{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T10:55:10Z","timestamp":1792666510559,"version":"4.5.0"},"reference-count":38,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2018,12,1]],"date-time":"2018-12-01T00:00:00Z","timestamp":1543622400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2018,12,1]],"date-time":"2018-12-01T00:00:00Z","timestamp":1543622400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2018,12,1]],"date-time":"2018-12-01T00:00:00Z","timestamp":1543622400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2018,12,1]],"date-time":"2018-12-01T00:00:00Z","timestamp":1543622400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2018,12,1]],"date-time":"2018-12-01T00:00:00Z","timestamp":1543622400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2018,12,1]],"date-time":"2018-12-01T00:00:00Z","timestamp":1543622400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2018,12,1]],"date-time":"2018-12-01T00:00:00Z","timestamp":1543622400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["World Neurosurgery"],"published-print":{"date-parts":[[2018,12]]},"DOI":"10.1016\/j.wneu.2018.09.055","type":"journal-article","created":{"date-parts":[[2018,9,20]],"date-time":"2018-09-20T01:32:10Z","timestamp":1537407130000},"page":"e1289-e1294","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":35,"special_numbering":"C","title":["Surgical Treatment for Primary Brainstem Hemorrhage to Improve Postoperative Functional Outcomes"],"prefix":"10.1016","volume":"120","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1950-9117","authenticated-orcid":false,"given":"Shinya","family":"Ichimura","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helmut","family":"Bertalanffy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masato","family":"Nakaya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoichi","family":"Mochizuki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Goroku","family":"Moriwaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryuichi","family":"Sakamoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masahito","family":"Fukuchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koji","family":"Fujii","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.wneu.2018.09.055_bib1","doi-asserted-by":"crossref","first-page":"616","DOI":"10.1136\/jnnp.31.6.616","article-title":"Fatal hypertensive intracerebral haematomas: a survey of the pathological anatomy of 393 cases","volume":"31","author":"Freytag","year":"1968","journal-title":"J\u00a0Neurol Neurosurg Psychiatry"},{"key":"10.1016\/j.wneu.2018.09.055_bib2","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1007\/BF01410068","article-title":"A\u00a0clinical analysis of 32 brainstem haemorrhages; with special reference to surviving but severely disabled cases","volume":"101","author":"Komiyama","year":"1989","journal-title":"Acta Neurochir (Wien)"},{"key":"10.1016\/j.wneu.2018.09.055_bib3","doi-asserted-by":"crossref","first-page":"966","DOI":"10.1136\/jnnp.51.7.966","article-title":"Brainstem haematomas: review of the literature and presentation of five new cases","volume":"51","author":"Mangiardi","year":"1988","journal-title":"J\u00a0Neurol Neurosurg Psychiatry"},{"key":"10.1016\/j.wneu.2018.09.055_bib4","doi-asserted-by":"crossref","first-page":"420","DOI":"10.4065\/80.3.420","article-title":"Emerging medical and surgical management strategies in the evaluation and treatment of intracerebral hemorrhage","volume":"80","author":"Manno","year":"2005","journal-title":"Mayo Clin Proc"},{"key":"10.1016\/j.wneu.2018.09.055_bib5","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1159\/000073900","article-title":"Cause is the main predictor of outcome in patients with pontine hemorrhage","volume":"17","author":"Rabinstein","year":"2004","journal-title":"Cerebrovasc Dis"},{"key":"10.1016\/j.wneu.2018.09.055_bib6","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/j.inat.2015.06.005","article-title":"Surgical management of spontaneous hypertensive brainstem hemorrhage","volume":"2","author":"Shrestha","year":"2015","journal-title":"Interdiscip Neurosurg"},{"key":"10.1016\/j.wneu.2018.09.055_bib7","first-page":"257","article-title":"CT findings and clinical features as markers for patient outcome in primary pontine hemorrhage","volume":"25","author":"Wessels","year":"2004","journal-title":"Am J Neuroradiol"},{"key":"10.1016\/j.wneu.2018.09.055_bib8","doi-asserted-by":"crossref","first-page":"100","DOI":"10.3346\/jkms.2011.26.1.100","article-title":"Predictors of 30-day mortality and 90-day functional recovery after primary pontine hemorrhage","volume":"26","author":"Jang","year":"2011","journal-title":"J\u00a0Korean Med Sci"},{"key":"10.1016\/j.wneu.2018.09.055_bib9","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1016\/j.clineuro.2005.02.007","article-title":"Clinical and neuroradiological predictors of mortality in patients with primary pontine hemorrhage","volume":"108","author":"Balci","year":"2005","journal-title":"Clin Neurol Neurosurg"},{"key":"10.1016\/j.wneu.2018.09.055_bib10","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1159\/000071120","article-title":"The prognostic impact of clinical and CT parameters in patients with pontine hemorrhage","volume":"16","author":"Dziewas","year":"2003","journal-title":"Cerebrovasc Dis"},{"key":"10.1016\/j.wneu.2018.09.055_bib11","first-page":"701","article-title":"Management of intracerebral hemorrhage","volume":"3","author":"Sahni","year":"2007","journal-title":"Vasc Health Risk Manag"},{"key":"10.1016\/j.wneu.2018.09.055_bib12","doi-asserted-by":"crossref","first-page":"830","DOI":"10.1212\/WNL.42.4.830","article-title":"Primary pontine hemorrhage: a new CT classification","volume":"42","author":"Chung","year":"1992","journal-title":"Neurology"},{"key":"10.1016\/j.wneu.2018.09.055_bib13","doi-asserted-by":"crossref","first-page":"925","DOI":"10.1161\/01.STR.0000013563.73522.CB","article-title":"Hypertensive pontine microhemorrhage","volume":"33","author":"Jeong","year":"2002","journal-title":"Stroke"},{"key":"10.1016\/j.wneu.2018.09.055_bib14","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1212\/WNL.35.5.637","article-title":"The clinical manifestations of pontine hemorrhage","volume":"35","author":"Kushner","year":"1985","journal-title":"Neurology"},{"key":"10.1016\/j.wneu.2018.09.055_bib15","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1016\/S0022-510X(99)00150-1","article-title":"Relationship between the clinical manifestations, computed tomographic findings and the outcome in 80 patients with primary pontine hemorrhage","volume":"167","author":"Murata","year":"1999","journal-title":"J\u00a0Neurol Sci"},{"key":"10.1016\/j.wneu.2018.09.055_bib16","doi-asserted-by":"crossref","first-page":"732","DOI":"10.1016\/j.clineuro.2012.08.022","article-title":"Prognostic factors in patients with primary brainstem hemorrhage","volume":"115","author":"Takeuchi","year":"2013","journal-title":"Clin Neurol Neurosurg"},{"key":"10.1016\/j.wneu.2018.09.055_bib17","doi-asserted-by":"crossref","first-page":"1342","DOI":"10.1212\/WNL.49.5.1342","article-title":"Clinical profiles predictive of outcome in pontine hemorrhage","volume":"49","author":"Wijdicks","year":"1997","journal-title":"Neurology"},{"key":"10.1016\/j.wneu.2018.09.055_bib18","doi-asserted-by":"crossref","first-page":"658","DOI":"10.1136\/jnnp.48.7.658","article-title":"Pontine haemorrhage: a clinical analysis of 26 cases","volume":"48","author":"Masiyama","year":"1985","journal-title":"J\u00a0Neurol Neurosurg Psychiatry"},{"key":"10.1016\/j.wneu.2018.09.055_bib19","first-page":"82","article-title":"The predictors of survival and functional outcome in patients with pontine hemorrhage","volume":"41","author":"Jung","year":"2007","journal-title":"J\u00a0Korean Neurosurg Soc"},{"key":"10.1016\/j.wneu.2018.09.055_bib20","first-page":"823","article-title":"Functional outcome of primary pontine hemorrhage: conservative treatment or stereotaxic surgery","volume":"29","author":"Hara","year":"2001","journal-title":"No Shinkei Geka"},{"key":"10.1016\/j.wneu.2018.09.055_bib21","first-page":"733","article-title":"Stereotactic aspiration in hypertensive pontine hemorrhage: comparative study with conservative therapy","volume":"17","author":"Takahama","year":"1989","journal-title":"No Shinkei Geka"},{"key":"10.1016\/j.wneu.2018.09.055_bib22","doi-asserted-by":"crossref","first-page":"1304","DOI":"10.1161\/01.STR.27.8.1304","article-title":"The ABCs of measuring intracerebral hemorrhage volumes","volume":"27","author":"Kothari","year":"1996","journal-title":"Stroke"},{"key":"10.1016\/j.wneu.2018.09.055_bib23","doi-asserted-by":"crossref","first-page":"2108","DOI":"10.1161\/STR.0b013e3181ec611b","article-title":"American Heart Association Stroke Council; Council on Cardiovascular Nursing. Guidelines for the management of spontaneous intracerebral hemorrhage: a guideline for healthcare professionals from the American Heart Association\/American Stroke Association","volume":"41","author":"Morgenstern","year":"2010","journal-title":"Stroke"},{"key":"10.1016\/j.wneu.2018.09.055_bib24","doi-asserted-by":"crossref","first-page":"840","DOI":"10.1111\/ijs.12309","article-title":"European Stroke Organisation. European Stroke Organisation (ESO) guidelines for the management of spontaneous intracerebral hemorrhage","volume":"9","author":"Steiner","year":"2014","journal-title":"Int J Stroke"},{"key":"10.1016\/j.wneu.2018.09.055_bib25","doi-asserted-by":"crossref","first-page":"1245","DOI":"10.1111\/j.1468-1331.2012.03724.x","article-title":"The prediction of 30-day mortality in patients with primary pontine hemorrhage: a scoring system comparison","volume":"19","author":"Huang","year":"2012","journal-title":"Eur J Neurol"},{"key":"10.1016\/j.wneu.2018.09.055_bib26","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1159\/000100252","article-title":"Computed tomography guided stereotactic aspiration of pontine hemorrhages","volume":"54-55","author":"Shitamichi","year":"1990","journal-title":"Stereotact Funct Neurosurg"},{"key":"10.1016\/j.wneu.2018.09.055_bib27","first-page":"77","article-title":"Predictors of surgical results in patients with primary pontine hemorrhage","volume":"26","author":"Tao","year":"2016","journal-title":"Turk Neurosurg"},{"key":"10.1016\/j.wneu.2018.09.055_bib28","first-page":"NC01","article-title":"Primary supratentorial haemorrhage\u2014surgery or no surgery in an Indian setup","volume":"8","author":"Singh","year":"2014","journal-title":"J\u00a0Clin Diagn Res"},{"key":"10.1016\/j.wneu.2018.09.055_bib29","series-title":"Development in Neurosurgical Approaches to Hypertensive Intracerebral Haemorrhage in Japan","first-page":"197","article-title":"Intracerebral hematomas","author":"Kanaya","year":"1992"},{"key":"10.1016\/j.wneu.2018.09.055_bib30","first-page":"575","article-title":"Cerebellar hemorrhage in adults: diagnosis by computerized tomography","volume":"48","author":"Little","year":"1978","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2018.09.055_bib31","doi-asserted-by":"crossref","first-page":"1133","DOI":"10.1016\/j.jocn.2014.12.024","article-title":"Three-year prognosis of first-ever primary pontine hemorrhage in a hospital-based registry","volume":"22","author":"Ye","year":"2015","journal-title":"J\u00a0Clin Neurosci"},{"key":"10.1016\/j.wneu.2018.09.055_bib32","doi-asserted-by":"crossref","first-page":"1378","DOI":"10.1097\/00006123-200112000-00015","article-title":"Management of spontaneous cerebellar hematomas: a prospective treatment protocol","volume":"49","author":"Kirollos","year":"2001","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2018.09.055_bib33","doi-asserted-by":"crossref","first-page":"3088","DOI":"10.1161\/STROKEAHA.115.010054","article-title":"Perihematomal edema and functional outcomes in intracerebral hemorrhage: influence of hematoma volume and location","volume":"46","author":"Murthy","year":"2015","journal-title":"Stroke"},{"key":"10.1016\/j.wneu.2018.09.055_bib34","doi-asserted-by":"crossref","first-page":"1116","DOI":"10.1161\/STROKEAHA.114.007565","article-title":"Measurement of peri-hematomal edema in intracerebral hemorrhage","volume":"46","author":"Urday","year":"2015","journal-title":"Stroke"},{"key":"10.1016\/j.wneu.2018.09.055_bib35","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/j.jocn.2012.05.037","article-title":"A\u00a0streamlined protocol for the use of the semi-sitting position in neurosurgery: a report on 48 consecutive procedures","volume":"20","author":"Ammirati","year":"2013","journal-title":"J\u00a0Clin Neurosci"},{"key":"10.1016\/j.wneu.2018.09.055_bib36","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1055\/s-0037-1615296","article-title":"Improvement of respiratory depression in a patient with primary medullary hemorrhage following removal of hematoma in the half-sitting position","volume":"79","author":"Ichimura","year":"2018","journal-title":"J\u00a0Neurol Surg A Cent Eur Neurosurg"},{"key":"10.1016\/j.wneu.2018.09.055_bib37","first-page":"867","article-title":"The semisitting position: analysis of the risks and surgical outcomes in a contemporary series of 425 adult patients undergoing cranial surgery","volume":"127","author":"Saladino","year":"2017","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2018.09.055_bib38","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1007\/s00701-015-2624-0","article-title":"Avoidance of postoperative acute cerebellar swelling after pineal tumor surgery","volume":"158","author":"Bertalanffy","year":"2016","journal-title":"Acta Neurochir (Wien)"}],"container-title":["World Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878875018321016?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878875018321016?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T08:23:03Z","timestamp":1761812583000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1878875018321016"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,12]]},"references-count":38,"alternative-id":["S1878875018321016"],"URL":"https:\/\/doi.org\/10.1016\/j.wneu.2018.09.055","relation":{},"ISSN":["1878-8750"],"issn-type":[{"value":"1878-8750","type":"print"}],"subject":[],"published":{"date-parts":[[2018,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Surgical Treatment for Primary Brainstem Hemorrhage to Improve Postoperative Functional Outcomes","name":"articletitle","label":"Article Title"},{"value":"World Neurosurgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.wneu.2018.09.055","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2018 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}