{"created":"2025-02-23T06:39:20.851674+00:00","id":2013645,"links":{},"metadata":{"_buckets":{"deposit":"5bd96f2a-47ab-4bd4-89f8-ca9043a45813"},"_deposit":{"created_by":41,"id":"2013645","owners":[41],"pid":{"revision_id":0,"type":"depid","value":"2013645"},"status":"published"},"_oai":{"id":"oai:hiroshima.repo.nii.ac.jp:02013645","sets":["1727147343679:1730442224523:1730442256776"]},"author_link":[],"item_1617186331708":{"attribute_name":"Title","attribute_value_mlt":[{"subitem_title":"Late Recurrence of Intractable Epilepsy Associated with MRI-occult Pilocytic Astrocytoma in the Temporal Lobe Nine Years after Initial Removal : A case report with surgical and late-seizure recurrence observations","subitem_title_language":"en"}]},"item_1617186419668":{"attribute_name":"Creator","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Nishimoto, Takeshi","creatorNameLang":"en"}],"familyNames":[{"familyName":"Nishimoto","familyNameLang":"en"}],"givenNames":[{"givenName":"Takeshi","givenNameLang":"en"}]},{"creatorNames":[{"creatorName":"Iida, Koji","creatorNameLang":"en"}],"familyNames":[{"familyName":"Iida","familyNameLang":"en"}],"givenNames":[{"givenName":"Koji","givenNameLang":"en"}]},{"creatorNames":[{"creatorName":"Kagawa, Kota","creatorNameLang":"en"}],"familyNames":[{"familyName":"Kagawa","familyNameLang":"en"}],"givenNames":[{"givenName":"Kota","givenNameLang":"en"}]},{"creatorNames":[{"creatorName":"Watanabe, Yosuke","creatorNameLang":"en"}],"familyNames":[{"familyName":"Watanabe","familyNameLang":"en"}],"givenNames":[{"givenName":"Yosuke","givenNameLang":"en"}]},{"creatorNames":[{"creatorName":"Kiura, Yoshihiro","creatorNameLang":"en"}],"familyNames":[{"familyName":"Kiura","familyNameLang":"en"}],"givenNames":[{"givenName":"Yoshihiro","givenNameLang":"en"}]},{"creatorNames":[{"creatorName":"Hashizume, Akira","creatorNameLang":"en"}],"familyNames":[{"familyName":"Hashizume","familyNameLang":"en"}],"givenNames":[{"givenName":"Akira","givenNameLang":"en"}]},{"creatorNames":[{"creatorName":"Sugiyama, Kazuhiko","creatorNameLang":"en"}],"familyNames":[{"familyName":"Sugiyama","familyNameLang":"en"}],"givenNames":[{"givenName":"Kazuhiko","givenNameLang":"en"}]},{"creatorNames":[{"creatorName":"Kurisu, Kaoru","creatorNameLang":"en"}],"familyNames":[{"familyName":"Kurisu","familyNameLang":"en"}],"givenNames":[{"givenName":"Kaoru","givenNameLang":"en"}]}]},"item_1617186476635":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_1617186499011":{"attribute_name":"Rights","attribute_value_mlt":[{"subitem_rights":"(c) Hiroshima University Medical Press."}]},"item_1617186609386":{"attribute_name":"Subject","attribute_value_mlt":[{"subitem_subject":"Temporal lobe tumoral epilepsy","subitem_subject_scheme":"Other"},{"subitem_subject":"Late recurrence","subitem_subject_scheme":"Other"},{"subitem_subject":"Pilocytic astrocytoma","subitem_subject_scheme":"Other"},{"subitem_subject":"490","subitem_subject_scheme":"NDC"}]},"item_1617186626617":{"attribute_name":"Description","attribute_value_mlt":[{"subitem_description":"A 28-year-old male who presented a relapse of intractable epilepsy consisting of complex partial seizures with occasional secondary generalizations at the age of 26, had undergone removal of a left mesial temporal lobe tumor at another hospital at 18 years old. Pathological examination at that time revealed a low-grade astrocytoma, and the tumor was further treated by complementary adjuvant irradiation therapy. Magnetic resonance imaging (MRI) findings on admission portrayed a post-operative cavity anterior to the atrophied hippocampus on the left side with hyperintense in fluid-attenuated inversion recovery (FLAIR) images. There were no enhanced lesions in T1-weighted gadolinium images. As it was diagnosed as left mesial temporal lobe epilepsy with preoperative evaluations, the patient underwent left anterior temporal lobe resection (TLR). Intraoperative findings revealed that a small lump of grey tissue was attached to the anteromesial side of the sclerotic hippocampus. We surgically removed this and the tissue was a pilocytic astrocytoma. The patient has since remained seizure-free for 2.5 years. Seizure outcomes at postoperative 1-2 years are highly predictive of long-term outcomes after TLR for temporal lobe epilepsy (TLE). Late-seizure recurrence (> postoperative 2 years) with an initially successful outcome rarely occurs in TLR patients. This case report suggests that recurrence of even benign pilocytic astrocytomas may occur when seizure recurs in long-term follow-up.","subitem_description_language":"en"}]},"item_1617186643794":{"attribute_name":"Publisher","attribute_value_mlt":[{"subitem_publisher":"Hiroshima University Medical Press"}]},"item_1617186702042":{"attribute_name":"Language","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_1617186920753":{"attribute_name":"Source Identifier","attribute_value_mlt":[{"subitem_source_identifier":"0018-2052","subitem_source_identifier_type":"ISSN"},{"subitem_source_identifier":"AA00664312","subitem_source_identifier_type":"NCID"}]},"item_1617187024783":{"attribute_name":"開始ページ","attribute_value_mlt":[{"subitem_start_page":"45"}]},"item_1617187056579":{"attribute_name":"bibliographic_information","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2011-06","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"49","bibliographicPageStart":"45","bibliographicVolumeNumber":"60","bibliographic_titles":[{"bibliographic_title":"Hiroshima Journal of Medical Sciences"},{"bibliographic_title":"Hiroshima Journal of Medical Sciences"}]}]},"item_1617258105262":{"attribute_name":"item_1617258105262","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_1617265215918":{"attribute_name":"出版タイプ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_1617605131499":{"attribute_name":"File","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2023-03-18"}],"displaytype":"simple","filename":"HiroshimaJMedSci_60_45.pdf","filesize":[{"value":"610.3 KB"}],"mimetype":"application/pdf","url":{"objectType":"fulltext","url":"https://hiroshima.repo.nii.ac.jp/record/2013645/files/HiroshimaJMedSci_60_45.pdf"},"version_id":"003aa604-6eed-40bb-aabd-ae92778b80f3"}]},"item_1732771732025":{"attribute_name":"旧ID","attribute_value":"34994"},"item_title":"Late Recurrence of Intractable Epilepsy Associated with MRI-occult Pilocytic Astrocytoma in the Temporal Lobe Nine Years after Initial Removal : A case report with surgical and late-seizure recurrence observations","item_type_id":"40003","owner":"41","path":["1730442256776"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2023-03-18"},"publish_date":"2023-03-18","publish_status":"0","recid":"2013645","relation_version_is_last":true,"title":["Late Recurrence of Intractable Epilepsy Associated with MRI-occult Pilocytic Astrocytoma in the Temporal Lobe Nine Years after Initial Removal : A case report with surgical and late-seizure recurrence observations"],"weko_creator_id":"41","weko_shared_id":-1},"updated":"2025-02-26T05:29:42.626398+00:00"}