ID | 52707 |
Sort Key | 11
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Title Alternative | Treatment for a non-compliant patient with cancer and epilepsy
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FullText URL | |
Author |
Ichihara, Eiki
Yokomichi, Naosuke
Kouge, Noriko
Kajizono, Makoto
Akimoto, Yutaka
Matsubara, Minoru
Nasu, Junichiro
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Abstract | A 58-year-old man with cervical esophageal cancer and a history of epilepsy was treated with chemoradiotherapy from May of 2013. When tube feeding was initiated due to aspiration pneumonitis, the patient showed a degree of irritability that affected routine staff work and treatment compliance. We attempted to perform supportive care for maladjustment by the notice, the fast, and the tube feeding, but there was no improvement. After we added carbamazepine, primidone, and propericiazine (which had been canceled at the initiation of the tube feeding) to the patient's intravenous phenytoin, the symptoms and treatment compliance improved significantly. We concluded that the causes of the patient's irritability were maladjustment and his epilepsy.
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Keywords | てんかん(epilepsy)
易怒性(irritability)
適応障害(maladjustment)
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Note | 症例報告 (Case Reports)
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Publication Title |
岡山医学会雑誌
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Published Date | 2014-08-01
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Volume | volume126
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Issue | issue2
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Publisher | 岡山医学会
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Publisher Alternative | Okayama Medical Association
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Start Page | 133
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End Page | 135
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ISSN | 0030-1558
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NCID | AN00032489
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Content Type |
Journal Article
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OAI-PMH Set |
岡山大学
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language |
日本語
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Copyright Holders | Copyright (c) 2014 岡山医学会
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File Version | publisher
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Refereed |
True
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DOI | |
NAID | |
Eprints Journal Name | joma
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2) 保坂 隆 : 悪性腫瘍と軽症うつ病. 成人と生活習慣(2002)32, 1469-1472. 3) Blumer D : Antidepressant and double antidepressant treatment for the affective disorder of epilepsy. J Clin Psychiatry (1997) 58, 3-11. 4) 第15章てんかんの精神状況 : てんかん治療ガイドライン2010, てんかんガイドライン作成委員会編, 医学書院, 東京(2010)pp131-132. 5) 三原忠紘, 日本てんかん学会ガイドライン作成委員会 : てんかん外科の適応に関するガイドライン. てんかん研究(2008)26, 114-118. 6) 千葉 茂, 石本隆広, 稲葉央子, 田村義之, 石丸雄二, 高崎英気, 阪本一剛, 山口一豪 : てんかんに伴う精神症状とその治療. 臨床精神薬理(2007)10, 599-606. 7) 山脇成人 : がん患者の精神症状発現要因の解析及びその対応に関する研究. 医学のあゆみ(2001)197, 410-411. 8) 西村勝治 : うつと不安. 臨床精神医学(2004)33, 525-531. 9) 樋口輝彦, 小山 司 : 臨床精神薬理ハンドブック 第2版, 医学書院, 東京(2009). 10) がん緩和ケアガイドブック 2008年版, 日本医師会監修, 青海社, 東京(2008)p8. 11) Macrea MM, Horowitz M, Shishir O : Early palliative care in non-small-cell lung cancer. N Engl J Med (2010) 363, 2263. |