{"@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/1390282680474622720.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.11334/jibi1954.36.1_40"}},{"identifier":{"@type":"NAID","@value":"130004403550"}},{"identifier":{"@type":"NAID","@value":"50003061360"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/1991071630"}}],"dc:title":[{"@language":"en","@value":"Acoustic neuroma presenting as sudden hearing loss"},{"@language":"ja","@value":"初診時突発性難聴と診断された聴神経腫瘍症例の検討"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"Of 226 patients treated for sudden hearing loss at Jichi Medical School Hospital between 1978 and 1988, four (1.8%) were later diagnosed as acoustic neuroma by roentgenographic examinations. They all displayed moderate to severe hearing loss by audiometry at the onset of sudden deafness. However, two patients recovered almost completely with steroid therapy, while two showed no improvement with this therapy. The acoustic neuromas were removed via translabyrinthine or suboccipital approach. This study supports the rationale that patients with unilateral sudden hearing loss, even with recovery, must be evaluated for a possible cerebellopontine lesion."},{"@language":"ja","@value":"突発的難聴を主訴として来科し, 初診時に突発性難聴と診断されたもののうち, その後聴神経腫瘍であると判明した症例が4例存在した. これは当科における突発性難聴の1.8%に相当した. 薬物療法により著明回復を示し, 臨床像からはほかの突発性難聴とは鑑別困難なことが多かつた. 最終的な診断の決め手となつたものはX線検査での内耳道の異常であり, 全例で反対側耳より2mm以上の拡大像が観察された. 聴神経腫瘍で突発的難聴が発現するメカニズムは腫瘍内出血により容積の限られた内耳道内で急激に腫大した腫瘍が内耳動脈を圧迫し, 内耳への血流障害をおこさせた結果であると推測した."}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1030285133298723456","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"50010343"},{"@type":"NRID","@value":"1000050010343"},{"@type":"NRID","@value":"9000021982451"},{"@type":"NRID","@value":"9000021751010"},{"@type":"NRID","@value":"9000254779169"},{"@type":"NRID","@value":"9000254291615"},{"@type":"NRID","@value":"9000254468041"},{"@type":"NRID","@value":"9000255944935"},{"@type":"NRID","@value":"9000256840579"},{"@type":"NRID","@value":"9000256840428"},{"@type":"NRID","@value":"9000256670925"},{"@type":"NRID","@value":"9000254471400"},{"@type":"NRID","@value":"9000254458644"},{"@type":"NRID","@value":"9000256672188"},{"@type":"NRID","@value":"9000007810634"},{"@type":"NRID","@value":"9000021989064"},{"@type":"NRID","@value":"9000020808826"},{"@type":"NRID","@value":"9000254777428"},{"@type":"NRID","@value":"9000254064669"},{"@type":"NRID","@value":"9000254470245"},{"@type":"NRID","@value":"9000255945364"},{"@type":"NRID","@value":"9000256671819"},{"@type":"NRID","@value":"9000256671320"},{"@type":"NRID","@value":"9000254290897"},{"@type":"NRID","@value":"9000254292897"},{"@type":"NRID","@value":"9000253560043"},{"@type":"NRID","@value":"9000256669869"},{"@type":"NRID","@value":"9000256667338"},{"@type":"NRID","@value":"9000256673344"},{"@type":"NRID","@value":"9000256662922"},{"@type":"NRID","@value":"9000256671056"},{"@type":"NRID","@value":"9000022017529"},{"@type":"NRID","@value":"9000021803094"},{"@type":"NRID","@value":"9000021118948"},{"@type":"NRID","@value":"9000254782715"},{"@type":"NRID","@value":"9000254294882"},{"@type":"NRID","@value":"9000254469155"},{"@type":"NRID","@value":"9000255903057"},{"@type":"NRID","@value":"9000256663882"},{"@type":"NRID","@value":"9000256674647"},{"@type":"NRID","@value":"9000256671324"},{"@type":"NRID","@value":"9000256665359"},{"@type":"NRID","@value":"9000020788949"},{"@type":"NRID","@value":"9000255902922"},{"@type":"NRID","@value":"9000256662870"},{"@type":"NRID","@value":"9000256665954"},{"@type":"NRID","@value":"9000020913888"},{"@type":"NRID","@value":"9000021741420"},{"@type":"NRID","@value":"9000254777328"},{"@type":"NRID","@value":"9000254064713"},{"@type":"NRID","@value":"9000254289790"},{"@type":"NRID","@value":"9000254459650"},{"@type":"NRID","@value":"9000256822823"},{"@type":"NRID","@value":"9000256666489"},{"@type":"NRID","@value":"9000256671071"},{"@type":"NRID","@value":"9000256671921"},{"@type":"NRID","@value":"9000256674951"},{"@type":"NRID","@value":"9000256670253"},{"@type":"NRID","@value":"9000256669463"},{"@type":"NRID","@value":"9000259855136"},{"@type":"NRID","@value":"9000254063800"},{"@type":"NRID","@value":"9000254466189"},{"@type":"NRID","@value":"9000255945268"},{"@type":"NRID","@value":"9000256671910"},{"@type":"NRID","@value":"9000254468029"},{"@type":"NRID","@value":"9000254459344"},{"@type":"NRID","@value":"9000256814473"},{"@type":"NRID","@value":"9000256823673"},{"@type":"NRID","@value":"9000256667172"},{"@type":"NRID","@value":"9000254778126"},{"@type":"NRID","@value":"9000254783038"},{"@type":"NRID","@value":"9000254289772"},{"@type":"NRID","@value":"9000255940662"},{"@type":"NRID","@value":"9000256817565"},{"@type":"NRID","@value":"9000256819277"},{"@type":"NRID","@value":"9000021966448"},{"@type":"NRID","@value":"9000254778479"},{"@type":"NRID","@value":"9000254781337"},{"@type":"NRID","@value":"9000254781502"},{"@type":"NRID","@value":"9000256840140"},{"@type":"NRID","@value":"9000256672249"},{"@type":"NRID","@value":"9000256671061"},{"@type":"NRID","@value":"9000256670921"},{"@type":"NRID","@value":"9000256670159"},{"@type":"NRID","@value":"9000256671558"},{"@type":"NRID","@value":"9000020947079"},{"@type":"NRID","@value":"9000021979621"},{"@type":"NRID","@value":"9000021721860"},{"@type":"NRID","@value":"9000021775242"},{"@type":"NRID","@value":"9000021742017"},{"@type":"NRID","@value":"9000254295478"},{"@type":"NRID","@value":"9000253560391"},{"@type":"NRID","@value":"9000255939657"},{"@type":"NRID","@value":"9000020903247"},{"@type":"NRID","@value":"9000021973106"},{"@type":"NRID","@value":"9000021806813"},{"@type":"NRID","@value":"9000021720111"},{"@type":"NRID","@value":"9000254778137"},{"@type":"NRID","@value":"9000254783049"},{"@type":"NRID","@value":"9000254467156"},{"@type":"NRID","@value":"9000256674295"},{"@type":"NRID","@value":"9000256671918"},{"@type":"NRID","@value":"9000256664737"},{"@type":"NRID","@value":"9000021767363"},{"@type":"NRID","@value":"9000254778522"},{"@type":"NRID","@value":"9000254777339"},{"@type":"NRID","@value":"9000254458867"},{"@type":"NRID","@value":"9000020945944"},{"@type":"NRID","@value":"9000020903992"},{"@type":"NRID","@value":"9000254779184"},{"@type":"NRID","@value":"9000254782607"},{"@type":"NRID","@value":"9000254066080"},{"@type":"NRID","@value":"9000254293989"},{"@type":"NRID","@value":"9000254464501"},{"@type":"NRID","@value":"9000254459765"},{"@type":"NRID","@value":"9000256670820"},{"@type":"NRID","@value":"9000256666139"},{"@type":"NRID","@value":"9000254469279"},{"@type":"NRID","@value":"9000256840105"},{"@type":"NRID","@value":"9000256840165"}],"foaf:name":[{"@language":"en","@value":"HIRAIDE Fumihisa"},{"@language":"ja","@value":"平出 文久"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Otolaryngology, Tokyo Medical College"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"04477227"}],"prism:publicationName":[{"@language":"en","@value":"OTOLOGIA FUKUOKA"},{"@language":"ja","@value":"耳鼻と臨床"},{"@language":"en","@value":"OTOLOGIA FUKUOKA"},{"@language":"ja","@value":"耳鼻"}],"dc:publisher":[{"@language":"en","@value":"JIBI TO RINSHO KAI"}],"prism:publicationDate":"1990","prism:volume":"36","prism:number":"1","prism:startingPage":"40","prism:endingPage":"46"},"url":[{"@id":"https://search.jamas.or.jp/link/ui/1991071630"}],"availableAt":"1990","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=unilateral%20sudden%20hearing%20loss","dc:title":"unilateral sudden hearing loss"},{"@id":"https://cir.nii.ac.jp/all?q=acoustic%20neuroma","dc:title":"acoustic neuroma"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1390001204265126144","@type":"Article","relationType":["isCitedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Two Cases of Acoustic Neuroma with Sudden Deafness"},{"@language":"ja","@value":"突発難聴で発症した聴神経腫瘍の２例―聴力像とサイズ，回復率の検討―"},{"@value":"臨床 突発難聴で発症した聴神経腫瘍の2例--聴力像とサイズ,回復率の検討"},{"@language":"ja-Kana","@value":"リンショウ トッパツ ナンチョウ デ ハッショウシタ チョウシンケイ シュヨウ ノ 2レイ チョウリョクゾウ ト サイズ カイフクリツ ノ ケントウ"}]},{"@id":"https://cir.nii.ac.jp/crid/1390282679239100928","@type":"Article","relationType":["isCitedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"A Case of Cochlear and Vestibular Symptoms Caused by Lung Carcinoma Metastasis to the Internal Auditory Canal"},{"@language":"ja","@value":"蝸牛，前庭症状を初発症状とした肺癌の内耳道転移例"},{"@value":"臨床 蝸牛,前庭症状を初発症状とした肺癌の内耳道転移例"},{"@language":"ja-Kana","@value":"リンショウ カギュウ ゼンテイ ショウジョウ オ ショハツ ショウジョウ ト シタ ハイガン ノ ナイジドウ テンイレイ"}]}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:1001844609"},{"@type":"CIA","@value":"130004403550"},{"@type":"CIA","@value":"50003061360"}]}