a b/processing/MACCROBAT/28403092.ann
1
T1  Age 2 13    61-year-old
2
T2  Personal_background 14 21   Chinese
3
T3  Sex 22 27   woman
4
T4  Sign_symptom 42 51  dizziness
5
E1  Sign_symptom:T4 
6
T5  Duration 56 63  3 weeks
7
E2  Duration:T5 
8
T6  Clinical_event 72 80    admitted
9
E3  Clinical_event:T6 
10
T7  Nonbiological_location 88 96    hospital
11
R1  MODIFY Arg1:T7 Arg2:E3  
12
T8  Sign_symptom 115 119    mass
13
E4  Sign_symptom:T8 
14
T9  Diagnostic_procedure 130 144    radiologically
15
E5  Diagnostic_procedure:T9 
16
T10 Biological_structure 105 114    bifrontal
17
R2  MODIFY Arg1:T10 Arg2:E4 
18
T11 History 366 397 20-year history of hypertension
19
T12 Sign_symptom 157 166    dizziness
20
E6  Sign_symptom:T12 
21
T13 Sign_symptom 193 265    signs or symptoms that are commonly associated with neurological disease
22
E7  Sign_symptom:T13 
23
A1  POLARITY E7 NEG
24
T14 Sign_symptom 275 283    headache
25
E8  Sign_symptom:T14 
26
A2  POLARITY E8 NEG
27
T15 Sign_symptom 285 293    vomiting
28
E9  Sign_symptom:T15 
29
A3  POLARITY E9 NEG
30
T16 Sign_symptom 295 315    sensory disturbances
31
E10 Sign_symptom:T16 
32
A4  POLARITY E10 NEG
33
T17 Sign_symptom 317 338    altered consciousness
34
E11 Sign_symptom:T17 
35
A5  POLARITY E11 NEG
36
T18 Sign_symptom 343 351    seizures
37
E12 Sign_symptom:T18 
38
A6  POLARITY E12 NEG
39
T19 Medication 434 474  angiotensin-converting enzyme inhibitors
40
E13 Medication:T19 
41
T20 Sign_symptom 502 509    healthy
42
E14 Sign_symptom:T20 
43
T21 Family_history 511 592  No special circumstances were identified regarding her personal or family history
44
T22 Diagnostic_procedure 638 662    neurological examination
45
E15 Diagnostic_procedure:T22 
46
T23 Lab_value 626 632   normal
47
R3  MODIFY Arg1:T23 Arg2:E15    
48
T24 Diagnostic_procedure 692 718    magnetic resonance imaging
49
E16 Diagnostic_procedure:T24 
50
T25 Diagnostic_procedure 720 723    MRI
51
E17 Diagnostic_procedure:T25 
52
R4  IDENTICAL Arg1:E17 Arg2:E16 
53
T26 Detailed_description 674 691    contrast-enhanced
54
T27 Detailed_description 664 669    Plain
55
R5  MODIFY Arg1:T26 Arg2:E16    
56
R6  MODIFY Arg1:T27 Arg2:E16    
57
T28 Biological_structure 732 736    head
58
R7  MODIFY Arg1:T28 Arg2:E16    
59
T29 Sign_symptom 762 768    lesion
60
E18 Sign_symptom:T29 
61
T30 Detailed_description 746 761    space-occupying
62
R8  MODIFY Arg1:T30 Arg2:E18    
63
T31 Biological_structure 776 790    bifrontal lobe
64
R9  MODIFY Arg1:T31 Arg2:E18    
65
T32 Biological_structure 792 816    mainly on the right side
66
R10 MODIFY Arg1:T32 Arg2:T31    
67
T33 Biological_structure 818 848    clinging to the sagittal sinus
68
R11 MODIFY Arg1:T33 Arg2:T31    
69
T34 Biological_structure 857 870    cerebral falx
70
R12 MODIFY Arg1:T34 Arg2:T31    
71
T35 Coreference 907 911 mass
72
E19 Coreference:T35 
73
R13 IDENTICAL Arg1:E19 Arg2:E18 
74
T36 Volume 876 894  5.7 × 5.0 × 5.0 cm
75
R14 MODIFY Arg1:T36 Arg2:E19    
76
T37 Biological_structure 920 947    across the sagittal midline
77
R15 MODIFY Arg1:T37 Arg2:E19    
78
T38 Sign_symptom 957 969    isointensity
79
E20 Sign_symptom:T38 
80
T39 Diagnostic_procedure 977 994    T1-weighted image
81
E21 Diagnostic_procedure:T39 
82
T40 Sign_symptom 1008 1022  hyperintensity
83
E22 Sign_symptom:T40 
84
T41 Diagnostic_procedure 1030 1047  T2-weighted image
85
E23 Diagnostic_procedure:T41 
86
T42 Detailed_description 1085 1117  characteristic “dural-tail” sign
87
R16 MODIFY Arg1:T42 Arg2:E22    
88
R17 SUB_PROCEDURE Arg1:E21 Arg2:E16 
89
R18 SUB_PROCEDURE Arg1:E23 Arg2:E16 
90
T43 Disease_disorder 1167 1177  meningioma
91
E24 Disease_disorder:T43 
92
T44 Detailed_description 1142 1166  parasagittal-parafalcine
93
R19 MODIFY Arg1:T44 Arg2:E24    
94
T45 Therapeutic_procedure 1217 1226 resection
95
E25 Therapeutic_procedure:T45 
96
T46 Detailed_description 1194 1205  craniotomic
97
R20 MODIFY Arg1:T46 Arg2:E25    
98
T47 Diagnostic_procedure 1256 1278  blood cell examination
99
E26 Diagnostic_procedure:T47 
100
T48 Diagnostic_procedure 1280 1300  coagulation function
101
E27 Diagnostic_procedure:T48 
102
T49 Diagnostic_procedure 1302 1326  liver and renal function
103
E28 Diagnostic_procedure:T49 
104
T50 Diagnostic_procedure 1334 1344  urinalysis
105
E29 Diagnostic_procedure:T50 
106
T51 Diagnostic_procedure 1352 1358  x-rays
107
E30 Diagnostic_procedure:T51 
108
T52 Biological_structure 1346 1351  chest
109
R21 MODIFY Arg1:T52 Arg2:E30    
110
T53 Diagnostic_procedure 1363 1380  electrocardiogram
111
E31 Diagnostic_procedure:T53 
112
T54 Lab_value 1386 1392 normal
113
R22 MODIFY Arg1:T54 Arg2:E26    
114
R23 MODIFY Arg1:T54 Arg2:E27    
115
R24 MODIFY Arg1:T54 Arg2:E28    
116
R25 MODIFY Arg1:T54 Arg2:E29    
117
R26 MODIFY Arg1:T54 Arg2:E30    
118
R27 MODIFY Arg1:T54 Arg2:E31    
119
T55 Diagnostic_procedure 1398 1405  albumin
120
E32 Diagnostic_procedure:T55 
121
T56 Diagnostic_procedure 1422 1437  total bilirubin
122
E33 Diagnostic_procedure:T56 
123
T57 Diagnostic_procedure 1439 1443  TBil
124
E34 Diagnostic_procedure:T57 
125
T58 Diagnostic_procedure 1470 1486  direct bilirubin
126
E35 Diagnostic_procedure:T58 
127
T59 Diagnostic_procedure 1488 1492  DBil
128
E36 Diagnostic_procedure:T59 
129
R28 IDENTICAL Arg1:E34 Arg2:E33 
130
R29 IDENTICAL Arg1:E36 Arg2:E35 
131
T60 Lab_value 1410 1416 36 g/L
132
R30 MODIFY Arg1:T60 Arg2:E32    
133
T61 Lab_value 1449 1460 12.2 μmol/L
134
R31 MODIFY Arg1:T61 Arg2:E33    
135
T62 Lab_value 1498 1508 4.1 μmol/L
136
R32 MODIFY Arg1:T62 Arg2:E35    
137
T63 Diagnostic_procedure 1510 1530  Alanine transaminase
138
E37 Diagnostic_procedure:T63 
139
T64 Diagnostic_procedure 1532 1535  ALT
140
E38 Diagnostic_procedure:T64 
141
R33 IDENTICAL Arg1:E38 Arg2:E37 
142
T65 Lab_value 1541 1547 17 U/L
143
R34 MODIFY Arg1:T65 Arg2:E37    
144
T66 Diagnostic_procedure 1557 1587  international normalized ratio
145
E39 Diagnostic_procedure:T66 
146
T67 Diagnostic_procedure 1589 1592  INR
147
E40 Diagnostic_procedure:T67 
148
R35 IDENTICAL Arg1:E40 Arg2:E39 
149
T68 Lab_value 1621 1625 1.02
150
R36 MODIFY Arg1:T68 Arg2:E39    
151
T69 Diagnostic_procedure 1710 1725  echocardiograph
152
E41 Diagnostic_procedure:T69 
153
T70 Diagnostic_procedure 1732 1750  blood gas analysis
154
E42 Diagnostic_procedure:T70 
155
T71 Diagnostic_procedure 1766 1781  creatine kinase
156
E43 Diagnostic_procedure:T71 
157
T72 Diagnostic_procedure 1793 1812  pulmonary functions
158
E44 Diagnostic_procedure:T72 
159
T73 Lab_value 1835 1864 no surgical contraindications
160
R37 MODIFY Arg1:T73 Arg2:E44    
161
R38 MODIFY Arg1:T73 Arg2:E43    
162
R39 MODIFY Arg1:T73 Arg2:E42    
163
R40 MODIFY Arg1:T73 Arg2:E41    
164
T74 Medication 1940 1943    VPA
165
E45 Medication:T74 
166
#1  AnnotatorNotes E45  Valproic acid
167
T75 Dosage 1944 1957    twice per day
168
T76 Dosage 1913 1936    Five hundred milligrams
169
R41 MODIFY Arg1:T76 Arg2:E45    
170
R42 MODIFY Arg1:T75 Arg2:E45    
171
T77 Date 1972 1999  3 days before the operation
172
E46 Date:T77 
173
T78 Therapeutic_procedure 2050 2060 craniotomy
174
E47 Therapeutic_procedure:T78 
175
T79 Therapeutic_procedure 2095 2110 tumor resection
176
E48 Therapeutic_procedure:T79 
177
R43 SUB_PROCEDURE Arg1:E47 Arg2:E48 
178
T80 Coreference 2129 2134   tumor
179
E49 Coreference:T80 
180
R44 IDENTICAL Arg1:E49 Arg2:E24 
181
T81 Color 2139 2143 pink
182
T82 Detailed_description 2148 2153  solid
183
R45 MODIFY Arg1:T81 Arg2:E49    
184
R46 MODIFY Arg1:T82 Arg2:E49    
185
T83 Detailed_description 2164 2185  moderate blood supply
186
T84 Texture 2207 2213   medium
187
R47 MODIFY Arg1:T83 Arg2:E49    
188
R48 MODIFY Arg1:T84 Arg2:E49    
189
T85 Medication 2267 2270    VPA
190
E50 Medication:T85 
191
T86 Dosage 2257 2263    800 mg
192
R49 MODIFY Arg1:T86 Arg2:E50    
193
T87 Administration 2291 2311    intravenous infusion
194
R50 MODIFY Arg1:T87 Arg2:E50    
195
T88 Time 2215 2255  Thirty minutes before the end of surgery
196
E51 Time:T88 
197
T89 Sign_symptom 2355 2368  consciousness
198
E52 Sign_symptom:T89 
199
T90 Diagnostic_procedure 2408 2426  Glasgow coma scale
200
E53 Diagnostic_procedure:T90 
201
T91 Diagnostic_procedure 2428 2431  GCS
202
E54 Diagnostic_procedure:T91 
203
R51 IDENTICAL Arg1:E54 Arg2:E53 
204
T92 Lab_value 2398 2400 15
205
R52 MODIFY Arg1:T92 Arg2:E53    
206
T93 Time 2369 2386  within 30 minutes
207
E55 Time:T93 
208
T94 Date 2434 2449  Two hours later
209
E56 Date:T94 
210
T95 Clinical_event 2467 2478    transported
211
E57 Clinical_event:T95 
212
T96 Nonbiological_location 2491 2495    ward
213
R53 MODIFY Arg1:T96 Arg2:E57    
214
T97 Disease_disorder 2519 2522  UGH
215
E58 Disease_disorder:T97 
216
#2  AnnotatorNotes E58  upper gastrointestinal hemorrhage
217
T98 Sign_symptom 2528 2535  vomitus
218
E59 Sign_symptom:T98 
219
T99 Volume 2537 2556    approximately 50 mL
220
R54 MODIFY Arg1:T99 Arg2:E59    
221
T100    Color 2574 2588 coffee-colored
222
T101    Detailed_description 2589 2594  blood
223
R55 MODIFY Arg1:T101 Arg2:E59   
224
R56 MODIFY Arg1:T100 Arg2:T101  
225
T102    Sign_symptom 2655 2661  damage
226
E60 Sign_symptom:T102 
227
A7  POLARITY E60 UNCERTAIN
228
T103    Biological_structure 2631 2643  endotracheal
229
T104    Detailed_description 2644 2654  intubation
230
R57 MODIFY Arg1:T104 Arg2:E60   
231
R58 MODIFY Arg1:T103 Arg2:E60   
232
T105    Disease_disorder 2730 2739  gastritis
233
E61 Disease_disorder:T105 
234
T106    Sign_symptom 2770 2776  injury
235
E62 Sign_symptom:T106 
236
T107    Detailed_description 2759 2769  craniotomy
237
R59 MODIFY Arg1:T107 Arg2:E62   
238
R60 CAUSE Arg1:E62 Arg2:E61 
239
T108    Detailed_description 2710 2729  erosive-hemorrhagic
240
T109    Detailed_description 2704 2709  acute
241
R61 MODIFY Arg1:T109 Arg2:E61   
242
R62 MODIFY Arg1:T108 Arg2:E61   
243
T110    Medication 2800 2810    omeprazole
244
E63 Medication:T110 
245
T111    Sign_symptom 2854 2865  hematemesis
246
E64 Sign_symptom:T111 
247
A8  POLARITY E64 NEG
248
T112    Medication 2903 2906    VPA
249
E65 Medication:T112 
250
T113    Dosage 2908 2915    1200 mg
251
R63 MODIFY Arg1:T113 Arg2:E65   
252
T114    Administration 2917 2930    intravenously
253
R64 MODIFY Arg1:T114 Arg2:E65   
254
T115    Date 2932 2969  during the first 2 postoperative days
255
E66 Date:T115 
256
T116    Medication 3033 3036    VPA
257
E67 Medication:T116 
258
T117    Dosage 3059 3065    500 mg
259
T118    Dosage 3090 3101    twice a day
260
T119    Administration 3070 3074    oral
261
R65 MODIFY Arg1:T117 Arg2:E67   
262
R66 MODIFY Arg1:T119 Arg2:E67   
263
R67 MODIFY Arg1:T118 Arg2:E67   
264
T120    Diagnostic_procedure 3111 3114  MRI
265
E68 Diagnostic_procedure:T120 
266
T121    Biological_structure 3105 3110  brain
267
R68 MODIFY Arg1:T121 Arg2:E68   
268
T122    Date 3146 3151  day 3
269
E69 Date:T122 
270
T123    Sign_symptom 3178 3183  tumor
271
E70 Sign_symptom:T123 
272
A9  POLARITY E70 NEG
273
T124    Diagnostic_procedure 3214 3229  operative field
274
E71 Diagnostic_procedure:T124 
275
T125    Lab_value 3234 3239 clean
276
R69 MODIFY Arg1:T125 Arg2:E71   
277
T126    Diagnostic_procedure 3278 3302  histological examination
278
E72 Diagnostic_procedure:T126 
279
T127    Detailed_description 3269 3277  paraffin
280
R70 MODIFY Arg1:T127 Arg2:E72   
281
T128    Disease_disorder 3330 3340  meningioma
282
E73 Disease_disorder:T128 
283
T129    Time 3345 3349  3 am
284
E74 Time:T129 
285
T130    Time 3367 3372  day 4
286
E75 Time:T130 
287
T131    Disease_disorder 3415 3419  coma
288
E76 Disease_disorder:T131 
289
T132    Severity 3410 3414  deep
290
R71 MODIFY Arg1:T132 Arg2:E76   
291
T133    Sign_symptom 3425 3444  pupils were dilated
292
E77 Sign_symptom:T133 
293
T134    Distance 3448 3454  3.0 mm
294
R72 MODIFY Arg1:T134 Arg2:E77   
295
T135    Shape 3459 3464 round
296
R73 MODIFY Arg1:T135 Arg2:E77   
297
T136    Diagnostic_procedure 3474 3486  light reflex
298
E78 Diagnostic_procedure:T136 
299
T137    Lab_value 3491 3500 sensitive
300
R74 MODIFY Arg1:T137 Arg2:E78   
301
T138    Diagnostic_procedure 3506 3530  neurological examination
302
E79 Diagnostic_procedure:T138 
303
T139    Lab_value 3535 3547 unremarkable
304
R75 MODIFY Arg1:T139 Arg2:E79   
305
T140    Diagnostic_procedure 3557 3568  vital signs
306
E80 Diagnostic_procedure:T140 
307
T141    Lab_value 3574 3580 stable
308
R76 MODIFY Arg1:T141 Arg2:E80   
309
T142    Diagnostic_procedure 3595 3607  mental state
310
E81 Diagnostic_procedure:T142 
311
T143    Lab_value 3608 3625 gradually changed
312
R77 MODIFY Arg1:T143 Arg2:E81   
313
T144    Disease_disorder 3636 3640  coma
314
E82 Disease_disorder:T144 
315
T145    Lab_value 3631 3635 deep
316
R78 MODIFY Arg1:T145 Arg2:E82   
317
T146    Diagnostic_procedure 3642 3645  GCS
318
E83 Diagnostic_procedure:T146 
319
T147    Lab_value 3648 3649 8
320
R79 MODIFY Arg1:T147 Arg2:E83   
321
T148    Sign_symptom 3697 3704  lesions
322
E84 Sign_symptom:T148 
323
T149    Biological_structure 3684 3696  intracranial
324
R80 MODIFY Arg1:T149 Arg2:E84   
325
A10 POLARITY E84 UNCERTAIN
326
T150    Diagnostic_procedure 3708 3731  computerized tomography
327
E85 Diagnostic_procedure:T150 
328
T151    Diagnostic_procedure 3733 3735  CT
329
E86 Diagnostic_procedure:T151 
330
R81 IDENTICAL Arg1:E86 Arg2:E85 
331
T152    Biological_structure 3749 3754  brain
332
R82 MODIFY Arg1:T152 Arg2:E85   
333
T153    Lab_value 3794 3828 failed to reveal any abnormalities
334
R83 MODIFY Arg1:T153 Arg2:E85   
335
T154    Sign_symptom 3851 3859  swelling
336
E87 Sign_symptom:T154 
337
A11 POLARITY E87 NEG
338
T155    Biological_structure 3845 3850  brain
339
T156    Severity 3838 3844  severe
340
R84 MODIFY Arg1:T155 Arg2:E87   
341
R85 MODIFY Arg1:T156 Arg2:E87   
342
T157    Disease_disorder 3861 3884  intracranial hemorrhage
343
E88 Disease_disorder:T157 
344
A12 POLARITY E88 NEG
345
T158    Disease_disorder 3889 3908  cerebral infarction
346
E89 Disease_disorder:T158 
347
A13 POLARITY E89 NEG
348
T159    Disease_disorder 3938 3957  cerebral infarction
349
E90 Disease_disorder:T159 
350
A14 POLARITY E90 UNCERTAIN
351
T160    Time 3980 3995  within 24 hours
352
E91 Time:T160 
353
T161    Medication 3997 4011    glucocorticoid
354
E92 Medication:T161 
355
T162    Medication 4013 4021    mannitol
356
E93 Medication:T162 
357
T163    Medication 4029 4040    vasodilator
358
E94 Medication:T163 
359
T164    Diagnostic_procedure 4074 4092  laboratory results
360
E95 Diagnostic_procedure:T164 
361
T165    Diagnostic_procedure 4126 4135  functions
362
E96 Diagnostic_procedure:T165 
363
R86 SUB_PROCEDURE Arg1:E96 Arg2:E95 
364
T166    Biological_structure 4120 4125  renal
365
T167    Biological_structure 4109 4114  liver
366
T168    Biological_structure 4097 4107  blood cell
367
R87 MODIFY Arg1:T166 Arg2:E96   
368
R88 MODIFY Arg1:T167 Arg2:E96   
369
R89 MODIFY Arg1:T168 Arg2:E96   
370
T169    Lab_value 4144 4168 relatively normal ranges
371
R90 MODIFY Arg1:T169 Arg2:E96   
372
T170    Diagnostic_procedure 4174 4181  albumin
373
E97 Diagnostic_procedure:T170 
374
T171    Lab_value 4186 4192 33 g/L
375
R91 MODIFY Arg1:T171 Arg2:E97   
376
T172    Diagnostic_procedure 4198 4202  TBil
377
E98 Diagnostic_procedure:T172 
378
T173    Diagnostic_procedure 4228 4232  DBil
379
E99 Diagnostic_procedure:T173 
380
T174    Lab_value 4207 4218 13.3 μmol/L
381
T175    Lab_value 4237 4247 4.5 μmol/L
382
R92 MODIFY Arg1:T174 Arg2:E98   
383
R93 MODIFY Arg1:T175 Arg2:E99   
384
T176    Diagnostic_procedure 4249 4252  ALT
385
E100    Diagnostic_procedure:T176 
386
T177    Lab_value 4257 4263 12 U/L
387
R94 MODIFY Arg1:T177 Arg2:E100  
388
T178    Diagnostic_procedure 4273 4276  INR
389
E101    Diagnostic_procedure:T178 
390
T179    Lab_value 4304 4308 1.01
391
R95 MODIFY Arg1:T179 Arg2:E101  
392
T180    History 4325 4339   history of UGH
393
T181    Diagnostic_procedure 4356 4369  blood ammonia
394
E102    Diagnostic_procedure:T181 
395
T182    Diagnostic_procedure 4393 4416  fecal occult blood test
396
E103    Diagnostic_procedure:T182 
397
T183    Diagnostic_procedure 4421 4439  blood gas analysis
398
E104    Diagnostic_procedure:T183 
399
T184    Coreference 4445 4458   blood ammonia
400
E105    Coreference:T184 
401
T185    Coreference 4530 4553   fecal occult blood test
402
E106    Coreference:T185 
403
R96 IDENTICAL Arg1:E105 Arg2:E102   
404
R97 IDENTICAL Arg1:E106 Arg2:E103   
405
T186    Lab_value 4463 4471 elevated
406
T187    Lab_value 4473 4485 181.6 μmol/L
407
R98 MODIFY Arg1:T186 Arg2:E105  
408
R99 MODIFY Arg1:T187 Arg2:E105  
409
T188    Lab_value 4558 4566 positive
410
R100    MODIFY Arg1:T188 Arg2:E106  
411
T189    Disease_disorder 4661 4683  hepatic encephalopathy
412
E107    Disease_disorder:T189 
413
T190    Disease_disorder 4649 4652  UGH
414
E108    Disease_disorder:T190 
415
R101    CAUSE Arg1:E108 Arg2:E107   
416
T191    Medication 4716 4719    VPA
417
E109    Medication:T191 
418
T192    Administration 4735 4746    intravenous
419
R102    MODIFY Arg1:T192 Arg2:E109  
420
T193    Medication 4783 4792    Lactulose
421
E110    Medication:T193 
422
T194    Medication 4794 4803    vitamin B
423
E111    Medication:T194 
424
T195    Medication 4809 4819    L-arginine
425
E112    Medication:T195 
426
T196    Therapeutic_procedure 4839 4845 clysis
427
E113    Therapeutic_procedure:T196 
428
T197    Detailed_description 4851 4858  vinegar
429
R103    MODIFY Arg1:T197 Arg2:E113  
430
T198    Therapeutic_procedure 4894 4900 fasted
431
E114    Therapeutic_procedure:T198 
432
T199    Diagnostic_procedure 4916 4929  blood ammonia
433
E115    Diagnostic_procedure:T199 
434
T200    Lab_value 4936 4946 fluctuated
435
R104    MODIFY Arg1:T200 Arg2:E115  
436
T201    Lab_value 4948 4966 144.8–207.7 μmol/L
437
R105    MODIFY Arg1:T201 Arg2:E115  
438
T202    Sign_symptom 4986 4997  unconscious
439
E116    Sign_symptom:T202 
440
T203    Duration 5009 5025  following 3 days
441
E117    Duration:T203 
442
T204    Diagnostic_procedure 5081 5093  mental state
443
E118    Diagnostic_procedure:T204 
444
T205    Lab_value 5055 5063 progress
445
R106    MODIFY Arg1:T205 Arg2:E118  
446
T206    Diagnostic_procedure 5098 5111  blood ammonia
447
E119    Diagnostic_procedure:T206 
448
R107    MODIFY Arg1:T205 Arg2:E119  
449
T207    Clinical_event 5122 5157    held a multidisciplinary conference
450
E120    Clinical_event:T207 
451
T208    Disease_disorder 5318 5321  VHE
452
E121    Disease_disorder:T208 
453
#3  AnnotatorNotes E121 Valproate-induced hyperammonemic encephalopathy
454
T209    Diagnostic_procedure 5356 5365  blood VPA
455
E122    Diagnostic_procedure:T209 
456
T210    Lab_value 5387 5399 normal range
457
R108    MODIFY Arg1:T210 Arg2:E122  
458
T211    Medication 5420 5423    VPA
459
E123    Medication:T211 
460
A15 POLARITY E123 NEG
461
T212    Diagnostic_procedure 5605 5617  mental state
462
E124    Diagnostic_procedure:T212 
463
T213    Lab_value 5627 5634 improve
464
R109    MODIFY Arg1:T213 Arg2:E124  
465
T214    Time 5644 5658  first 24 hours
466
E125    Time:T214 
467
T215    Sign_symptom 5709 5722  consciousness
468
E126    Sign_symptom:T215 
469
T216    Detailed_description 5700 5708  complete
470
R110    MODIFY Arg1:T216 Arg2:E126  
471
T217    Date 5723 5738  within 48 hours
472
E127    Date:T217 
473
T218    Diagnostic_procedure 5740 5743  GCS
474
E128    Diagnostic_procedure:T218 
475
T219    Lab_value 5746 5748 15
476
R111    MODIFY Arg1:T219 Arg2:E128  
477
T220    Diagnostic_procedure 5755 5769  ammonia levels
478
E129    Diagnostic_procedure:T220 
479
T221    Biological_structure 5777 5782  blood
480
R112    MODIFY Arg1:T221 Arg2:E129  
481
T222    Lab_value 5783 5792 decreased
482
R113    MODIFY Arg1:T222 Arg2:E129  
483
T223    Lab_value 5822 5828 normal
484
R114    MODIFY Arg1:T223 Arg2:E129  
485
T224    Date 5829 5842  within 4 days
486
E130    Date:T224 
487
R115    MODIFY Arg1:E130 Arg2:T223  
488
T225    Date 5869 5875  day 15
489
E131    Date:T225 
490
T226    Clinical_event 5935 5945    discharged
491
E132    Clinical_event:T226 
492
T227    Sign_symptom 5954 5967  complications
493
E133    Sign_symptom:T227 
494
A16 POLARITY E133 NEG
495
T228    Clinical_event 5973 5982    follow-up
496
E134    Clinical_event:T228 
497
T229    Date 6011 6018  month 5
498
E135    Date:T229 
499
T230    Sign_symptom 6038 6051  consciousness
500
E136    Sign_symptom:T230 
501
T231    Detailed_description 6033 6037  full
502
R116    MODIFY Arg1:T231 Arg2:E136  
503
T232    Sign_symptom 6060 6070  recurrence
504
E137    Sign_symptom:T232 
505
A17 POLARITY E137 NEG
506
T233    Detailed_description 6078 6091  primary tumor
507
R117    MODIFY Arg1:T233 Arg2:E137  
508
T234    Diagnostic_procedure 6116 6119  GCS
509
E138    Diagnostic_procedure:T234 
510
T235    Lab_value 6130 6132 15
511
R118    MODIFY Arg1:T235 Arg2:E138  
512
T236    Diagnostic_procedure 6173 6202  quality of postoperative life
513
E139    Diagnostic_procedure:T236 
514
T237    Lab_value 6162 6172 satisfying
515
R119    MODIFY Arg1:T237 Arg2:E139  
516
*   OVERLAP E1 E2
517
R120    BEFORE Arg1:E2 Arg2:E3  
518
R121    AFTER Arg1:E3 Arg2:E4   
519
*   OVERLAP E4 E5
520
R122    BEFORE Arg1:E5 Arg2:E6  
521
*   OVERLAP E6 E7 E8 E9 E10 E11 E12
522
R123    AFTER Arg1:E12 Arg2:E13 
523
*   OVERLAP E13 E14
524
R124    BEFORE Arg1:E14 Arg2:E15    
525
*   OVERLAP E15 E16 E18 E20 E21 E22 E23 E24
526
R125    MODIFY Arg1:E21 Arg2:E20    
527
R126    BEFORE Arg1:E24 Arg2:E25    
528
R127    AFTER Arg1:E25 Arg2:E26 
529
*   OVERLAP E26 E27 E28 E29 E30 E31 E32 E33 E35 E37 E39 E41 E42 E43 E44
530
R128    BEFORE Arg1:E44 Arg2:E45    
531
*   OVERLAP E45 E46
532
R129    BEFORE Arg1:E46 Arg2:E48    
533
*   OVERLAP E48 E49
534
R130    BEFORE Arg1:E49 Arg2:E51    
535
*   OVERLAP E51 E50
536
R131    BEFORE Arg1:E50 Arg2:E52    
537
*   OVERLAP E52 E55 E53
538
R132    BEFORE Arg1:E53 Arg2:E56    
539
*   OVERLAP E56 E57 E58 E59 E60 E61 E62 E63 E64
540
R133    BEFORE Arg1:E64 Arg2:E65    
541
*   OVERLAP E65 E66
542
R134    BEFORE Arg1:E66 Arg2:E67    
543
R135    BEFORE Arg1:E67 Arg2:E68    
544
*   OVERLAP E68 E69 E70 E71 E72 E73
545
R136    BEFORE Arg1:E73 Arg2:E74    
546
*   OVERLAP E74 E75 E76 E77 E78 E79 E80 E81 E82 E83 E84 E85 E87 E88 E89
547
R137    BEFORE Arg1:E89 Arg2:E90    
548
*   OVERLAP E90 E91 E92 E93 E94 E95 E97 E98 E99 E100 E101 E102 E103 E104 E105 E106 E108 E107 E109
549
R138    BEFORE Arg1:E109 Arg2:E110  
550
*   OVERLAP E110 E111 E112 E113 E114
551
R139    BEFORE Arg1:E114 Arg2:E115  
552
*   OVERLAP E115 E116 E117
553
R140    BEFORE Arg1:E117 Arg2:E118  
554
*   OVERLAP E118 E119 E120
555
R141    BEFORE Arg1:E120 Arg2:E121  
556
*   OVERLAP E121 E122 E123
557
R142    BEFORE Arg1:E123 Arg2:E124  
558
*   OVERLAP E124 E125
559
R143    BEFORE Arg1:E125 Arg2:E126  
560
*   OVERLAP E126 E127 E128
561
R144    BEFORE Arg1:E128 Arg2:E129  
562
*   OVERLAP E129 E130
563
R145    BEFORE Arg1:E130 Arg2:E131  
564
*   OVERLAP E131 E132 E133
565
R146    BEFORE Arg1:E133 Arg2:E134  
566
*   OVERLAP E134 E135 E136 E137 E138 E139