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Unfortunately, the recommended off-label treatment with a somatostatin analog substance was never given due to bureaucratic delays. This case report is about the challenging aspects of individual decision-making in rare neurosurgical diseases.<\/jats:p>","DOI":"10.1055\/s-0041-1739229","type":"journal-article","created":{"date-parts":[[2021,12,3]],"date-time":"2021-12-03T00:06:54Z","timestamp":1638490014000},"page":"394-398","source":"Crossref","is-referenced-by-count":0,"title":["Cranial and Spinal Metastasis of a Nonfunctioning Pituitary Adenoma: Report of a Case"],"prefix":"10.1055","volume":"84","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9508-4857","authenticated-orcid":false,"given":"Kai","family":"Spindler","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Halle, Halle, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Mawrin","sequence":"additional","affiliation":[{"name":"Institut fuer Neuropathologie, Otto-von-Guericke-Universitaet, Magdeburg, 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