{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T22:13:56Z","timestamp":1792188836295,"version":"4.4.0"},"reference-count":42,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,1,19]],"date-time":"2024-01-19T00:00:00Z","timestamp":1705622400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,1,19]],"date-time":"2024-01-19T00:00:00Z","timestamp":1705622400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100012940","name":"Universit\u00e4tsklinikum T\u00fcbingen","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100012940","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Acta Neurochir"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Purpose<\/jats:title>\n            <jats:p>Intraoperative neuromonitoring (IONM) aims to preserve facial nerve (FN) function during vestibular schwannoma (VS) surgery. However, current techniques such as facial nerve motor evoked potentials (FNMEP) or electromyography (fEMG) alone are limited in predicting postoperative facial palsy (FP). The objective of this study was to analyze a compound fEMG\/FNMEP approach.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>Intraoperative FNMEP amplitude and the occurrence of fEMG-based A-trains were prospectively determined for the orbicularis oris (ORI) and oculi (OCU) muscle in 322 VS patients. Sensitivity and specificity of techniques to predict postoperative FN function were calculated. Confounding factors as tumor size, volume of intracranial air, or IONM duration were analyzed.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>A relevant immediate postoperative FP was captured in 105\/322 patients with a significant higher risk in large VS. While fEMG demonstrated a high sensitivity (77% and 86% immediately and 15 month postoperative, respectively) for identifying relevant FP, specificity was low. In contrast, FNMEP have a significantly higher specificity of 80.8% for predicting postoperative FP, whereas the sensitivity is low. A retrospective combination of techniques demonstrated still an incorrect prediction of FP in ~ 1\/3 of patients.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>FNMEP and fEMG differ in sensitivity and specificity to predict postoperative FP. Although a combination of IONM techniques during VS surgery may improve prediction of FN function, current techniques are still inaccurate. Further development is necessary to improve IONM approaches for FP prediction.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00701-024-05927-0","type":"journal-article","created":{"date-parts":[[2024,1,19]],"date-time":"2024-01-19T05:02:19Z","timestamp":1705640539000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Predictive value of facial motor\u2013evoked potential and electromyography for facial motor function in vestibular schwannoma surgery"],"prefix":"10.1007","volume":"166","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5350-4574","authenticated-orcid":false,"given":"Kathrin","family":"Machetanz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Roegele","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marina","family":"Liebsch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Oberle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eliane","family":"Weinbrenner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mykola","family":"Gorbachuk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie S.","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcos","family":"Tatagiba","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgios","family":"Naros","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,1,19]]},"reference":[{"key":"5927_CR1","doi-asserted-by":"publisher","unstructured":"Acioly MA, Liebsch M, Carvalho CH, Gharabaghi A, Tatagiba M (2010) Transcranial electrocortical stimulation to monitor the facial nerve motor function during cerebellopontine angle surgery. Neurosurgery. https:\/\/doi.org\/10.1227\/01.neu.0000369654.41677.b7","DOI":"10.1227\/01.neu.0000369654.41677.b7"},{"issue":"5","key":"5927_CR2","doi-asserted-by":"publisher","first-page":"1077","DOI":"10.1007\/s00701-011-0960-2","volume":"153","author":"MA Acioly","year":"2011","unstructured":"Acioly MA, Ebner FH, Hauser TK, Liebsch M, Carvalho CH, Gharabaghi A, Tatagiba M (2011) The impact of subdural air collection on intraoperative motor and somatosensory evoked potentials: Fact or myth? Acta Neurochir 153(5):1077\u20131085","journal-title":"Acta Neurochir"},{"issue":"6","key":"5927_CR3","doi-asserted-by":"publisher","first-page":"1169","DOI":"10.1007\/s00701-011-0995-4","volume":"153","author":"MA Acioly","year":"2011","unstructured":"Acioly MA, Gharabaghi A, Liebsch M, Carvalho CH, Aguiar PH, Tatagiba M (2011) Quantitative parameters of facial motor evoked potential during vestibular schwannoma surgery predict postoperative facial nerve function. Acta Neurochir 153(6):1169\u20131179","journal-title":"Acta Neurochir"},{"key":"5927_CR4","doi-asserted-by":"publisher","unstructured":"Acioly MA, Liebsch M, De Aguiar PHP, Tatagiba M (2013) Facial nerve monitoring during cerebellopontine angle and skull base tumor surgery: a systematic review from description to current success on function prediction. World Neurosurg. https:\/\/doi.org\/10.1016\/j.wneu.2011.09.026","DOI":"10.1016\/j.wneu.2011.09.026"},{"key":"5927_CR5","doi-asserted-by":"publisher","unstructured":"Akagami R, Dong CCJ, Westerberg BD (2005) Localized transcranial electrical motor evoked potentials for monitoring cranial nerves in cranial base surgery. Neurosurgery. https:\/\/doi.org\/10.1227\/01.NEU.0000163486.93702.95","DOI":"10.1227\/01.NEU.0000163486.93702.95"},{"issue":"5","key":"5927_CR6","doi-asserted-by":"publisher","first-page":"1059","DOI":"10.1007\/s00701-010-0937-6","volume":"153","author":"M Amano","year":"2011","unstructured":"Amano M, Kohno M, Nagata O, Taniguchi M, Sora S, Sato H (2011) Intraoperative continuous monitoring of evoked facial nerve electromyograms in acoustic neuroma surgery. Acta Neurochir 153(5):1059\u20131067","journal-title":"Acta Neurochir"},{"issue":"8","key":"5927_CR7","doi-asserted-by":"publisher","first-page":"1162","DOI":"10.1097\/MAO.0000000000001137","volume":"37","author":"SK Bhimrao","year":"2016","unstructured":"Bhimrao SK, Le TN, Dong CC, Makarenko S, Wongprasartsuk S, Westerberg BD, Akagami R (2016) Role of facial nerve motor-evoked potential ratio in predicting facial nerve function in vestibular Schwannoma surgery both immediate and at 1 year. Otol Neurotol 37(8):1162\u20131167","journal-title":"Otol Neurotol"},{"issue":"4","key":"5927_CR8","doi-asserted-by":"publisher","first-page":"317","DOI":"10.1055\/s-0040-1719026","volume":"82","author":"N Bovo","year":"2021","unstructured":"Bovo N, Momjian S, Gondar R, Bijlenga P, Schaller K, Bo\u00ebx C (2021) Sensitivity and negative predictive value of motor evoked potentials of the facial nerve. J Neurol Surg A Cent Eur Neurosurg 82(4):317\u2013324","journal-title":"J Neurol Surg A Cent Eur Neurosurg"},{"key":"5927_CR9","doi-asserted-by":"publisher","unstructured":"Butler AJ, Kahn S, Wolf SL, Weiss P (2005) Finger extensor variability in TMS parameters among chronic stroke patients. J Neuroeng Rehabil. https:\/\/doi.org\/10.1186\/1743-0003-2-10","DOI":"10.1186\/1743-0003-2-10"},{"issue":"2 SUPPL.1","key":"5927_CR10","first-page":"124","volume":"60","author":"A Gharabaghi","year":"2007","unstructured":"Gharabaghi A, Samii A, Koerbel A, Rosahl SK, Tatagiba M, Samii M (2007) Preservation of function in vestibular schwannoma surgery. Neurosurgery 60(2 SUPPL.1):124\u2013128","journal-title":"Neurosurgery"},{"issue":"1","key":"5927_CR11","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1097\/00129492-200501000-00021","volume":"26","author":"AB Grayeli","year":"2005","unstructured":"Grayeli AB, Guindi S, Kalamarides M, El Garem H, Smail M, Rey A, Sterkers O (2005) Four-channel electromyography of the facial nerve in vestibular schwannoma surgery: Sensitivity and prognostic value for short-term facial function outcome. Otol Neurotol 26(1):114\u2013120","journal-title":"Otol Neurotol"},{"key":"5927_CR12","doi-asserted-by":"publisher","unstructured":"Greve T, Wang L, Katzendobler S, Geyer LL, Schichor C, Tonn JC, Szel\u00e9nyi A (2021) Bilateral and optimistic warning paradigms improve the predictive power of intraoperative facial motor evoked potentials during vestibular schwannoma surgery. Cancers (Basel). https:\/\/doi.org\/10.3390\/cancers13246196","DOI":"10.3390\/cancers13246196"},{"issue":"3","key":"5927_CR13","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1111\/j.1365-2273.1996.tb01733.x","volume":"21","author":"PL Grey","year":"1996","unstructured":"Grey PL, Moffat DA, Hardy DG (1996) Surgical results in unusual cerebellopontine angle tumours. Clin Otolaryngol Allied Sci 21(3):237\u2013243","journal-title":"Clin Otolaryngol Allied Sci"},{"issue":"4","key":"5927_CR14","doi-asserted-by":"publisher","first-page":"864","DOI":"10.1016\/j.clinph.2020.12.025","volume":"132","author":"R Hiruta","year":"2021","unstructured":"Hiruta R, Sato T, Itakura T, Fujii M, Sakuma J, Bakhit M, Kojima T, Ichikawa M, Iwatate K, Saito K (2021) Intraoperative transcranial facial motor evoked potential monitoring in surgery of cerebellopontine angle tumors predicts early and late postoperative facial nerve function. Clin Neurophysiol 132(4):864\u2013871","journal-title":"Clin Neurophysiol"},{"key":"5927_CR15","doi-asserted-by":"publisher","unstructured":"Hostettler IC, Jayashankar N, Bikis C et al (2021) Clinical studies and pre-clinical animal models on facial nerve preservation, reconstruction, and regeneration following cerebellopontine angle tumor surgery\u2014a systematic review and future perspectives. Front Bioeng Biotechnol. https:\/\/doi.org\/10.3389\/fbioe.2021.659413","DOI":"10.3389\/fbioe.2021.659413"},{"issue":"5","key":"5927_CR16","first-page":"888","volume":"47","author":"ES Kappenman","year":"2010","unstructured":"Kappenman ES, Luck SJ (2010) The effects of electrode impedance on data quality and statistical significance in ERP recordings. Psychophysiology 47(5):888\u2013904","journal-title":"Psychophysiology"},{"issue":"3","key":"5927_CR17","doi-asserted-by":"publisher","first-page":"240","DOI":"10.1080\/026886900408432","volume":"14","author":"TH Kombos","year":"2000","unstructured":"Kombos TH, Suess O, Pietil\u00e4 T, Brock M (2000) Subdural air limits the elicitation of compound muscle action potentials by high-frequency transcranial electrical stimulation. Br J Neurosurg 14(3):240\u2013243","journal-title":"Br J Neurosurg"},{"issue":"11","key":"5927_CR18","doi-asserted-by":"publisher","first-page":"2629","DOI":"10.1007\/s00701-020-04504-5","volume":"162","author":"K Machetanz","year":"2020","unstructured":"Machetanz K, Leuze F, Mounts K, Trakolis L, Gugel I, Grimm F, Tatagiba M, Naros G (2020) Occurrence and management of postoperative pneumocephalus using the semi-sitting position in vestibular schwannoma surgery. Acta Neurochir 162(11):2629\u20132636","journal-title":"Acta Neurochir"},{"key":"5927_CR19","doi-asserted-by":"publisher","unstructured":"Machetanz K, Gallotti AL, Leao Tatagiba MT, Liebsch M, Trakolis L, Wang S, Tatagiba M, Gharabaghi A, Naros G (2021) Time-frequency representation of motor evoked potentials in brain tumor patients. Front Neurol. https:\/\/doi.org\/10.3389\/fneur.2020.633224","DOI":"10.3389\/fneur.2020.633224"},{"issue":"11","key":"5927_CR20","doi-asserted-by":"publisher","first-page":"2780","DOI":"10.1016\/j.clinph.2021.07.024","volume":"132","author":"K Machetanz","year":"2021","unstructured":"Machetanz K, Wiesinger L, Leao MT, Liebsch M, Trakolis L, Wang S, Gharabaghi A, Tatagiba M, Naros G (2021) Interhemispheric differences in time-frequency representation of motor evoked potentials in brain tumor patients. Clin Neurophysiol 132(11):2780\u20132788","journal-title":"Clin Neurophysiol"},{"key":"5927_CR21","doi-asserted-by":"publisher","first-page":"1152833","DOI":"10.3389\/fonc.2023.1152833","volume":"13","author":"K Machetanz","year":"2023","unstructured":"Machetanz K, Lee L, Wang SS, Tatagiba M, Naros G (2023) Trading mental and physical health in vestibular schwannoma treatment decision. Front Oncol 13:1152833","journal-title":"Front Oncol"},{"issue":"10","key":"5927_CR22","doi-asserted-by":"publisher","first-page":"872","DOI":"10.1016\/j.clineuro.2011.06.011","volume":"113","author":"C Matthies","year":"2011","unstructured":"Matthies C, Raslan F, Schweitzer T, Hagen R, Roosen K, Reiners K (2011) Facial motor evoked potentials in cerebellopontine angle surgery: technique, pitfalls and predictive value. Clin Neurol Neurosurg 113(10):872\u2013879","journal-title":"Clin Neurol Neurosurg"},{"issue":"1","key":"5927_CR23","doi-asserted-by":"publisher","first-page":"28","DOI":"10.1016\/S0936-6555(05)80632-6","volume":"7","author":"DA Moffat","year":"1995","unstructured":"Moffat DA, Ballagh RH (1995) Rare tumours of the cerebellopontine angle. Clin Oncol 7(1):28\u201341","journal-title":"Clin Oncol"},{"key":"5927_CR24","doi-asserted-by":"publisher","unstructured":"Naros G, Machetanz K, Leao MT, Wang S, Tatagiba M, Gharabaghi A (2022) Impaired phase synchronization of motor-evoked potentials reflects the degree of motor dysfunction in the lesioned human brain. Hum Brain Mapp. https:\/\/doi.org\/10.1002\/hbm.25812","DOI":"10.1002\/hbm.25812"},{"issue":"4","key":"5927_CR25","doi-asserted-by":"publisher","first-page":"728","DOI":"10.1097\/01.mao.0000178137.81729.35","volume":"26","author":"BA Neff","year":"2005","unstructured":"Neff BA, Ting J, Dickinson SL, Welling DB (2005) Facial nerve monitoring parameters as a predictor of postoperative facial nerve outcomes after vestibular schwannoma resection. Otol Neurotol 26(4):728\u2013732","journal-title":"Otol Neurotol"},{"issue":"5","key":"5927_CR26","doi-asserted-by":"publisher","first-page":"498","DOI":"10.1097\/00007632-199205000-00005","volume":"17","author":"J Oro","year":"1992","unstructured":"Oro J, Haghighi SS (1992) Effects of altering core body temperature on somatosensory and motor evoked potentials in rats. Spine (Phila Pa 1976) 17(5):498\u2013503","journal-title":"Spine (Phila Pa 1976)"},{"issue":"3","key":"5927_CR27","doi-asserted-by":"publisher","first-page":"392","DOI":"10.1097\/00006123-198609000-00010","volume":"19","author":"RL Prass","year":"1986","unstructured":"Prass RL, L\u00fcders H (1986) Acoustic (loudspeaker) facial electromyographic monitoring. Neurosurgery 19(3):392\u2013400","journal-title":"Neurosurgery"},{"issue":"6","key":"5927_CR28","doi-asserted-by":"publisher","first-page":"541","DOI":"10.1177\/019459988709700605","volume":"97","author":"RL Prass","year":"1987","unstructured":"Prass RL, Kinney SE, Hardy RW, Hahn JF, Luders H (1987) Acoustic (loudspeaker) facial EMG monitoring: II. Use of evoked EMG activity during acoustic neuroma resection. Otolaryngol Head Neck Surg 97(6):541\u2013551","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"5","key":"5927_CR29","doi-asserted-by":"publisher","first-page":"826","DOI":"10.3171\/jns.2007.106.5.826","volume":"106","author":"J Prell","year":"2007","unstructured":"Prell J, Rampp S, Romst\u00f6ck J, Fahlbusch R, Strauss C (2007) Train time as a quantitative electromyographic parameter for facial nerve function in patients undergoing surgery for vestibular schwannoma. J Neurosurg 106(5):826\u2013832","journal-title":"J Neurosurg"},{"issue":"6","key":"5927_CR30","doi-asserted-by":"publisher","first-page":"1064","DOI":"10.1227\/01.NEU.0000369605.79765.3E","volume":"66","author":"J Prell","year":"2010","unstructured":"Prell J, Rachinger J, Scheller C, Alfieri A, Strauss C, Rampp S (2010) A real-time monitoring system for the facial nerve. Neurosurgery 66(6):1064\u20131073","journal-title":"Neurosurgery"},{"issue":"5","key":"5927_CR31","doi-asserted-by":"publisher","first-page":"404","DOI":"10.1007\/s00106-017-0340-1","volume":"65","author":"J Prell","year":"2017","unstructured":"Prell J, Strauss C, Plontke SK, Rampp S (2017) Intraoperative Funktions\u00fcberwachung des N. facialis: Operationen an Vestibularisschwannomen. HNO 65(5):404\u2013412","journal-title":"HNO"},{"key":"5927_CR32","doi-asserted-by":"publisher","first-page":"e359","DOI":"10.1016\/j.wneu.2021.09.064","volume":"156","author":"L Rauschenbach","year":"2021","unstructured":"Rauschenbach L, Santos AN, Dinger TF et al (2021) Predictive value of intraoperative neuromonitoring in brainstem cavernous malformation surgery. World Neurosurg 156:e359\u2013e373","journal-title":"World Neurosurg"},{"issue":"4","key":"5927_CR33","doi-asserted-by":"publisher","first-page":"586","DOI":"10.3171\/jns.2000.93.4.0586","volume":"93","author":"J Romst\u00f6ck","year":"2000","unstructured":"Romst\u00f6ck J, Strauss C, Fahlbusch R (2000) Continuous electromyography monitoring of motor cranial nerves during cerebellopontine angle surgery. J Neurosurg 93(4):586\u2013593","journal-title":"J Neurosurg"},{"key":"5927_CR34","doi-asserted-by":"publisher","unstructured":"Sarnthein J, Hejrati N, Neidert MC, Huber AM, Krayenb\u00fchl N (2013) Facial nerve motor evoked potentials during skull base surgery to monitor facial nerve function using the threshold-level method. Neurosurg Focus. https:\/\/doi.org\/10.3171\/2012.12.FOCUS12386","DOI":"10.3171\/2012.12.FOCUS12386"},{"issue":"1","key":"5927_CR35","doi-asserted-by":"publisher","first-page":"206","DOI":"10.3171\/2012.10.JNS12915","volume":"118","author":"WR Schmitt","year":"2013","unstructured":"Schmitt WR, Daube JR, Carlson ML, Mandrekar JN, Beatty CW, Neff BA, Driscoll CL, Link MJ (2013) Use of supramaximal stimulation to predict facial nerve outcomes following vestibular schwannoma microsurgery: results from a decade of experience - Clinical article. J Neurosurg 118(1):206\u2013212","journal-title":"J Neurosurg"},{"issue":"1","key":"5927_CR36","doi-asserted-by":"publisher","first-page":"241","DOI":"10.1007\/s10143-018-1044-z","volume":"43","author":"K Seidel","year":"2020","unstructured":"Seidel K, Biner MS, Zubak I, Rychen J, Beck J, Raabe A (2020) Continuous dynamic mapping to avoid accidental injury of the facial nerve during surgery for large vestibular schwannomas. Neurosurg Rev 43(1):241\u2013248","journal-title":"Neurosurg Rev"},{"key":"5927_CR37","doi-asserted-by":"publisher","unstructured":"Song H, Ma C, Xu D, Yu M, Feng J, Sun L (2018) Prognostic value of transcranial facial nerve motor-evoked potentials in predicting facial nerve function following cerebellopontine angle tumorectomy. Medicine (Baltimore). https:\/\/doi.org\/10.1097\/MD.0000000000012576","DOI":"10.1097\/MD.0000000000012576"},{"issue":"4","key":"5927_CR38","doi-asserted-by":"publisher","first-page":"217","DOI":"10.1055\/s-2007-1016959","volume":"18","author":"JB Springborg","year":"2008","unstructured":"Springborg JB, Poulsgaard L, Thomsen J (2008) Nonvestibular schwannoma tumors in the cerebellopontine angle: a structured approach and management guidelines. Skull Base 18(4):217\u2013228","journal-title":"Skull Base"},{"key":"5927_CR39","doi-asserted-by":"publisher","unstructured":"Starnoni D, Giammattei L, Cossu G et al  Surgical management for large vestibular schwannomas: a systematic review, meta-analysis, and consensus statement on behalf of the EANS skull base section. https:\/\/doi.org\/10.1007\/s00701-020-04491-7\/Published","DOI":"10.1007\/s00701-020-04491-7\/Published"},{"issue":"2","key":"5927_CR40","doi-asserted-by":"publisher","first-page":"421","DOI":"10.1007\/s00701-013-1915-6","volume":"156","author":"M Tatagiba","year":"2014","unstructured":"Tatagiba M, Roser F, Schuhmann MU, Ebner FH (2014) Vestibular schwannoma surgery via the retrosigmoid transmeatal approach. Acta Neurochir 156(2):421\u2013425 discussion 425","journal-title":"Acta Neurochir"},{"key":"5927_CR41","doi-asserted-by":"publisher","unstructured":"Tawfik KO, Walters ZA, Kohlberg GD, Lipschitz N, Breen JT, O\u2019Neal K, Zuccarello M, Samy RN (2019) Impact of motor-evoked potential monitoring on facial nerve outcomes after vestibular schwannoma resection. Ann Otol Rhinol Laryngol. https:\/\/doi.org\/10.1177\/0003489418803969","DOI":"10.1177\/0003489418803969"},{"issue":"11","key":"5927_CR42","doi-asserted-by":"publisher","first-page":"477","DOI":"10.2176\/nmc.tn.2018-0149","volume":"58","author":"K Torihashi","year":"2018","unstructured":"Torihashi K, Sora S, Sato H, Kohno M (2018) The method for placement of an intraoperative continuous facial nerve stimulating electrode in acoustic neuroma surgery: Technical note. Neurol Med Chir (Tokyo) 58(11):477\u2013480","journal-title":"Neurol Med Chir (Tokyo)"}],"container-title":["Acta Neurochirurgica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00701-024-05927-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00701-024-05927-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00701-024-05927-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T20:53:50Z","timestamp":1740171230000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00701-024-05927-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,19]]},"references-count":42,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["5927"],"URL":"https:\/\/doi.org\/10.1007\/s00701-024-05927-0","relation":{},"ISSN":["0942-0940"],"issn-type":[{"value":"0942-0940","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,19]]},"assertion":[{"value":"6 November 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 January 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 January 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study was approved by the local ethics committee of the Eberhard Karls University Tuebingen.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate and consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"23"}}