{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T05:05:03Z","timestamp":1789967103933,"version":"4.0.1"},"reference-count":12,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T00:00:00Z","timestamp":1789430400000},"content-version":"vor","delay-in-days":76,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia Reports"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>We present the case of a 28\u2010year\u2010old woman who developed lower back pain and right\u2010sided lower limb paraesthesia 2\u2009weeks after an uncomplicated vaginal birth at term facilitated by epidural analgesia for labour. Initial assessment suggested postpartum nerve injury and a locally developed flow chart for the management of postpartum neurological symptoms was used to guide investigation. Urgent magnetic resonance imaging revealed widespread spinal and systemic lesions consistent with metastatic disease. Subsequent markedly elevated human chorionic gonadotropin confirmed a diagnosis of postpartum choriocarcinoma. Early recognition of red flag symptoms and adherence to a structured pathway enabled rapid diagnosis and timely oncological management.<\/jats:p>","DOI":"10.1002\/anr3.70104","type":"journal-article","created":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T09:13:41Z","timestamp":1789463621000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Spinal metastases from choriocarcinoma presenting with neurological symptoms suggestive of neuraxial complication in the postpartum period*"],"prefix":"10.1002","volume":"14","author":[{"given":"I. E.","family":"Roberts","sequence":"first","affiliation":[{"name":"Health Education and Improvement Wales, Ty Dysgu  Nantgarw Wales"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I.","family":"Volikas","sequence":"additional","affiliation":[{"name":"Ysbyty Glan Clwyd  Bodelwyddan Wales"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,15]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/JWH.0000000000000006"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000542\u2010200608000\u201000023"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mpaic.2016.05.006"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1054\/ijoa.1999.0347"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/64.5.537"},{"key":"e_1_2_6_7_1","first-page":"1","article-title":"Peripartum neurological injury","volume":"462","author":"Hennessy MM","year":"2021","journal-title":"ATOTW"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.3340\/jkns.2010.47.2.143"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525\u20101438.2007.00934.x"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/cco.0b013e3282dc94e5"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/brs.0b013e3181a98746"},{"key":"e_1_2_6_12_1","first-page":"208","article-title":"\u2018Metastatic invasive mole\u2019 causing paraplegia","volume":"36","author":"Jayaprakash PG","year":"1999","journal-title":"Indian J Cancer"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/md.0000000000032742"}],"container-title":["Anaesthesia Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/anr3.70104","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/anr3.70104","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/anr3.70104","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T04:40:21Z","timestamp":1789965621000},"score":1,"resource":{"primary":{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/10.1002\/anr3.70104"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":12,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1002\/anr3.70104"],"URL":"https:\/\/doi.org\/10.1002\/anr3.70104","archive":["Portico"],"relation":{},"ISSN":["2637-3726","2637-3726"],"issn-type":[{"value":"2637-3726","type":"print"},{"value":"2637-3726","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"2026-09-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70104"}}