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Anti-N-methyl-d-aspartate receptor NMDAR limbic encephalitis is the most common form of paraneoplastic encephalitis that is associated with teratomas. Because tumor removal leads to better clinical outcomes, it is essential to reveal the location of the teratomas. This is the first reported case of anti-NMDAR encephalitis associated with teratoma of the fallopian tube. Salpingo-oophorectomy improved neurological symptoms and immunohistochemical examinations indicated the expression of NMDAR on neuroglial cells within the fallopian tube teratoma. Teratomas of the fallopian tube cause anti-NMDAR encephalitis; the imaging analysis and exploratory laparoscopies of the fallopian tube as well as of the ovary should be considered. Surgical removal of both fallopian tubes and ovaries with a normal appearance should be considered for patients in whom immunotherapy is not effective. Keywords: anti-N-methyl-d-aspartate receptor; exploratory laparoscopy; fallopian tube teratomalimbic encephalitissalpingo-oophorectomy. Abstract Anti-N-methyl-d-aspartate receptor NMDAR limbic encephalitis is the most common form of paraneoplastic encephalitis that is associated with teratomas. Publication types Case Reports.
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Locally produced, binge-worthy titles to add to your watch list. From heart-tugging dramas to mouth-watering food documentaries , here are the best Japanese series and movies available with English subtitles on Netflix right now note: regional restrictions may apply. Synopsis: As teenagers, Yae Noguchi and Harumichi Namiki would avidly talk to each other about their dreams and plans for the future. Like the two hit singles, which were released in and respectively, this love story starring Hikari Mitsushima and Takeru Satoh is a wistful, heart-tugging saga spanning three decades from the late 90s to now. Synopsis: Two modern teenagers leave their hometown in Aomori prefecture and move to Kyoto to chase their dreams of becoming maiko apprentice geisha. Though Sumire thrives in her traditional Japanese dance classes, her childhood friend Kiyo struggles to keep up with her training and is frequently chastised by her teachers. Discouraged by her inability to perform like Sumire, a crestfallen Kiyo contemplates abandoning her dreams and leaving the maiko house, but soon finds purpose in cooking elaborate meals for her fellow housemates. Overview: Closed to outsiders, the coveted world of maiko and geiko the Kyoto term for geisha is shrouded in intrigue and mystery. In this charming series directed by master storyteller Hirokazu Kore-eda, however, viewers worldwide can get a glimpse into the everyday life and customs observed in a maiko house in modern-day Kyoto.
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Travelling to Japan and fancy a juicy experience in the capital city? Our Tokyo adult guide will encourage you to leave the kids at home and go explore a less talked about side of Japan.
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