\uff0c\u8131\u529b\u3067\u5012\u308c\u305f\u308a\u3057\u307e\u3059<\/li>\n<li>\u9593\u4ee3\u767a\u4f5c\uff1a\u4e00\u5b9a\u306e\u30ea\u30ba\u30e0\u3067\uff0c\u624b\u8db3\u304c\u30ac\u30af\u30ac\u30af\u3059\u308b\u3051\u3044\u308c\u3093\u3067\u3059<\/li>\n<li>\u5f37\u76f4\u767a\u4f5c\uff1a\u624b\u8db3\u304c\u3064\u3063\u3071\u308b\u3088\u3046\u306a\u3051\u3044\u308c\u3093\u3067\u3059<\/li>\n<li>\u5f37\u76f4\u9593\u4ee3\u767a\u4f5c\uff1a\u610f\u8b58\u304c\u306a\u304f\u306a\u3063\u3066\u767d\u76ee\u3092\u3080\u3044\u3066\uff0c\u6b6f\u3092\u98df\u3044\u3057\u3070\u3063\u3066\uff0c\u6ce1\u3092\u5439\u3044\u3066\u5168\u8eab\u304c\u30ac\u30af\u30ac\u30af\u3057\u307e\u3059\uff0c\u767a\u4f5c\u304c\u6b62\u307e\u308b\u3068\u7720\u308a\u307e\u3059\uff08\u4e00\u822c\u306e\u65b9\u304c\u3066\u3093\u304b\u3093\u3068\u8a00\u3063\u3066\u4e00\u756a\u60f3\u50cf\u3057\u3084\u3059\u3044\u767a\u4f5c\u578b\u3067\u3059\uff09<\/li>\n<li>\u8133\u816b\u760d\u306e\u5834\u5408\u306f\u4e8c\u6b21\u7684\u5168\u822c\u5316\u304c\u307b\u3068\u3093\u3069\u3067\u3059<\/li>\n<\/ol>\n<h4>\u5468\u8853\u671f\u3051\u3044\u308c\u3093\u767a\u4f5c\u306f\u3066\u3093\u304b\u3093\u3068\u3057\u3066\u6271\u308f\u306a\u3044<\/h4>\n<ul>\n<li>\u958b\u982d\u624b\u8853\u3092\u3059\u308b\u3068\uff0c\u8853\u5f8c\u306b\u3051\u3044\u308c\u3093\u767a\u4f5c\u3092\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u624b\u8853\u306e\u4e00\u6642\u7684\u306a\u5408\u4f75\u75c7\u3068\u3057\u3066\u306e\u8133\u810a\u9ac4\u819c\u708e\uff0c\u4f4e\u30ca\u30c8\u30ea\u30a6\u30e0\u8840\u75c7\uff0c\u8853\u5f8c\u9ad8\u71b1\uff0c\u6c34\u982d\u75c7\u306b\u306a\u3063\u3066\u3082\u3051\u3044\u308c\u3093\u767a\u4f5c\u3092\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u3053\u308c\u3089\u306f\u5c0f\u5150\u306e\u71b1\u6027\u75d9\u6523\u3068\u540c\u3058\u3088\u3046\u306b\uff0c\u300c\u3066\u3093\u304b\u3093\u300d\u3068\u547c\u3070\u306a\u3044\u307b\u3046\u304c\u3044\u3044\u3067\u3057\u3087\u3046<\/li>\n<li>\u305d\u306e\u5f8c\u306b\u7d99\u7d9a\u3057\u3066\u767a\u4f5c\u3092\u751f\u3058\u308b\u3053\u3068\u304c\u307b\u3068\u3093\u3069\u306a\u3044\u304b\u3089\u3067\u3059<\/li>\n<li><strong><span style=\"color: #000080;\">\u3066\u3093\u304b\u3093\u306e\u75c5\u540d\u304c\u3064\u304f\u3068\u6210\u4eba\u3067\u306f\u904b\u8ee2\u514d\u8a31\u3092\u5931\u3046<\/span><\/strong>\u3053\u3068\u306b\u306a\u308a\u307e\u3059<\/li>\n<li>\u591a\u304f\u306f\uff0c\u9000\u9662\u5f8c\u306b\u6297\u3066\u3093\u304b\u3093\u85ac\u3092\u670d\u7528\u3059\u308b\u5fc5\u8981\u306f\u3042\u308a\u307e\u305b\u3093<\/li>\n<\/ul>\n<h4>\u3069\u3093\u306a\u816b\u760d<\/h4>\n<ul>\n<li>\u5927\u8133\u76ae\u8cea\u306b\u30c0\u30e1\u30fc\u30b8\u3092\u751f\u3058\u308b\u816b\u760d\u3067\u3059<\/li>\n<li>\u5927\u8133\u57fa\u5e95\u6838\uff0c\u8996\u5e8a\uff0c\u8133\u5e79\u90e8\uff0c\u5c0f\u8133\u306e\u816b\u760d\u3067\u306f\u3066\u3093\u304b\u3093\u767a\u4f5c\u306f\u6ec5\u591a\u306b\u3042\u308a\u307e\u305b\u3093<\/li>\n<li>\u9ac4\u819c\u816b\uff0c\u30b0\u30ea\u30aa\u30fc\u30de\uff0c\u8ee2\u79fb\u6027\u8133\u816b\u760d\u304c\u4ee3\u8868\u7684\u306a\u3082\u306e\u3067\u3059<\/li>\n<li><strong><span style=\"color: #000080;\">\u60aa\u6027\u5ea6\u306e\u9ad8\u3044\u816b\u760d\u307b\u3069\u3066\u3093\u304b\u3093\u3092\u751f\u3058\u308b\u78ba\u7387\u304c\u9ad8\u3044\u3067\u3059<\/span><\/strong><\/li>\n<li><span style=\"color: #000080;\"><strong>\u4f4e\u60aa\u6027\u5ea6\u30b0\u30ea\u30aa\u30fc\u30de\u3067\u306f6\u5272\u4ee5\u4e0a<\/strong><\/span>\uff0c\u81a0\u82bd\u816b\u3067\u306f5\u5272\u7a0b\u5ea6\u306e\u60a3\u8005\u3055\u3093\u304c\u3066\u3093\u304b\u3093\u767a\u4f5c\u3092\u751f\u3058\u308b\u3068\u3044\u308f\u308c\u3066\u3044\u307e\u3059<\/li>\n<li>\u30b0\u30ea\u30aa\u30fc\u30de\u306e\u4e2d\u3067\u3082\u7279\u306b<strong><span style=\"color: #000080;\">\u4e4f\u7a81\u8d77\u81a0\u816b<\/span><\/strong>\u306f\u3066\u3093\u304b\u3093\u767a\u4f5c\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u3067\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u8ee2\u79fb\u6027\u8133\u816b\u760d\u3067\u306f20%<\/strong><\/span>\u307b\u3069\u306e\u60a3\u8005\u3055\u3093\u3067\uff0c\u3066\u3093\u304b\u3093\u3092\u751f\u3058\u307e\u3059<\/li>\n<li>\u5c0f\u5150\u306e\u96e3\u6cbb\u6027\u3066\u3093\u304b\u3093\u306b\u306f\uff0c\u30b0\u30ec\u30fc\u30c91\u306e\u816b\u760d\u304c\u591a\u3044\u3067\u3059<\/li>\n<li>DNT\uff0c\u795e\u7d4c\u7bc0\u81a0\u816b\uff0c\u5927\u8133\u306e\u6bdb\u69d8\u7d30\u80de\u6027\u661f\u7d30\u80de\u816b\u306a\u3069\u3067\u3059<\/li>\n<li>\u816b\u760d\u3092\u9ad8\u7dda\u91cf\u306e\u653e\u5c04\u7dda\u6cbb\u7642\u3067\u6cbb\u7642\u3057\u305f\u5f8c\u306e<strong><span style=\"color: #000080;\">\u653e\u5c04\u7dda\u8133\u58ca\u6b7b\u3067\u306f\uff0c\u96e3\u6cbb\u6027<\/span><\/strong>\u306e\u3066\u3093\u304b\u3093\u3092\u751f\u3058\u307e\u3059<\/li>\n<\/ul>\n<h4>\u691c\u67fb\u306f<\/h4>\n<ul>\n<li>MRI\u691c\u67fb\u3067\u8133\u816b\u760d\u304c\u3042\u308b\u304b\u306a\u3044\u304b\u3092\u898b\u307e\u3059<\/li>\n<li>\u8133\u6ce2\uff08\u5149\u523a\u6fc0\uff0c\u904e\u547c\u5438\uff0c\u7761\u7720\u6642\uff09\u3092\u3057\u307e\u3059<\/li>\n<li>MEG\uff08\u8133\u78c1\u56f3\uff09\u306f\u6df1\u90e8\u306e\u816b\u760d\u3067\u6709\u7528\u3067\u3059<\/li>\n<\/ul>\n<h4>\u6cbb\u7642\u306f<\/h4>\n<ul>\n<li>\u8133\u816b\u760d\u95a2\u9023\u3066\u3093\u304b\u3093\u306e\u6cbb\u7642\u306b\u306f\uff0c<strong><span style=\"color: #ff0000;\">\u6297\u3066\u3093\u304b\u3093\u85ac<\/span><\/strong> AEDs \u3092\u4f7f\u3044\u307e\u3059<\/li>\n<li>\u624b\u8853\u3067\u816b\u760d\u3092\u5168\u6458\u51fa\u3059\u308b\u3053\u3068\u306b\u3088\u3063\u3066\uff0c\u8133\u6d6e\u816b\u304c\u6539\u5584\u3057\u305f\u308a\uff0c\u3066\u3093\u304b\u3093\u7126\u70b9\u306b\u306a\u3063\u3066\u3044\u308b\u8133\u76ae\u8cea\u304c\u5207\u9664\u3055\u308c\u308b\u3053\u3068\u306b\u3088\u3063\u3066\u3082\u75c7\u5019\u6027\u3066\u3093\u304b\u3093\u306f\u6cbb\u308a\u307e\u3059<\/li>\n<li>\u7279\u306b\uff0c\u9ac4\u819c\u816b\u306f\u5168\u6458\u51fa\u3067\u304d\u308b\u3068\u3066\u3093\u304b\u3093\u767a\u4f5c\u304c\u5b8c\u5168\u306b\u6291\u5236\u3067\u304d\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059<\/li>\n<li>\u4e4f\u7a81\u8d77\u81a0\u816b\u3067\u306f\u30c6\u30e2\u30be\u30ed\u30de\u30a4\u30c9\u5316\u5b66\u7642\u6cd5\u3067\u816b\u760d\u304c\u7e2e\u5c0f\u3059\u308b\u3068\u3066\u3093\u304b\u3093\u767a\u4f5c\u304c\u6291\u5236\u3055\u308c\u307e\u3059<\/li>\n<li>\u653e\u5c04\u7dda\u6cbb\u7642\u3067\u816b\u760d\u304c\u7e2e\u5c0f\u3084\u6d88\u5931\u3057\u305f\u6642\u306b\u3082\u3066\u3093\u304b\u3093\u767a\u4f5c\u304c\u6539\u5584\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u3066\u3093\u304b\u3093\u767a\u4f5c\u306e\u306a\u3044\u60a3\u8005\u3055\u3093\u306b\u5bfe\u3059\u308b\u8133\u816b\u760d\u958b\u982d\u624b\u8853\u524d\u306e\u4e88\u9632\u7684\u306a\u6297\u3066\u3093\u304b\u3093\u85ac\u6295\u4e0e\u306f\u5229\u70b9\u304c\u306a\u3044\u3068\u3055\u308c\u3066\u3044\u307e\u3059<\/li>\n<\/ul>\n<h4>\u4e88\u9632\u7684\u6295\u4e0e\uff1a\u3066\u3093\u304b\u3093\u306e\u306a\u3044\u8133\u816b\u760d\u306e\u60a3\u8005\u3055\u3093\u306b\u3066\u3093\u304b\u3093\u306e\u85ac\u3092\u6295\u4e0e\u3059\u308b\u304b\uff1f<\/h4>\n<ol>\n<li>\u539f\u5247\u7684\u306b\u306f\u6295\u4e0e\u3057\u307e\u305b\u3093<\/li>\n<li>\u3057\u304b\u3057\uff0c\u3066\u3093\u304b\u3093\u539f\u6027\u306e\u9ad8\u3044\u90e8\u5206\uff0c\u4f8b\u3048\u3070\u5185\u5074\u5074\u982d\u8449\u306b\u3042\u308b\u4e4f\u7a81\u8d77\u81a0\u816b\u306a\u3069\u30ea\u30b9\u30af\u304c\u6975\u3081\u5f97\u3066\u9ad8\u3044\u6642\u306b\u306f\u4e88\u9632\u7684\u6295\u4e0e\u3092\u3057\u307e\u3059<\/li>\n<li>\u904b\u8ee2\u514d\u8a31\u3092\u306a\u304f\u3059\u3068\u4ed5\u4e8b\u304c\u3067\u304d\u306a\u304f\u306a\u308b\u60a3\u8005\u3055\u3093\u306b\u306f\u4e88\u9632\u7684\u6295\u4e0e\u3092\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<\/ol>\n<h4>\u85ac\u306f<\/h4>\n<ul>\n<li>\u767a\u4f5c\u306e\u7a2e\u985e\u3068\u816b\u760d\u306e\u7a2e\u985e\u3067\u4f7f\u3046\u85ac\u5264\u306f\u3044\u308d\u3044\u308d\u7570\u306a\u308a\u307e\u3059<\/li>\n<li>\u816b\u760d\u306e\u4e88\u5f8c\u3068\u767a\u4f5c\u30bf\u30a4\u30d7\u3068\u85ac\u5264\u306b\u304b\u306a\u308a\u306e\u77e5\u8b58\u304c\u306a\u3044\u3068\u4f7f\u3048\u307e\u305b\u3093<\/li>\n<li>\u307e\u305f\u65b0\u85ac\u306e\u85ac\u5264\u8cbb\u304c\u3068\u3066\u3082\u9ad8\u3044\u306e\u3067\uff0c<span style=\"color: #ff0000;\"><strong>\u767a\u4f5c\u3092\u6291\u5236\u3067\u304d\u308b\u306a\u3089\u51fa\u6765\u308b\u9650\u308a\u5b89\u3044\u85ac<\/strong><\/span>\u3092\u4f7f\u3044\u307e\u3059<\/li>\n<li>\u90e8\u5206\u3066\u3093\u304b\u3093\u767a\u4f5c\u306e<span style=\"color: #000080;\"><strong>\u6291\u5236\u52b9\u679c\u3068\u5b89\u4fa1<\/strong><\/span>\u3068\u3044\u3046\u5229\u70b9\u3067\uff0c<span style=\"color: #000080;\"><strong>\u30c6\u30b0\u30ec\u30c8\u30fc\u30eb\uff08\u30ab\u30eb\u30d0\u30de\u30bc\u30d4\u30f3\uff09<\/strong><\/span>\u304c\u983b\u7528\u3055\u308c\u3066\u3044\u307e\u3059\uff0c\u30a2\u30ec\u30eb\u30ae\u30fc\u306e\u526f\u4f5c\u7528\u304c\u591a\u3044\u306e\u3067\u6c17\u3092\u3064\u3051\u3066\u304f\u3060\u3055\u3044<\/li>\n<li>\u3067\u3082\u4f8b\u3048\u3070\uff0c<span style=\"color: #000080;\"><strong>\u30b0\u30ea\u30aa\u30fc\u30de\u306e\u90e8\u5206\u767a\u4f5c\uff082\u6b21\u6027\u5168\u822c\u5316\u3082\uff09\u306b\u306f\uff0c\u7b2c\u4e00\u9078\u629e\u85ac\u306f<\/strong><strong>\u30a4\u30fc\u30b1\u30d7\u30e9\uff08\u30ec\u30d9\u30c1\u30e9\u30bb\u30bf\u30e0\uff09<\/strong><\/span>\u3067\uff0c\u7b2c\u4e8c\u9078\u629e\u85ac\u306f\u30c7\u30d1\u30b1\u30f3\uff08<span style=\"color: #000080;\"><strong>\u30d0\u30eb\u30d7\u30ed\u9178<\/strong><\/span>\uff09\u3067\u3059<\/li>\n<li>\u00a0\u6b21\u3044\u3067\uff0c\u30e9\u30df\u30af\u30bf\u30fc\u30eb\uff08\u30e9\u30df\u30c8\u30ea\u30ae\u30f3\uff09\uff0c\u30e9\u30b3\u30b5\u30df\u30c9\uff08\u30e9\u30b3\u30b5\u30df\u30c9\uff09\uff0c\u30a8\u30af\u30bb\u30b0\u30e9\u30f3\uff08\u30be\u30cb\u30b6\u30df\u30c9\uff09\u306a\u3069\u3067\u3059<\/li>\n<li>\u767a\u4f5c\u306e\u6291\u5236\u529b\u304c\u5f37\u3044\u3068\u3044\u3063\u3066\u3082<strong><span style=\"color: #000080;\">\u30a4\u30fc\u30b1\u30d7\u30e9\u3084\u30e9\u30df\u30af\u30bf\u30fc\u30eb\u306e\u6b20\u70b9\u306f\u85ac\u5264\u8cbb\u304c\u9ad8\u3044<\/span><\/strong>\u3053\u3068\u3067\u3059\uff0c\u88dc\u52a9\u304c\u306a\u3044\u5834\u5408\u306b\u306f1\u6708\u306b\u6570\u5343\u5186\u306e\u533b\u7642\u8cbb\u304c\u5897\u3048\u307e\u3059\uff0c<\/li>\n<li>\u30e9\u30b3\u30b5\u30df\u30c9\u306f\u307e\u3060\u65e5\u672c\u3067\u5e02\u8ca9\u3055\u308c\u3066\u3044\u307e\u305b\u3093\uff0c\u30e9\u30df\u30af\u30bf\u30fc\u30eb\u3082\u5024\u6bb5\u304c\u9ad8\u3044\u3067\u3059\uff0c<\/li>\n<li>\u30a8\u30af\u30bb\u30b0\u30e9\u30f3\u3092\u8133\u816b\u760d\u306e\u60a3\u8005\u3055\u3093\u306b\u4f7f\u7528\u3059\u308b\u3068\u7cbe\u795e\u75c7\u72b6\u3092\u51fa\u3059\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u3067\u3059<\/li>\n<li>\u30c6\u30b0\u30ec\u30c8\u30fc\u30eb\u3092\u306f\u3058\u3081\u69d8\u3005\u306a\u6297\u3066\u3093\u304b\u3093\u85ac\u306f\u30a2\u30ec\u30eb\u30ae\u30fc\u3092\u751f\u3058\u3084\u3059\u3044\u306e\u3067\uff0c\u98f2\u307f\u59cb\u3081\u306610\u65e5\u304b\u3089\uff12\u9031\u9593\u304f\u3089\u3044\u3067\u4f53\u306e\u3042\u3061\u3053\u3061\u306b\u8d64\u3044\u767a\u75b9\uff08\u85ac\u75b9\uff09\u304c\u51fa\u305f\u6642\u306b\u306f\u4e2d\u65ad\u3057\u307e\u3059<\/li>\n<\/ul>\n<h4>\u6297\u3066\u3093\u304b\u3093\u85ac\u306e\u526f\u4f5c\u7528<\/h4>\n<ul>\n<li>\u3082\u306e\u3059\u3054\u304f\u305f\u304f\u3055\u3093\u3042\u308b\u306e\u3067\uff0c\u4e3b\u6cbb\u533b\u306e\u5148\u751f\u304b\u3089\u8aac\u660e\u3092\u53d7\u3051\u3066\u4e0b\u3055\u3044<\/li>\n<li>\u3067\u3082\uff0c\u5b9f\u969b\u306b\u306f\u7d30\u304b\u3044\u526f\u4f5c\u7528\u3092\u3057\u3063\u304b\u308a\u8aac\u660e\u3055\u308c\u306a\u3044\u3067\u6295\u4e0e\u3092\u53d7\u3051\u308b\u3053\u3068\u304c\u307b\u3068\u3093\u3069\u306a\u306e\u3067\uff0c\u30b9\u30de\u30db\u3067\u81ea\u5206\u3067\u8abf\u3079\u308b\u306e\u304c\u73fe\u5b9f\u7684\u3067\u3059<\/li>\n<\/ul>\n<h4 id=\"pagetop\">\u30b9\u30c6\u30a3\u30fc\u30d6\u30f3\u30b9\u30fb\u30b8\u30e7\u30f3\u30bd\u30f3\u75c7\u5019\u7fa4 SJS \uff08\u76ae\u819a\u7c98\u819c\u773c\u75c7\u5019\u7fa4\uff09<\/h4>\n<h4>\u30e9\u30a4\u30a8\u30eb\u75c7\u5019\u7fa4\u3000TEN\uff08\u4e2d\u6bd2\u6027\u76ae\u819a\u58ca\u6b7b\u75c7\uff09<\/h4>\n<ul>\n<li><strong><span style=\"color: #000080;\">\u6297\u3066\u3093\u304b\u3093\u85ac\u306e\u3082\u3063\u3068\u3082\u91cd\u3044\u526f\u4f5c\u7528<\/span><\/strong>\u3067\u3059<\/li>\n<li>\u85ac\u5264\u4e2d\u6bd2\uff0c\u85ac\u5264\u30a2\u30ec\u30eb\u30ae\u30fc\u3067\u3059<\/li>\n<li>\u6297\u3066\u3093\u304b\u3093\u85ac\u306e\u6295\u4e0e\u958b\u59cb\u304b\u30892\u9031\u9593\u76ee\u304f\u3089\u3044\u307e\u3067\u306b\uff0c\u76ae\u819a\u306b\u767a\u75b9\uff08\u8d64\u3044\u5c0f\u3055\u3044\u30d7\u30c4\u30d7\u30c4\uff09\u304c\u3067\u308b\u3053\u3068\u304b\u3089\u59cb\u307e\u308a\u307e\u3059<\/li>\n<li>\u767a\u75b9\u304c\u5897\u3048\u308b\u3068\u5fae\u71b1\u304c\u51fa\u307e\u3059<\/li>\n<li>\u3053\u306e\u6642\u70b9\u304f\u3089\u3044\u3067\u6c17\u3065\u3044\u3066\uff0c\u305f\u3060\u3061\u306b\u85ac\u3092\u4e2d\u6b62\u3057\u3066\uff0c\u30b9\u30c6\u30ed\u30a4\u30c9\uff08\u30d7\u30ec\u30c9\u30cb\u30f3\uff09\u3092\u6295\u4e0e\u3059\u308c\u3070\uff0c\u30b9\u30c6\u30a3\u30fc\u30d6\u30f3\u30b9\u30fb\u30b8\u30e7\u30f3\u30bd\u30f3\u75c7\u5019\u7fa4\u306b\u306f\u306a\u308a\u307e\u305b\u3093<\/li>\n<li>\u653e\u7f6e\u3059\u308b\u3068\uff0c\u3084\u304c\u3066\u5168\u8eab\u76ae\u819a\u3084\u7c98\u819c\u306b\uff0c\u7d05\u6591\uff0c\u6c34\u6ce1\uff0c\u3073\u3089\u3093\u304c\u5e83\u304c\u308a\u307e\u3059<\/li>\n<li>38\u5ea6\u4ee5\u4e0a\u306e\u9ad8\u71b1\u3084\u5168\u8eab\u5026\u6020\u611f\u3092\u751f\u3058\u307e\u3059<\/li>\n<li>\u7c98\u819c\u306f\uff0c\u7d50\u819c\u5145\u8840\uff0c\u5507\u3084\u53e3\u8154\u5185\u306e\u3073\u3089\u3093\uff0c\u54bd\u982d\u75db\uff0c\u9670\u90e8\u306e\u3073\u3089\u3093\u3067\u3059<\/li>\n<li>\u8a3a\u65ad\u304c\u9045\u308c\u308b\u3068\u6b7b\u306b\u81f3\u308b\u3088\u3046\u306a\u91cd\u7be4\u306a\u72b6\u614b\u306b\u306a\u308a\u307e\u3059<\/li>\n<li>\u30b9\u30c6\u30a3\u30fc\u30d6\u30f3\u30b9\u30fb\u30b8\u30e7\u30f3\u30bd\u30f3\u75c7\u5019\u7fa4\u306b\u306a\u308c\u3070\u5165\u9662\u304c\u5fc5\u8981\u3067\uff0c\u91cd\u75c7\u306e\u5834\u5408\u306fICU\u3067\u6cbb\u7642\u3092\u53d7\u3051\u307e\u3059<\/li>\n<li>\u521d\u671f\u304b\u3089\u3082\u3063\u3068\u91cd\u75c7\u578b\u306e\u3082\u306e\u3092\uff0c\u30e9\u30a4\u30a8\u30eb\u75c7\u5019\u7fa4\u3068\u8a00\u3044\u307e\u3059<\/li>\n<li>\u6557\u8840\u75c7\u3084\u591a\u81d3\u5668\u4e0d\u5168\u306b\u306a\u308a\uff0c\u6b7b\u4ea1\u7387\u306f20-40%\u306b\u306a\u308b\u3082\u306e\u3067\u3059<\/li>\n<\/ul>\n<h4>\u3066\u3093\u304b\u3093\u6cbb\u7642\u306e\u533b\u7642\u8cbb\u88dc\u52a9<\/h4>\n<ul>\n<li>\u300c\u3066\u3093\u304b\u3093\u300d\u3068\u8a3a\u65ad\u3055\u308c\u305f\u60a3\u8005\u3055\u3093\u306e\u533b\u7642\u8cbb\u88dc\u52a9\u3067\u3059<\/li>\n<li>\u8133\u816b\u760d\u306e\u75c7\u5019\u6027\u3066\u3093\u304b\u3093\u3082\u5165\u308a\u307e\u3059<\/li>\n<li>\u6297\u3066\u3093\u304b\u3093\u85ac\uff08\u7279\u306b\u30a4\u30fc\u30b1\u30d7\u30e9\u3084\uff0c\u30e9\u30df\u30af\u30bf\u30fc\u30eb\u306a\u3069\u306e\u9ad8\u984d\u306a\u85ac\u5264\uff09\u3092\u901a\u9662\u3067\u3082\u3089\u3063\u3066\u3044\u308b\u5834\u5408\u306b\u306f\u53d7\u3051\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u81ea\u7acb\u652f\u63f4\u533b\u7642<\/strong><\/span>\uff08\u7cbe\u795e\u901a\u9662\u6cbb\u7642\uff09\u3068\u3044\u3044\u307e\u3059<\/li>\n<li>\u539f\u5247\u7684\u306b\uff0c<strong><span style=\"color: #000080;\">\u81ea\u5df1\u8ca0\u62c5\u984d\u306f\uff11\u5272<\/span><\/strong>\u306b\u306a\u308a\u307e\u3059<\/li>\n<li>\u5e02\u753a\u6751\uff08\u7cbe\u795e\u4fdd\u5065\u798f\u7949\u62c5\u5f53\u8ab2\uff09\u306a\u3069\u306e\u5f79\u6240\u306b\u7533\u8acb\u66f8\u3068\u8a3a\u65ad\u66f8\u3092\u63d0\u51fa\u3057\u307e\u3059\u304c\u3042\u308a\u307e\u3059<\/li>\n<li><strong><span style=\"color: #000080;\">\u7c21\u5358\u306a\u66f8\u985e<\/span><\/strong>\u306a\u306e\u3067\u4e3b\u6cbb\u533b\u306e\u5148\u751f\u306b\u66f8\u3044\u3066\u3044\u305f\u3060\u304d\u307e\u3057\u3087\u3046<\/li>\n<li>\uff11\u5e74\u3054\u3068\u306b\u66f4\u65b0\u624b\u7d9a\u304d\u304c\u5fc5\u8981\u3067\u3059<\/li>\n<\/ul>\n<h4>\u598a\u5a20\u3092\u3057\u305f\u3044\u3068\u304d\u306e\u85ac\uff0c\u82e5\u3044\u5973\u6027\u3078\u306e\u6295\u85ac<\/h4>\n<ul>\n<li>\u80ce\u5150\u306b\u5f71\u97ff\u304c\u3042\u308a\u5947\u5f62\u304c\u751f\u307e\u308c\u308b\u78ba\u7387\u3092\u50ac\u5947\u5f62\u7387\u3068\u3044\u3044\u307e\u3059<\/li>\n<li>\u3066\u3093\u304b\u3093\u304c\u306a\u3044\u6b63\u5e38\u306a\u5973\u6027\u30673%\uff0c<strong><span style=\"color: #000080;\">\u30e9\u30df\u30af\u30bf\u30fc\u30eb\uff08\u30e9\u30df\u30c8\u30ea\u30b8\u30f3\uff09<\/span><\/strong>\u306f\u670d\u7528\u3057\u3066\u3044\u3066\u30823%\u304f\u3089\u3044\u3067\u307b\u3068\u3093\u3069\u50ac\u5947\u5f62\u7387\u304c\u4e0a\u6607\u3057\u306a\u3044\u3068\u3044\u308f\u308c\u3066\u3044\u307e\u3059<\/li>\n<li>\u6b21\u3044\u3067\u4f4e\u3044\u306e\u304c<span style=\"color: #000080;\"><strong>\u30ab\u30eb\u30d0\u30de\u30bc\u30d4\u30f3\uff08\u30c6\u30b0\u30ec\u30c8\u30fc\u30eb\uff09<\/strong><\/span><\/li>\n<li><span style=\"color: #000080;\"><strong>\u30a2\u30ec\u30d3\u30a2\u30c1\u30f3\uff08\u30d5\u30a7\u30cb\u30c8\u30a4\u30f3\uff09\u3084\u30c7\u30d1\u30b1\u30f3\uff08\u30d0\u30eb\u30d7\u30ed\u9178\uff09\u306f\u50ac\u5947\u5f62\u7387\u304c2-3\u500d<\/strong><\/span>\u304f\u3089\u3044\u9ad8\u3044\u3067\u3059\u304b\u3089\u907f\u3051\u307e\u3059<\/li>\n<li>\u591a\u5264\u4f75\u7528\uff08\uff12\u7a2e\u985e\u4ee5\u4e0a\u306e\u85ac\uff09\u3059\u308b\u3068\u50ac\u5947\u5f62\u7387\u306f\u4e0a\u6607\u3057\u307e\u3059<\/li>\n<li>\u598a\u5a20\u4e2d\u3082\u6297\u3066\u3093\u304b\u3093\u85ac\u306e\u670d\u7528\u3092\u7d99\u7d9a\u3057\u307e\u3059<\/li>\n<li>\u3066\u3093\u304b\u3093\u767a\u4f5c\u3092\u983b\u56de\u306b\u751f\u3058\u308b\u5973\u6027\u306f\u81ea\u7136\u5206\u5a29\u3088\u308a\u3082\u5e1d\u738b\u5207\u958b\u3067\u51fa\u7523\u3057\u307e\u3059<\/li>\n<li>\u3066\u3093\u304b\u3093\u767a\u4f5c\u304c\u306a\u304f\u3066\u6297\u3066\u3093\u304b\u3093\u85ac\u3092\u670d\u7528\u3057\u3066\u3044\u308b\u60a3\u8005\u3055\u3093\u306f\uff0c\u666e\u901a\u5206\u5a29\u3067\u3082\u3044\u3044\u306e\u3067\u3059\u304c\uff0c\u5468\u7523\u671f\uff08\u51fa\u7523\u3068\u524d\u5f8c\uff09\u3066\u3093\u304b\u3093\u306b\u5bfe\u5fdc\u3067\u304d\u308b\u75c5\u9662\u3067\u51fa\u7523\u3057\u307e\u3057\u3087\u3046<\/li>\n<\/ul>\n<h4>\u816b\u760d\u304c\u6cbb\u3063\u3066\u304b\u3089\u85ac\u3092\u6b62\u3081\u3089\u308c\u308b\u304b<\/h4>\n<ul>\n<li>\u6b8b\u5ff5\u306a\u304c\u3089\u5b66\u8853\u7684\u306a\u7d50\u8ad6\u306f\u51fa\u3066\u3044\u307e\u305b\u3093<\/li>\n<li>\u3066\u3093\u304b\u3093\u30ea\u30b9\u30af\u304c\u4f4e\u3044\uff0c\u9577\u3044\u9593\u3066\u3093\u304b\u3093\u304c\u306a\u3044\u5834\u5408\u306b\u306f\uff0c\u4e3b\u6cbb\u533b\u3068\u60a3\u8005\u3055\u3093\u3067\u8a71\u3057\u5408\u3063\u3066\u6c7a\u3081\u307e\u3059<\/li>\n<li>\u6700\u8fd1\u5927\u304d\u306a\u554f\u984c\u3068\u306a\u3063\u3066\u3044\u308b\u306e\u304c\uff0c\u3066\u3093\u304b\u3093\u3068<span style=\"color: #000080;\"><strong>\u8eca\u306e\u904b\u8ee2\u514d\u8a31\u306e\u554f\u984c<\/strong><\/span>\u3067\u3059<\/li>\n<li>\u8eca\u306e\u904b\u8ee2\u3092\u8077\u696d\u3068\u3057\u3066\u3044\u308b\u60a3\u8005\u3055\u3093\uff0c\u8eca\u306e\u904b\u8ee2\u304c\u751f\u6d3b\u306b\u6b20\u304b\u305b\u306a\u3044\u60a3\u8005\u3055\u3093\u306f\uff0c\u6297\u3066\u3093\u304b\u3093\u85ac\u3092\u7d99\u7d9a\u3057\u305f\u307b\u3046\u304c\u3044\u3044\u3067\u3059<\/li>\n<li>\u4e00\u5ea6\u3066\u3093\u304b\u3093\u767a\u4f5c\u3092\u751f\u3058\u308b\u3068\u8eca\u306e\u904b\u8ee2\u304c\u7981\u6b62\u3055\u308c\u3066\u3057\u307e\u3046\u304b\u3089\u3067\u3059<\/li>\n<\/ul>\n<h4>\u904b\u8ee2\u514d\u8a31\u304c\u62d2\u5426\u3055\u308c\u306a\u3044\u305f\u3081\u306b\u306f<\/h4>\n<div title=\"Page 2\">\n<ul>\n<li>\u4e16\u754c\u7684\u306a\u5e38\u8b58\u3067\u3059\uff0c\u8133\u816b\u760d\u3067\u56f0\u308b\u306e\u306f\u300c<strong><span style=\"color: #ff0000;\">\u3066\u3093\u304b\u3093\u306e\u305f\u3081\u306b\u8eca\u306e\u904b\u8ee2\u304c\u3067\u304d\u305a\u751f\u6d3b\u304c\u7dad\u6301\u3067\u304d\u306a\u304f\u306a\u308b<\/span><\/strong>\u300d\u3053\u3068\u3067\u3059<\/li>\n<li>\u3067\u3059\u304b\u3089\uff0c\u8eca\u306e\u904b\u8ee2\u304c\u3067\u304d\u308b\u72b6\u614b\u3092\u7dad\u6301\u3059\u308b\u305f\u3081\u306b\u816b\u760d\u306e\u6cbb\u7642\u65b9\u91dd\u3092\u6c7a\u3081\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059<\/li>\n<li>\u9053\u8def\u4ea4\u901a\u6cd5\u3067\u306f\uff0c\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u66f8\u304b\u308c\u3066\u3044\u307e\u3059<\/li>\n<li>\u767a\u4f5c\u304c\u904e\u53bb5\u5e74\u4ee5\u5185\u306b\u8d77\u3053\u3063\u305f\u3053\u3068\u304c\u306a\u304f\u3001\u533b\u5e2b\u304c\u300c\u4eca\u5f8c\u3001\u767a\u4f5c\u304c\u8d77\u3053\u308b\u304a\u305d \u308c\u304c\u306a\u3044\u300d\u65e8\u306e\u8a3a\u65ad\u3092\u884c\u3063\u305f\u5834\u5408<\/li>\n<li>\u767a\u4f5c\u304c\u904e\u53bb2\u5e74\u4ee5\u5185\u306b\u8d77\u3053\u3063\u305f\u3053\u3068\u304c\u306a\u304f\u3001\u533b\u5e2b\u304c\u300c\u4eca\u5f8c\u3001X\u5e74\u7a0b\u5ea6\u3067\u3042\u308c\u3070\u3001\u767a\u4f5c\u304c\u8d77\u3053\u308b\u304a\u305d\u308c\u304c\u306a\u3044\u300d\u65e8\u306e\u8a3a\u65ad\u3092\u884c\u3063\u305f\u5834\u5408<\/li>\n<li>\u533b\u5e2b\u304c\u30011\u5e74\u9593\u306e\u7d4c\u904e\u89b3\u5bdf\u306e\u5f8c\u300c\u767a\u4f5c\u304c\u610f\u8b58\u969c\u5bb3\u53ca\u3073\u904b\u52d5\u969c\u5bb3\u3092\u4f34\u308f\u306a\u3044\u5358\u7d14\u90e8\u5206\u767a\u4f5c\u306b\u9650\u3089\u308c\u3001\u4eca\u5f8c\u3001\u75c7\u72b6\u306e\u60aa\u5316\u306e\u304a\u305d\u308c\u304c\u306a\u3044\u300d\u65e8\u306e\u8a3a\u65ad\u3092\u884c\u3063\u305f\u5834\u5408<\/li>\n<li>\u533b\u5e2b\u304c\u30012\u5e74\u9593\u306e\u7d4c\u904e\u89b3\u5bdf\u306e\u5f8c\u300c\u767a\u4f5c\u304c\u7761\u7720\u4e2d\u306b\u9650\u3063\u3066\u8d77\u3053\u308a\u3001\u4eca\u5f8c\u3001\u75c7\u72b6\u306e \u60aa\u5316\u306e\u304a\u305d\u308c\u304c\u306a\u3044\u300d\u65e8\u306e\u8a3a\u65ad\u3092\u884c\u3063\u305f\u5834\u5408<\/li>\n<li><span style=\"color: #000080;\"><strong>\u3053\u306e\u898f\u5b9a\u3092\u6975\u3081\u3066\u53b3\u3057\u304f\u89e3\u91c8\u3057\u3066\u8a3a\u65ad\u66f8\u3092\u66f8\u304f\u3068\uff0c\u8eca\u306e\u904b\u8ee2\u3092\u751f\u696d\u306b\u3057\u3066\u3044\u308b\u60a3\u8005\u3055\u3093\u306f\u5931\u8077\u3057\uff0c\u4e00\u5bb6\u304c\u8def\u982d\u306b\u8ff7\u3046\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/strong><\/span><\/li>\n<li>\u3066\u3093\u304b\u3093\u306e\u75c5\u540d\u4ed8\u3051\u3068\u8a3a\u65ad\u66f8\u306f\u6975\u3081\u3066\u614e\u91cd\u306b\u66f8\u304b\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093<\/li>\n<\/ul>\n<h4>\u3066\u3093\u304b\u3093\u306b\u95a2\u9023\u3059\u308b\u7279\u6b8a\u306a\u30bf\u30a4\u30d7\u306e\u816b\u760d\u6027\u75c5\u5909<\/h4>\n<ul>\n<li>\u6d77\u99ac\u786c\u5316\u75c7\uff08\u30b0\u30ec\u30fc\u30c9\uff11\u816b\u760d\uff09\u3092\u4f34\u3046\u5185\u5074\u5074\u982d\u8449\u3066\u3093\u304b\u3093<\/li>\n<li><a href=\"\/sawamura\/pediattumor\/dnt\/\">DNT<\/a><\/li>\n<li><a href=\"\/sawamura\/pediattumor\/hamartoma\/\">\u8996\u5e8a\u4e0b\u90e8\u904e\u8aa4\u816b\u306b\u3088\u308b\u7b11\u3044\u767a\u4f5c<\/a><\/li>\n<li>\u76ae\u8cea\u5f62\u6210\u7570\u5e38(\u7570\u6240\u6027\u7070\u767d\u8cea\u306a\u3069)<\/li>\n<li><a href=\"\/sawamura\/pediattumor\/subepgiantastro\/\">\u7d50\u7bc0\u6027\u786c\u5316\u75c7\u3068\u4e0a\u8863\u4e0b\u5de8\u7d30\u80de\u6027\u661f\u7d30\u80de\u816b<\/a><\/li>\n<li><a href=\"\/sawamura\/pediattumor\/%e9%ab%84%e8%86%9c%e8%a1%80%e7%ae%a1%e8%85%ab%e7%97%87-meningioangiomatosis\/\">\u9ac4\u819c\u8840\u7ba1\u816b\u75c7<\/a><\/li>\n<\/ul>\n<h4>\u3066\u3093\u304b\u3093\u306e\u5206\u985e\u306f<\/h4>\n<ul>\n<li>\u8133\u816b\u760d\u3067\u306f\uff0c\u3069\u306e\u3088\u3046\u306a\u30bf\u30a4\u30d7\u306e\u3066\u3093\u304b\u3093\u767a\u4f5c\u3082\u751f\u3058\u307e\u3059<\/li>\n<li>\u8133\u816b\u760d\u304c\u3042\u308b\u90e8\u4f4d\u306b\u5bfe\u5fdc\u3057\u3066\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u30bf\u30a4\u30d7\u306e\u767a\u4f5c\u304c\u3042\u308a\u307e\u3059<br \/>\n<h5>\u5074\u982d\u8449\u3066\u3093\u304b\u3093<\/h5>\n<h5>\u524d\u982d\u8449\u3066\u3093\u304b\u3093<\/h5>\n<h5>\u982d\u9802\u8449\u3066\u3093\u304b\u3093<\/h5>\n<h5>\u5f8c\u982d\u8449\u3066\u3093\u304b\u3093<\/h5>\n<\/li>\n<\/ul>\n<h4>\u3051\u3044\u308c\u3093\u91cd\u7a4d<\/h4>\n<ul>\n<li>\u901a\u5e38\u306e\u3066\u3093\u304b\u3093\u767a\u4f5c\u306f\u307b\u3068\u3093\u3069\u304c\u3042\u308b\u7a0b\u5ea6\u306e\u6642\u9593\uff08\u6570\u5341\u79d2\u304b\u3089\u6570\u5206\uff09\u3067\u6b62\u307e\u308a\u307e\u3059\u304b\u3089\u5fc3\u914d\u3042\u308a\u307e\u305b\u3093<\/li>\n<li>\u307e\u308c\u306b\uff0c\u3066\u3093\u304b\u3093\u767a\u4f5c\u304c\u6b62\u307e\u3089\u306a\u3044\u3067\u9023\u7d9a\u3057\u3066\u751f\u3058\u3066\uff0c\u610f\u8b58\u969c\u5bb3\u306b\u306a\u3063\u305f\u308a\u547c\u5438\u306e\u969c\u5bb3\u304c\u3067\u305f\u308a\u3059\u308b\u72b6\u614b\u3092\uff0c<strong><span style=\"color: #000080;\">\u75d9\u6523\u91cd\u7a4d<\/span><\/strong> status epipleptics\u3068\u3044\u3044\u307e\u3059<\/li>\n<li>\u547c\u5438\u306e\u969c\u5bb3\uff0c\u5614\u5410\u3057\u3066\u8aa4\u56a5\u304c\u751f\u3058\u3066\uff0c\u4f4e\u9178\u7d20\u8133\u75c7\u306b\u306a\u3063\u3066\u3057\u307e\u3063\u3066\uff0c\u91cd\u7be4\u306a\u8133\u969c\u5bb3\u3092\u6b8b\u3059\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u60a3\u8005\u3055\u3093\u3092\u6551\u6025\u642c\u9001\u3059\u308b\uff0cICU\u7ba1\u7406\u3092\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u9ebb\u9154\u3092\u304b\u3051\u3066\u547c\u5438\u5668\u7ba1\u7406\u3092\u3059\u308b\u3053\u3068\u3082\u591a\u3044\u3067\u3059<\/li>\n<\/ul>\n<h4>\u60a3\u8005\u3055\u3093\u306e\u305f\u3081\u306b\uff0c\u3066\u3093\u304b\u3093\u3092\u751f\u3058\u308b\u308f\u304b\u308a\u3084\u3059\u3044\u8133\u6ce2<\/h4>\n<p>\u591c\u9593\u306b\u7720\u3063\u3066\u3044\u308b\u6642\u3060\u3051\u306b\u3066\u3093\u304b\u3093\u767a\u4f5c\u3092\u751f\u3058\u308b\u60a3\u8005\u3055\u3093\u3082\u3044\u307e\u3059\u3002\u81ea\u5206\u3067\u306f\u308f\u304b\u3089\u306a\u3044\u3051\u308c\u3069\u3082\u5bb6\u65cf\u304c\u4e00\u7dd2\u306e\u90e8\u5c4b\u306b\u5bdd\u3066\u3044\u308b\u3068\u6c17\u3065\u304d\u307e\u3059\u3002\u4e00\u4eba\u66ae\u3089\u3057\u306e\u60a3\u8005\u3055\u3093\u306f\u767a\u4f5c\u304c\u8d77\u3053\u3063\u305f\u5f8c\uff0c\u5bdd\u8d77\u304d\u306b\u3067\u81ea\u5206\u3067\u308f\u304b\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u671d\u8d77\u304d\u305f\u3089\u6c57\u3073\u3063\u3057\u3087\u308a\u3060\u3063\u305f\uff0c\u5507\u3092\u565b\u3093\u3067\u3044\u305f\uff0c\u4f53\u304c\u3059\u3054\u304f\u3060\u308b\u304b\u3063\u305f\u306a\u3069\u3068\u8a00\u3044\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/EEG1.jpeg\" rel=\"attachment wp-att-8493\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-8493\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/EEG1-300x251.jpeg\" alt=\"EEG1\" width=\"300\" height=\"251\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/EEG1-300x251.jpeg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/EEG1-768x642.jpeg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/EEG1-550x460.jpeg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/EEG1.jpeg 945w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><span style=\"color: #000000;\">\u7720\u304f\u3066\u3046\u3068\u3046\u3068\u3057\u3066\u3044\u308b\u6642\u306e\u8133\u6ce2\u3067\u3059<a style=\"color: #000000;\" href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/EEG1.jpeg\" rel=\"attachment wp-att-8493\"><br \/>\n<\/a><\/span><\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/EEG2.jpeg\" rel=\"attachment wp-att-8494\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-8494\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/EEG2-300x163.jpeg\" alt=\"EEG2\" width=\"300\" height=\"163\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/EEG2-300x163.jpeg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/EEG2-768x416.jpeg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/EEG2-550x298.jpeg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/EEG2.jpeg 945w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\u6025\u306b\u92ed\u6ce2\u3084\u68d8\u6ce2\uff08\u92ed\u3044\u3066\u3093\u304b\u3093\u6ce2\uff09\u304c\u73fe\u308c\u307e\u3059<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/EEG3.jpeg\" rel=\"attachment wp-att-8495\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-8495\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/EEG3-300x227.jpeg\" alt=\"EEG3\" width=\"300\" height=\"227\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/EEG3-300x227.jpeg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/EEG3-768x581.jpeg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/EEG3-550x416.jpeg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/EEG3.jpeg 945w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\u60a3\u8005\u3055\u3093\u306f\u6b6f\u3092\u98df\u3044\u3057\u3070\u3063\u3066\u786c\u76f4\u3057\u305f\u3088\u3046\u306b\u306a\u308a\u307e\u3059\uff0c\u8133\u5168\u4f53\u306b\u68d8\u6ce2\u304c\u5e83\u304c\u308a\u3057\u3070\u3089\u304f\u7d9a\u304d\u307e\u3059<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/EEG4.jpeg\" rel=\"attachment wp-att-8496\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-8496\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/EEG4-300x221.jpeg\" alt=\"EEG4\" width=\"300\" height=\"221\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/EEG4-300x221.jpeg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/EEG4-768x565.jpeg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/EEG4-550x404.jpeg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/EEG4.jpeg 945w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\u8133\u6ce2\u306f\u3086\u3063\u304f\u308a\u3057\u305f\u6ce2\uff08\u5f90\u6ce2\uff09\u3068\u306a\u308a\u624b\u8db3\u306e\u3064\u3063\u3071\u308a\u304c\u306a\u304f\u306a\u3063\u3066\u3044\u3073\u304d\u3092\u304b\u3044\u3066\u7720\u308a\u307e\u3059<\/p>\n<\/div>\n<p style=\"text-align: center;\" align=\"left\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-medium wp-image-7316\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/nameko-225x300.jpg\" alt=\"nameko\" width=\"225\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/nameko-225x300.jpg 225w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/nameko-450x600.jpg 450w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/nameko.jpg 709w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/>\u5bb6\u306e\u5ead\u306b\u751f\u3048\u305f\u30ca\u30e1\u30bf\u30b1<\/p>\n<h2 align=\"left\">\u304a\u307e\u3051\u306e\u77e5\u8b58<\/h2>\n<h4 align=\"left\">\u9577\u671f\u670d\u7528\u3057\u305f\u6642\u306e\u5c0f\u8133\u840e\u7e2e<\/h4>\n<p>\u30a2\u30ec\u30d3\u30a2\u30c1\u30f3\uff08\u30d5\u30a7\u30cb\u30c8\u30a4\u30f3\uff09\u3084\u30c7\u30d1\u30b1\u30f3\uff08\u30d0\u30eb\u30d7\u30ed\u9178\uff09\u3092\u4f55\u5e74\u3082\u670d\u7528\u3057\u3066\u3044\u308b\u3068\u5c0f\u8133\u306b\u840e\u7e2e\u304c\u304f\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u5c0f\u8133\u5931\u8abf\u75c7\u3068\u3044\u3046\u3075\u3089\u3064\u304d\u304c\u3067\u308b\u3053\u3068\u306f\u5c11\u306a\u3044\u306e\u3067\u3059\u304c\uff0cMRI\u3067\u5c0f\u8133\u304c\u5c0f\u3055\u304f\u306a\u3063\u305f\u3088\u3046\u306b\u307f\u3048\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/valproatrophy1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9967\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/valproatrophy1-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/valproatrophy1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/valproatrophy1-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/valproatrophy3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9968\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/valproatrophy3-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/valproatrophy3-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/valproatrophy3-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/valproatrophy2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9969\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/valproatrophy2-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/valproatrophy2-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/valproatrophy2-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><\/p>\n<p>20\u5e74\u4ee5\u4e0a\u30d0\u30eb\u30d7\u30ed\u9178\u306e\u670d\u7528\u3092\u3057\u3066\u3044\u308b\u60a3\u8005\u3055\u3093\u3067\u3059\u3002\u5de6\u3068\u4e2d\u592e\u306eMRI\u3067\u306f\u5c0f\u8133\u840e\u7e2e\u304c\u3042\u308a\u307e\u3059\u304c\uff0c\u53f3\u5074\u306e\u5927\u8133\u3067\u306f\u840e\u7e2e\u306f\u5168\u304f\u3042\u308a\u307e\u305b\u3093\u3002\u5c0f\u8133\u75c7\u72b6\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<h4 align=\"left\">\u3066\u3093\u304b\u3093\u306e\u85ac\u3092\u6b62\u3081\u305f\u6642\u306eMERS<\/h4>\n<p>mild encephalitis\/encephalopathy with a reversible isolated SCC (splenium) lesion\u3068\u3044\u3044\u307e\u3059\u3002\u30b0\u30ea\u30aa\u30fc\u30de\u306e\u60a3\u8005\u3055\u3093\u3067\u4e88\u9632\u7684\u306b\u6297\u3066\u3093\u304b\u3093\u85ac\u3092\u51e6\u65b9\u3059\u308b\u3053\u3068\u306f\u591a\u3044\u3067\u3059\u3002\u816b\u760d\u304c\u843d\u3061\u7740\u3044\u3066\u9577\u304f\u3066\u3093\u304b\u3093\u767a\u4f5c\u304c\u306a\u3044\u6642\u306b\u306f\uff0c\u6297\u3066\u3093\u304b\u3093\u85ac\u3092\u4e2d\u65ad\u3057\u307e\u3059\u3002\u305d\u306e\u6642\u306b\uff0cMRI\u3067\u8133\u6881\u81a8\u5927\u90e8 splenium \u3068\u3044\u3046\u3068\u3053\u308d\u306b\u7570\u5e38\u306a\u521d\u898b\u304c\u51fa\u3066\u30b0\u30ea\u30aa\u30fc\u30de\u306e\u518d\u767a\u3068\u9593\u9055\u3046\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u3067\u3082\u3053\u308c\u306fMERS\u3068\u3044\u3046\u4e00\u6642\u7684\u306a\u75c5\u5909\u3067\uff0c\u4f55\u3082\u3057\u306a\u3044\u3067\u3082\u6d88\u5931\u3057\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/mersdwi.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9270\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/mersdwi-200x200.jpg\" alt=\"mersdwi\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/mersdwi-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/mersdwi-298x300.jpg 298w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/mersdwi-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/mersflair.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9271\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/mersflair-200x200.jpg\" alt=\"mersflair\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/mersflair-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/mersflair-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><\/p>\n<p>\u5de6\u304c\u62e1\u6563\u5f37\u8abf\u753b\u50cf DWI\u3067\u8133\u6881\u81a8\u5927\u90e8\u304c\u9ad8\u4fe1\u53f7\u3067\u767d\u304f\u898b\u3048\u307e\u3059\u3002\u53f3\u306fFLAIR\u753b\u50cf\u3067\u3088\u304f\u898b\u308b\u3068\u3061\u3087\u3063\u3068\u3060\u3051\u767d\u304f\u898b\u3048\u307e\u3059\u3002\u3053\u306e\u4f8b\u306f\u3068\u3066\u3082\u8efd\u3044\u521d\u898b\u3067DWI\u3067\u3057\u304b\u306f\u3063\u304d\u308a\u3057\u307e\u305b\u3093\u304c\uff0c\u901a\u5e38\u306fFLAIR\u753b\u50cf\u3067\u6955\u5186\u5f62\u306e\u75c5\u5909\u3068\u3057\u3066\u307f\u3089\u308c\u307e\u3059\u3002<\/p>\n<p>\u9593\u8133\u4e0b\u5782\u4f53\u969c\u5bb3\u3067\u4f4e\u30ca\u30c8\u30ea\u30a6\u30e0\u8840\u75c7\u306b\u306a\u308b\u3068\uff0cMERS\u304c\u751f\u3058\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n<h4 align=\"left\">\u3066\u3093\u304b\u3093\u3092\u6291\u3048\u308b\u85ac\u306f\u5316\u5b66\u7642\u6cd5\u306e\u52b9\u679c\u3092\u4e0b\u3052\u308b\u304b\uff1f<\/h4>\n<p>\u30b0\u30ea\u30aa\u30fc\u30de\u306e\u60a3\u8005\u3055\u3093\u306f\u3066\u3093\u304b\u3093\u767a\u4f5c\u3092\u751f\u3058\u308b\u3053\u3068\u304c\u591a\u3044\u306e\u3067\uff0c\u6297\u3066\u3093\u304b\u3093\u85ac (EIAC; enzyme-inducing anticonvulsants) \u3092\u670d\u7528\u3059\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002\u3053\u306e\u85ac\u3092\u98f2\u3080\u3068\u809d\u81d3\u306eP450\u3068\u3044\u3046\u9175\u7d20\u304c\u8a98\u5c0e\u3055\u308c\u3066\uff0c\u85ac\u5264\u306e\u5206\u89e3\u304c\u4ea2\u9032\u3057\u3066\uff0c\u6297\u304c\u3093\u5264\uff08\u5206\u5b50\u6a19\u7684\u6cbb\u7642\u85ac\uff09\u304c\u52b9\u304b\u306a\u304f\u306a\u308b\u3068\u3044\u3046\u8aac\u304c\u9577\u304f\u3042\u308a\u307e\u3057\u305f\u3002<strong><span style=\"color: #ff0000;\">\u7d50\u8ad6\u7684\u306b\u306f\u3042\u307e\u308a\u95a2\u4fc2\u306a\u3044\u3088\u3046\u3067\u3059\u3002<br \/>\n<\/span><\/strong><strong><span style=\"color: #ff0000;\"><br \/>\n<\/span><\/strong>Jaeckle KA, et al.: Correlation of enzyme-inducing anticonvulsant use with outcome of patients with glioblastoma. Neurology. 73: 1207-1213, 2009<br \/>\n\u30e1\u30a4\u30e8\u30af\u30ea\u30cb\u30c3\u30af\u304b\u3089\u306e\u5831\u544a\u3067\u3059\u3002NTTCG\u306b\u767b\u9332\u3055\u308c\u305f620\u4eba\u306e\u81a0\u82bd\u816b\u306e\u60a3\u8005\u3055\u3093\u3067\uff0c72%\u306e\u60a3\u8005\u3055\u3093EIAC\u3092\u670d\u7528\u3057\u3066\u3044\u307e\u3057\u305f\u3002EIAC\u3092\u670d\u7528\u3057\u3066\u3044\u305f\u60a3\u8005\u3055\u3093\u306e\u751f\u5b58\u671f\u9593\u4e2d\u592e\u5024 OS \u304c12.3\u30f6\u6708\u3067\uff0c\u670d\u7528\u3057\u3066\u3044\u306a\u3044\u60a3\u8005\u3055\u3093\u306f10.7\u30f6\u6708\u3067\u3057\u305f (p=0.0002)\u3002\u7121\u5897\u60aa\u751f\u5b58\u671f\u9593\u30825.6\u30f6\u6708\u30684.8\u30f6\u6708 (0.003)\u3067\u3057\u305f\u3002\u9a5a\u304f\u3053\u3068\u306b\uff08\u8457\u8005\u304c\u305d\u3046\u66f8\u3044\u3066\u3044\u307e\u3059\uff09\uff0c<span style=\"color: #000080;\"><strong>\u6297\u3066\u3093\u304b\u3093\u85ac\uff08\u30a2\u30ec\u30d3\u30a2\u30c1\u30f3\uff0c\u30c6\u30b0\u30ec\u30c8\u30fc\u30eb\uff0c\u30c7\u30d1\u30b1\u30f3\uff09\u306a\u3069\u3092\u670d\u7528\u3057\u3066\u3044\u305f\u65b9\u304c\uff0c\u81a0\u82bd\u816b\u306e\u60a3\u8005\u3055\u3093\u306e\u751f\u5b58\u671f\u9593\u306f\u9577\u3044<\/strong>\u3068\u3044\u3046<\/span>\u306e\u3067\u3059\u3002\u4eca\u307e\u3067\u306e\u5b9a\u8aac\u3068\u9006\u306e\u7d50\u679c\u3067\u3057\u305f\u3002<\/p>\n<p>Happold C, et al.: Does Valproic Acid or Levetiracetam Improve Survival in Glioblastoma? A Pooled Analysis of Prospective Clinical Trials in Newly Diagnosed Glioblastoma. J Clin Oncol 34:731-739, 2016<br \/>\n\u30e8\u30fc\u30ed\u30c3\u30d1\u304b\u3089\u306e\u5831\u544a\u30671,869\u4eba\u306e\u521d\u767a\u81a0\u82bd\u816b\u306e\u60a3\u8005\u3055\u3093\u304c\u5206\u6790\u3055\u308c\u307e\u3057\u305f\u3002\u6297\u3066\u3093\u304b\u3093\u85ac\uff08\u30c7\u30d1\u30b1\u30f3\uff0c\u30a4\u30fc\u30b1\u30d7\u30e9\uff09\u3092\u4f7f\u7528\u3057\u3066\u3044\u305f\u60a3\u8005\u3055\u3093\u3067\uff0cFPS\u3068OS\u306e\u5ef6\u9577\u306f\u306a\u304b\u3063\u305f\u3068\u3055\u308c\u307e\u3057\u305f\u3002<span style=\"color: #000080;\"><strong>\u6297\u3066\u3093\u304b\u3093\u85ac\u306f\u670d\u7528\u3057\u3066\u3044\u3066\u3082\u3057\u3066\u3044\u306a\u304f\u3066\u3082\u751f\u547d\u4e88\u5f8c\u306f\u540c\u3058<\/strong><\/span>\u3068\u3044\u3046\u7d50\u8ad6\u3067\u3059\u3002<\/p>\n<h4>\u5c0f\u5150\u8133\u816b\u760d\u306e\u8853\u5f8c\u3066\u3093\u304b\u3093<\/h4>\n<p>Saadeh F, et al.: Seizure outcomes of supratentorial brain tumor resection in pediatric patients. Neuro-Oncol 2018<br \/>\n\u30ea\u30b9\u30af\u30d5\u30a1\u30af\u30bf\u30fc\u3068\u3057\u3066\uff15\u3064\u306e\u3082\u306e\u3092\u3042\u3052\u3066\u3044\u307e\u3059\u3002\u624b\u8853\u524d\u304b\u3089\u767a\u4f5c\u304c\u3042\u308b\uff0c2\u6b73\u672a\u6e80\uff0c\u5074\u982d\u8449\u75c5\u5909\uff0c\u8996\u5e8a\u75c5\u5909\uff0c\u4f4e\u30ca\u30c8\u30ea\u30a6\u30e0\u8840\u75c7\u3067\u3059\u3002\u8996\u5e8a\u306f\u6210\u4eba\u3067\u306f\u3042\u307e\u308a\u5927\u304d\u306a\u30ea\u30b9\u30af\u306b\u306a\u3089\u306a\u3044\u306e\u3067\u3059\u304c\uff0c\u5c0f\u5150\u3067\u306f\u8996\u5e8a\u3092\u4fb5\u3059\u816b\u760d\u306e\u8853\u5f8c\u306b\u3066\u3093\u304b\u3093\u767a\u4f5c\u304c\u591a\u3044\u3068\u3055\u308c\u307e\u3059\uff0c\u3067\u3082\u3053\u308c\u306f\u624b\u8853\u3067\u5927\u8133\u76ae\u8cea\u7d4c\u7531\u3067\u8996\u5e8a\u306b\u884c\u304f\u304b\u3089\u3060\u3068\u63a8\u5b9a\u3055\u308c\u307e\u3059\u3002\u6b21\u3044\u3067\uff0c\u9ad8\u3044\u30b0\u30ec\u30fc\u30c9\uff0c\u75c5\u7406\u7d44\u7e54\uff0c\u982d\u9802\u8449\u75c5\u5909\uff0c\u6c34\u982d\u75c7\u306a\u3069\u306e\u5408\u4f75\u304c\u767a\u4f5c\u306e\u78ba\u7387\u3092\u9ad8\u3081\u307e\u3059\u3002<\/p>\n<h4>\u8133\u816b\u760d\u306e\u5408\u4f75\u75c7\u3068\u3057\u3066\u306e\u3066\u3093\u304b\u3093<\/h4>\n<p class=\"article-header__title smaller\">Roth P: Neurological and vascular complications of primary and secondary brain tumours: EANO-ESMO Clinical Practice Guidelines for prophylaxis, diagnosis, treatment and follow-up. Ann Oncol 2020<br \/>\n\u30e8\u30fc\u30ed\u30c3\u30d1\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3068\u3044\u3046\u3082\u306e\u3067\u3059\u30022020\u5e74\u306e\u6bb5\u968e\u3067\u6cbb\u7642\u85ac\u3068\u3057\u3066\uff0c\u30ec\u30d9\u30c1\u30e9\u30bb\u30bf\u30e0\u304c\u307b\u3068\u3093\u3069\u306e\u65bd\u8a2d\u3067\u7b2c\u4e00\u9078\u629e\u85ac\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u30ec\u30d9\u30c1\u30e9\u30bb\u30bf\u30e0\u306e\u6709\u5bb3\u4e8b\u8c61\u3068\u3057\u3066\u306e\u7cbe\u795e\u75c7\u72b6\u306b\u6ce8\u610f\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u30d0\u30eb\u30d7\u30ed\u9178\u3082\u304b\u306a\u308a\u306e\u65bd\u8a2d\u3067\u4f7f\u7528\u3055\u308c\u3066\u3044\u308b\u305d\u3046\u3067\u3059\u3002\u50ac\u5947\u5f62\u6027\u304c\u3042\u308b\u306e\u3067\u82e5\u3044\u5973\u6027\u306b\u306f\u4f7f\u7528\u3057\u307e\u305b\u3093\u3002\u30e9\u30e2\u30c8\u30ea\u30ae\u30f3\u306f\u767a\u4f5c\u5236\u5fa1\u7387\u306f\u9ad8\u3044\u306e\u3067\u3059\u304c\uff0c\u5341\u5206\u306a\u52b9\u679c\u3092\u5f97\u308b\u305f\u3081\u306b\u306f\u6295\u4e0e\u5f8c\u6570\u9031\u9593\u3092\u8981\u3057\u307e\u3059\u3002Enzyme-inducing anticonvulsants\u3067\u3042\u308b\uff0c\u30d5\u30a7\u30cb\u30c8\u30a4\u30f3\uff0c\u30d5\u30a7\u30ce\u30d0\u30eb\u30d3\u30bf\u30fc\u30eb\uff0c\u30ab\u30eb\u30d0\u30de\u30bc\u30d4\u30f3\u306f\uff0c\u7b2c\u4e00\u9078\u629e\u85ac\u3068\u3057\u3066\u306f\u52e7\u3081\u3089\u308c\u307e\u305b\u3093\u3002\u526f\u4f5c\u7528\u3068\u4ed6\u306e\u85ac\u5264\u3068\u306e\u76f8\u4e92\u4f5c\u7528\u3067\u306e\u6709\u5bb3\u4e8b\u8c61\u304c\u591a\u3044\u304b\u3089\u3067\u3059\u3002\u30e9\u30b3\u30b5\u30df\u30c9\u306f\u591a\u5264\u4f75\u7528\u3059\u308b\u3068\u304d\u306b\u7528\u3044\u3089\u308c\u307e\u3059\u3002<\/p>\n<div class=\"setumei\">\n<h4>\u4e4f\u7a81\u8d77\u81a0\u816b\u3068\u3066\u3093\u304b\u3093<\/h4>\n<\/div>\n<p>Kerkhof M: Seizures in oligodendroglial tumors. CNS Oncol 2015<br \/>\n\u4e4f\u7a81\u8d77\u81a0\u7d30\u80de\u7cfb\u816b\u760d\u306e70-90%\u306b\u3066\u3093\u304b\u3093\u304c\u751f\u3058\u307e\u3059\u3002\u307e\u305f\uff0c\u3066\u3093\u304b\u3093\u767a\u75c7\u3057\u305f\u4f8b\u306f\u9577\u671f\u4e88\u5f8c\u304c\u826f\u3044\u50be\u5411\u306b\u3042\u308a\u307e\u3059\u3002\u816b\u760d\u6458\u51fa\u3084\u653e\u5c04\u7dda\u6cbb\u7642\u30673\u5206\u306e\uff12\u306e\u60a3\u8005\u3055\u3093\u3067\u3066\u3093\u304b\u3093\u767a\u4f5c\u304c\u6b62\u307e\u308a\uff0c\u5316\u5b66\u7642\u6cd5\u3067\u306f50%\u307b\u3069\u3067\u3066\u3093\u304b\u3093\u767a\u4f5c\u304c\u6539\u5584\u3057\u307e\u3059\u3002<span style=\"color: #000080;\"><strong>\u30ec\u30d9\u30c1\u30e9\u30bb\u30bf\u30e0<\/strong><\/span>\u3082\u3057\u304f\u306f<span style=\"color: #000080;\"><strong>\u30d0\u30eb\u30d7\u30ed\u9178\u306e\u5358\u72ec\u6295\u4e0e<\/strong><\/span>\u304c\u4e4f\u7a81\u8d77\u81a0\u816b\u306e\u90e8\u5206\u3066\u3093\u304b\u3093\u3092\u6291\u5236\u3059\u308b\u3053\u3068\u306f\u8a3c\u660e\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u3057\u304b\u3057\uff0c40%\u307b\u3069\u3067\u6297\u3066\u3093\u304b\u3093\u85ac\u6cbb\u7642\u4e2d\u306b\u85ac\u5264\u62b5\u6297\u6027\u306e\u3066\u3093\u304b\u3093\u304c\u751f\u3058\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<h4>\u30b0\u30ea\u30aa\u30fc\u30de\u60a3\u8005\u306e\u96e3\u6cbb\u6027\u3066\u3093\u304b\u3093\u306b\u5bfe\u3059\u308b\u591a\u5264\u4f75\u7528\u7642\u6cd5<\/h4>\n<p id=\"page-title\" class=\"highwire-cite-title title-with-subtitle\">van der Meer PB* Effectiveness of Antiseizure Medication Triple Therapy in Patients With Glioma With Refractory Epilepsy. Neurology 2023<br \/>\n\u6cbb\u7642\u62b5\u6297\u6027\u306e\u3066\u3093\u304b\u3093\u306b\uff13\u5264\u306e\u6297\u3066\u3093\u304b\u3093\u5264\u3092\u4f7f\u7528\u3059\u308b\u3068\u304d\u306b\u306f\uff0c<span style=\"color: #000080;\"><strong>\u30af\u30ed\u30d0\u30b6\u30e0\u3092\u8ffd\u52a0\u3059\u308b<\/strong><\/span>\u306e\u304c\u826f\u3044\u3068\u3044\u3046\u5831\u544a\u3067\u3059\u30023\u5264\u3092\u4f7f\u7528\u305b\u3056\u308b\u3092\u5f97\u306a\u304b\u3063\u305f90\u540d\u306e\u60a3\u8005\u3055\u3093\u306e\u89e3\u6790\u3067\u306f\uff0c\u30ec\u30d9\u30c1\u30e9\u30bb\u30bf\u30e0\u3068\u30d0\u30eb\u30d7\u30ed\u9178\u306b\uff0c\u30af\u30ed\u30d0\u30b6\u30e0\u3092\u52a0\u3048\u305f\u5834\u5408\u306b\u6700\u3082\u767a\u4f5c\u306e\u6291\u5236\u7387\u304c\u9ad8\u304b\u3063\u305f\u305d\u3046\u3067\u3059\u3002<\/p>\n<h5>\u6587\u732e<\/h5>\n<p align=\"left\">Vecht CJ, et al.: Seizure prognosis in brain tumors: new insights and evidence-based management. Oncologist 19:751-759, 2014<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u75c7\u5019\u6027\u5c40\u5728\u95a2\u9023\u3066\u3093\u304b\u3093 SLRE symptomatic localized-related epilepsy \u8133\u816b\u760d\u3067\u306f\u3055\u307e\u3056\u307e\u306a\u3066\u3093\u304b\u3093\u767a\u4f5c\uff08\u3051\u3044\u308c\u3093\u767a\u4f5c\uff09\u304c\u751f\u3058\u307e\u3059 \u8133\u816b\u760d\u3067\u751f\u3058\u308b\u3066\u3093\u304b\u3093\u306f\uff0c\u300c\u75c7\u5019\u6027\u3066\u3093\u304b\u3093\u300d\u3068\u8a00 [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-7082","post","type-post","status-publish","format-standard","hentry","category-braintumors"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/7082","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/comments?post=7082"}],"version-history":[{"count":45,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/7082\/revisions"}],"predecessor-version":[{"id":22394,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/7082\/revisions\/22394"}],"wp:attachment":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/media?parent=7082"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/categories?post=7082"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/tags?post=7082"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}