{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,6]],"date-time":"2025-07-06T16:40:26Z","timestamp":1751820026747},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg A Cent Eur Neurosurg"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:p>\n            Objective\u2003To demonstrate the change of the ascending reticular activating system (ARAS) concurrent with the recovery of impaired consciousness following a shunt operation in a stroke patient.<\/jats:p><jats:p>\n            Methods\u2003A 65-year-old female patient underwent coiling of a ruptured right posterior communicating artery and, subsequently, underwent right external ventricular drain (EVD) placement, left EVD placement, and lumbar drain placement for management of intraventricular hemorrhage. After 6 months from onset, she began rehabilitation, and brain magnetic resonance imaging showed dilatation of the ventricular system. The patient exhibited impaired alertness, with a Glasgow Coma Scale (GCS) score of 7. At \u223c 20 days after starting rehabilitation, the patient underwent a ventriculoperitoneal shunt operation for hydrocephalus. At 10 days postsurgery, her GCS improved to 15.<\/jats:p><jats:p>\n            Results\u2003Regarding the change of neural connectivity of the thalamic intralaminar nuclei, compared with preoperative diffusion tensor tractography (DTT), postoperative DTT showed that neural connectivity to the prefrontal cortex was increased in both hemispheres. In terms of configuration of DTT, the lower portion of the ARAS between the reticular formation and the intralaminar thalamic nuclei did not show a significant change.<\/jats:p><jats:p>\n            Conclusions\u2003A patient with subarachnoid and intraventricular hemorrhage showed recovery of an injured ARAS and consciousness after a shunt operation for hydrocephalus.<\/jats:p>","DOI":"10.1055\/s-0038-1661401","type":"journal-article","created":{"date-parts":[[2018,7,16]],"date-time":"2018-07-16T18:42:16Z","timestamp":1531766536000},"page":"062-066","source":"Crossref","is-referenced-by-count":4,"title":["Change of Ascending Reticular Activating System Following Shunt Operation for Hydrocephalus in a Subarachnoid Hemorrhage Patient"],"prefix":"10.1055","volume":"80","author":[{"given":"SungHo","family":"Jang","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Daegu, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"HanDo","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Daegu, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2018,7,16]]},"container-title":["Journal of Neurological Surgery Part A: Central European Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0038-1661401.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,1,18]],"date-time":"2019-01-18T04:44:30Z","timestamp":1547786670000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0038-1661401"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7,16]]},"references-count":0,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2019,1,10]]},"published-print":{"date-parts":[[2019,1]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0038-1661401","relation":{},"ISSN":["2193-6315","2193-6323"],"issn-type":[{"value":"2193-6315","type":"print"},{"value":"2193-6323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,7,16]]}}}