{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390282679928076416.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.11453/orltokyo.57.28"}},{"identifier":{"@type":"NAID","@value":"130004911912"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2014211358"}}],"dc:title":[{"@language":"ja","@value":"めまいを伴う急性感音難聴で発症した脳幹梗塞の1例"},{"@language":"en","@value":"A CASE OF BRAINSTEM INFARCTION PRESENTING WITH ACUTE SENSORINEURAL HEARING LOSS WITH VERTIGO"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"The anterior inferior cerebellar artery (AICA) syndrome may manifest with a variety of neurologic symptoms, including hearing loss, tinnitus and vertigo, as the presenting symptom. We report the case of a patient with brainstem infarction who presented with deafness of sudden onset. The patient was a 65-year-old woman who presented with sudden hearing loss and tinnitus in the right ear and vertigo, without any other neurological deficits. At the time of hospitalization, the patient was diagnosed as a case of sudden deafness. Since the patient showed persistent severe nausea and vomiting even after hospitalization, MRI was performed. CT showed no abnormality, while MRI and MRA revealed fresh infarctions of the right middle cerebellar peduncle and cerebellum localized in the territory of the anterior interior cerebellar artery. In daily clinical practice, it is important to bear in mind the possibility of AICA syndrome in patients presenting with acute sensorineural hearing loss and vertigo. We suggest that it is important to perform MRI and MRA in the early stage in such patients, especially those with risk factors for cerebrovascular disorders."},{"@language":"ja","@value":"前下小脳動脈症候群は多彩な神経症状を示すことで知られており, 難聴, 耳鳴, めまいを初発症状とすることがある。今回我々はめまいを伴う急性感音難聴で発症した脳幹梗塞の1例を経験したので報告する。<br>　症例は65歳女性。主訴は難聴, 耳鳴, めまいであり, 受診時明らかな脳神経症状はなく, 頭部 CT でも異常所見はなかったため, 当初めまいを伴う突発性難聴と診断した。入院後も著明な悪心, 嘔吐症状が続くため, MRI を施行したところ, 橋外側の中小脳脚, 小脳半球に梗塞巣を認め, 前下小脳動脈領域の脳幹梗塞という診断に至った。<br>　日々の診療において, めまいを伴う急性感音難聴の鑑別疾患として前下小脳動脈症候群があることを念頭において診察することが大切である。とくに脳血管障害の危険因子を持つ患者に対しては眼振所見や起立・歩行障害, 新たな脳神経症状の出現に十分注意を払い, これら臨床症状から中枢性が疑われる場合は早期にMRI検査を施行する必要があると思われた。"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410282679928076417","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000283513579"}],"foaf:name":[{"@language":"ja","@value":"杉本 直基"},{"@language":"en","@value":"Sugimoto Naoki"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Otorhinolaryngology, Asahi General Hospital"},{"@language":"ja","@value":"総合病院国保旭中央病院耳鼻咽喉科"}]},{"@id":"https://cir.nii.ac.jp/crid/1420845751135671296","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"00796352"},{"@type":"NRID","@value":"1000000796352"},{"@type":"NRID","@value":"9000414350169"},{"@type":"NRID","@value":"9000413362664"},{"@type":"NRID","@value":"9000404660223"},{"@type":"NRID","@value":"9000413896597"},{"@type":"NRID","@value":"9000258227235"},{"@type":"NRID","@value":"9000283513580"},{"@type":"NRID","@value":"9000363178347"},{"@type":"NRID","@value":"9000411023546"},{"@type":"NRID","@value":"9000409329899"},{"@type":"NRID","@value":"9000414744234"},{"@type":"NRID","@value":"9000258227646"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/morino-tsunetaro"}],"foaf:name":[{"@language":"ja","@value":"森野 常太郎"},{"@language":"en","@value":"Morino Tunetaro"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Otorhinolaryngology, Asahi General Hospital"},{"@language":"ja","@value":"総合病院国保旭中央病院耳鼻咽喉科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282679928076416","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000283513581"}],"foaf:name":[{"@language":"ja","@value":"森脇 宏人"},{"@language":"en","@value":"Moriwaki Hiroto"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Otorhinolaryngology, Asahi General Hospital"},{"@language":"ja","@value":"総合病院国保旭中央病院耳鼻咽喉科"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"03869687"},{"@type":"EISSN","@value":"18836429"}],"prism:publicationName":[{"@language":"en","@value":"JIBI INKOKA TEMBO"},{"@language":"ja","@value":"耳鼻咽喉科展望"},{"@language":"ja","@value":"耳展"},{"@language":"en","@value":"OTO-RHINO-LARYNGOLOGY,TOKYO"},{"@language":"en","@value":"O.R.L.Tokyo"},{"@language":"en","@value":"OTO-RHINO-LARYNGOLOGY, TOKYO"},{"@language":"ja","@value":"ＯＲＬ，　Ｔｏｋｙｏ"}],"dc:publisher":[{"@language":"en","@value":"Society of Oto-rhino-laryngology Tokyo"},{"@language":"ja","@value":"耳鼻咽喉科展望会"}],"prism:publicationDate":"2014","prism:volume":"57","prism:number":"1","prism:startingPage":"28","prism:endingPage":"33"},"url":[{"@id":"https://search.jamas.or.jp/link/ui/2014211358"}],"availableAt":"2014","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=%E6%80%A5%E6%80%A7%E6%84%9F%E9%9F%B3%E9%9B%A3%E8%81%B4","dc:title":"急性感音難聴"},{"@id":"https://cir.nii.ac.jp/all?q=%E5%89%8D%E4%B8%8B%E5%B0%8F%E8%84%B3%E5%8B%95%E8%84%88%E7%97%87%E5%80%99%E7%BE%A4","dc:title":"前下小脳動脈症候群"},{"@id":"https://cir.nii.ac.jp/all?q=%E4%B8%AD%E5%B0%8F%E8%84%B3%E8%84%9A","dc:title":"中小脳脚"},{"@id":"https://cir.nii.ac.jp/all?q=MRI","dc:title":"MRI"},{"@id":"https://cir.nii.ac.jp/all?q=MRA","dc:title":"MRA"},{"@id":"https://cir.nii.ac.jp/all?q=acute%20sensorineural%20hearing%20loss","dc:title":"acute sensorineural hearing loss"},{"@id":"https://cir.nii.ac.jp/all?q=AICA%20syndrome","dc:title":"AICA syndrome"},{"@id":"https://cir.nii.ac.jp/all?q=middle%20cerebellar%20peduncle","dc:title":"middle cerebellar peduncle"},{"@id":"https://cir.nii.ac.jp/all?q=MRI","dc:title":"MRI"},{"@id":"https://cir.nii.ac.jp/all?q=MRA","dc:title":"MRA"}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:2000314553"},{"@type":"CIA","@value":"130004911912"}]}