{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T22:12:24Z","timestamp":1778278344038,"version":"3.51.4"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,11,28]],"date-time":"2024-11-28T00:00:00Z","timestamp":1732752000000},"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":[[2025,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>Guidewire localization in breast conserving procedures is commonly performed. Although it is a relatively safe procedure, there are atypical complications that may occur. Here, we highlight a rare case of guidewire migration, affecting both the brain and spine.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>This is the case of a 59-year-old female who underwent guidewire localization for a non-palpable breast mass nine (9) months prior to presentation to the neurosurgery outpatient clinic. At the time of the breast conserving procedure, the initial guidewire inserted could not be located, and a second one was placed. She presented with a one-month history of progressively worsening quadriparesis and headaches. Investigative imaging demonstrated the presence of a guidewire running along the cervical spinal canal and terminating in the left cerebellar hemisphere. She was monitored closely, with varied surgical interventions being considered. Auspiciously, she demonstrated resolution of her symptoms during this time and has remained clinically stable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>Guidewire localization is generally described as a simple, low-risk procedure. However, the associated impact of cases of migration to distal sites may be detrimental, affecting patient outcomes. There are critical steps that must be taken to avoid mishaps.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This is an extremely rare case of guidewire migration involving the central nervous system. It is essential that when guidewires are not located following insertion, further investigations are carried out to ensure that it is no longer in situ. This will avoid delayed presentations, with considerable associated morbidity and mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.110701","type":"journal-article","created":{"date-parts":[[2024,11,29]],"date-time":"2024-11-29T03:06:47Z","timestamp":1732849607000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["A rare case of guidewire migration to central nervous system. A surgical case report"],"prefix":"10.1097","volume":"126","author":[{"given":"Chrystal","family":"Calderon","sequence":"first","affiliation":[{"name":"Eric Williams Medical Sciences Complex, Mount Hope, Trinidad and Tobago"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nishana","family":"Singh","sequence":"additional","affiliation":[{"name":"Eric Williams Medical Sciences Complex, Mount Hope, Trinidad and Tobago"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vanessa","family":"Ramoutar","sequence":"additional","affiliation":[{"name":"Eric Williams Medical Sciences Complex, Mount Hope, Trinidad and Tobago"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Ramcharan","sequence":"additional","affiliation":[{"name":"Port of Spain General Hospital, Port of Spain, Trinidad and Tobago"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Devindra","family":"Ramnarine","sequence":"additional","affiliation":[{"name":"Eric Williams Medical Sciences Complex, Mount Hope, Trinidad and Tobago"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"issue":"5","key":"R1-59-20260508","doi-asserted-by":"crossref","DOI":"10.1007\/s00270-009-9620-9","article-title":"Migration of guidewire after surgical breast biopsy: an unusual case report","volume":"32","author":"Seifi","year":"2009","journal-title":"Cardiovasc. Intervent. Radiol."},{"issue":"6","key":"R2-59-20260508","doi-asserted-by":"crossref","DOI":"10.1016\/j.athoracsur.2008.10.069","article-title":"Thoracoscopic management of a pericardial migration of a breast biopsy localization wire","volume":"87","author":"Azoury","year":"2009","journal-title":"Ann. Thorac. Surg."},{"issue":"1","key":"R3-59-20260508","doi-asserted-by":"crossref","DOI":"10.1080\/02841850510015956","article-title":"Migration of the breast biopsy localization wire to the pulmonary hilus","volume":"46","author":"Banitalebi","year":"2005","journal-title":"Acta Radiol."},{"issue":"5","key":"R4-59-20260508","doi-asserted-by":"crossref","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi","year":"2023","journal-title":"Int. J. Surg."},{"key":"R5-59-20260508","first-page":"14","article-title":"Wire- and ultrasound-guided localization: a novel technique for excision of nonpalpable breast tumors","author":"Khare","year":"2020","journal-title":"Breast Cancer (Auckl.)"},{"key":"R6-59-20260508","article-title":"Comparison of wire and non-wire localisation techniques in breast cancer surgery: a review of the literature with pooled analysis","volume":"59","author":"Shirazi","year":"2023","journal-title":"Medicina (Lithuania)"},{"issue":"5","key":"R7-59-20260508","article-title":"Diagnostic value of hook wire localization technique for non-palpable breast lesions","volume":"8","author":"Demiral","year":"2016","journal-title":"J. Clin. Med. Res."},{"issue":"26","key":"R9-59-20260508","doi-asserted-by":"crossref","DOI":"10.12998\/wjcc.v9.i26.7863","article-title":"Migration of the localization wire to the back in patient with nonpalpable breast carcinoma: a case report","volume":"9","author":"Choi","year":"2021","journal-title":"World J. Clin. Cases"},{"issue":"3","key":"R10-59-20260508","doi-asserted-by":"crossref","DOI":"10.1080\/02841850410003085","article-title":"Unusual migration in abdomen of a wire for surgical localization of breast lesions","volume":"45","author":"Grassi","year":"2004","journal-title":"Acta Radiol."},{"issue":"3","key":"R11-59-20260508","doi-asserted-by":"crossref","DOI":"10.1016\/j.radcr.2021.11.030","article-title":"Delayed diagnosis of a retained guidewire after bedside femoral venous catheter insertion: a preventable complication","volume":"17","author":"Almehmi","year":"2022","journal-title":"Radiol Case Rep."},{"key":"R12-59-20260508","doi-asserted-by":"crossref","DOI":"10.1016\/j.jvir.2018.05.004","article-title":"Retained guide wire migrates into the brain","volume":"29","author":"Wang","year":"2018","journal-title":"J. Vasc. Interv. Radiol."}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261224014822?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261224014822?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2024.110701","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T22:01:40Z","timestamp":1778277700000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2024.110701"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":11,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2024.110701","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2024-09-16","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-28","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}