{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T15:08:32Z","timestamp":1776784112752,"version":"3.51.2"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,9,9]],"date-time":"2024-09-09T00:00:00Z","timestamp":1725840000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>Sacral spinal gangliogliomas, rare WHO grade I tumors, present a surgical challenge due to their proximity to critical nerve roots. Symptoms often include lower back pain, sciatica, and bladder dysfunction. Diagnosis is confirmed through MRI and biopsy, with surgical resection being the primary treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A 66-year-old woman presented with left lower limb pain and weakness. MRI showed an intradural lesion at the left S1 root. She underwent surgery, resulting in near-total tumor resection. Postoperatively, she was pain-free and ambulatory. Pathology confirmed a ganglioglioma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>Initially suspected as a disc herniation, MRI indicated a schwannoma-like lesion, but surgery and pathology revealed a ganglioglioma. Total resection was challenging due to the tumor's neural adherence. Radiotherapy and chemotherapy are generally not used for low-grade gangliogliomas.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Treating sacral spinal gangliogliomas requires precise surgery and a multidisciplinary approach. Accurate diagnosis and careful planning are essential for minimizing neurological risks and improving patient outcomes. Continued research is crucial for advancing treatment strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Graphical abstract<\/jats:title>\n                    <jats:p>JOURNAL\/ijscr\/04.03\/01612930-202411000-00003\/figure1\/v\/2026-04-21T125233Z\/r\/image-jpeg<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.110269","type":"journal-article","created":{"date-parts":[[2024,9,12]],"date-time":"2024-09-12T21:15:28Z","timestamp":1726175728000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["A ganglioglioma versus a schwannoma: Which is in the sacral spine?"],"prefix":"10.1097","volume":"124","author":[{"given":"Ali","family":"Msheik","sequence":"first","affiliation":[{"name":"Neurological Surgery, Lebanese University, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elie","family":"Fahed","sequence":"additional","affiliation":[{"name":"Assistant Professor of Neurosurgery, Bellevue Medical Center, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Delivrance","family":"Sebaaly","sequence":"additional","affiliation":[{"name":"Surgical Pathology, Faculty of Medical Sciences, Lebanese University, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerard","family":"Abadjian","sequence":"additional","affiliation":[{"name":"Surgical Pathology, Lebanese Hospital Geitaoui, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philippe","family":"Younes","sequence":"additional","affiliation":[{"name":"Head of Neurosurgery Department, Faculty of Medical Sciences, Lebanese University, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"issue":"5","key":"R1-3-20260421","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0233623","article-title":"Differentiating between spinal schwannomas and meningiomas using MRI: a focus on cystic change","volume":"15","author":"Lee,","year":"2020","journal-title":"PloS One"},{"issue":"6","key":"R2-3-20260421","doi-asserted-by":"crossref","first-page":"1721","DOI":"10.1148\/radiographics.20.6.g00nv151721","article-title":"Neoplasms of the spinal cord and filum terminale: radiologic-pathologic correlation","volume":"20","author":"Koeller,","year":"2000","journal-title":"Radiographics"},{"issue":"1","key":"R3-3-20260421","doi-asserted-by":"crossref","first-page":"34","DOI":"10.2214\/AJR.10.7311","article-title":"Radiologic-pathologic correlation of pediatric and adolescent spinal neoplasms: part 1, intramedullary spinal neoplasms","volume":"198","author":"Smith,","year":"2012","journal-title":"AJR Am. 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Neurosurg."},{"issue":"22","key":"R5-3-20260421","doi-asserted-by":"crossref","first-page":"2940","DOI":"10.1097\/00007632-200011150-00017","article-title":"The oswestry disability index","volume":"25","author":"Fairbank,","year":"2000","journal-title":"Spine (Phila Pa 1976)"},{"issue":"6","key":"R6-3-20260421","first-page":"488","article-title":"Entwicklung und Validierung des VAS-Wirbels\u00e4ulenscores [Development and validation of the Visual Analogue Scale (VAS) Spine Score]","volume":"104","author":"Knop,","year":"2001","journal-title":"Unfallchirurg"},{"issue":"1","key":"R7-3-20260421","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1002\/cam4.3577","article-title":"Low-grade gangliogliomas in adults: a population-based study","volume":"10","author":"Lin,","year":"2021","journal-title":"Cancer Med."},{"issue":"2","key":"R8-3-20260421","doi-asserted-by":"crossref","first-page":"49","DOI":"10.14791\/btrt.2014.2.2.49","article-title":"Treatment and outcomes for gangliogliomas: a single-center review of 16 patients","volume":"2","author":"Song,","year":"2014","journal-title":"Brain Tumor Res. 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Engl."}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261224010502?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261224010502?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2024.110269","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T14:05:07Z","timestamp":1776780307000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2024.110269"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11]]},"references-count":11,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2024.110269","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2024,11]]},"assertion":[{"value":"2024-07-18","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-06","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}