{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T15:41:01Z","timestamp":1742398861546},"reference-count":5,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2023,5,18]],"date-time":"2023-05-18T00:00:00Z","timestamp":1684368000000},"content-version":"vor","delay-in-days":47,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg Rep"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Duplicate cranial nerves are fundamentally rare anatomical variants. Few case reports have documented cranial nerve duplication. One previous case report has reported a vagus nerve with a smaller secondary accessory nerve component. We present the first reported case of duplicate vagus nerves identical in size and thickness with otolaryngological diagnostic confirmation.<\/jats:p><jats:p>\n          Case Description\u2003A 25-year-old woman with seizures refractory to medical management decided to undergo placement of a vagus nerve stimulator. During carotid sheath microdissection, two parallel nerve tracts were identified. The two nerves were identical in size and width. Proximal dissection confirmed that the two nerves were independent of one another and neither was a branching segment. To confirm duplicate vagus nerves, otolaryngology was consulted intraoperatively and the duplicate nerves were verified. The vagus nerve stimulator was placed in typical fashion around the medial nerve.<\/jats:p><jats:p>\n          Conclusion\u2003This is the first reported case of duplicate vagus nerves identical in size and with confirmation by otolaryngology. The authors would like to highlight the operative management of the vagus nerve stimulator placement as well as integrity of the diagnostic conclusions based on size, further dissection, and specialist consultation.<\/jats:p>","DOI":"10.1055\/s-0043-1768713","type":"journal-article","created":{"date-parts":[[2023,5,18]],"date-time":"2023-05-18T22:43:53Z","timestamp":1684449833000},"page":"e59-e60","source":"Crossref","is-referenced-by-count":1,"title":["Duplicate Left-Sided Vagus Nerve: Intraoperative Imaging, Management, and Placement"],"prefix":"10.1055","volume":"84","author":[{"given":"Nicholas","family":"Zacharewski","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hartford Hospital, Hartford, Connecticut, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brendan D.","family":"Killory","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Trinity College, Hartford, Connecticut, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,5,18]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1007\/s00276-015-1573-x","article-title":"An unusual variant of the abducens nerve duplication with two nerve trunks merging within the orbit: a case report with comments on developmental background","volume":"38","author":"G Wysiadecki","year":"2016","journal-title":"Surg Radiol Anat"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1227\/01.NEU.0000048186.18741.3C","article-title":"Duplication of the abducens nerve at the petroclival region: an anatomic study","volume":"52","author":"M F Ozveren","year":"2003","journal-title":"Neurosurgery"},{"key":"ref3","first-page":"1027831","article-title":"Spinal accessory nerve duplication: a case report and literature review","volume":"2018","author":"E Papagianni","year":"2018","journal-title":"Case Rep Otolaryngol"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1080\/02688697.2016.1187253","article-title":"Variations of the accessory nerve: anatomical study including previously undocumented findings-expanding our misunderstanding of this nerve","volume":"31","author":"R S Tubbs","year":"2017","journal-title":"Br J Neurosurg"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1016\/j.wneu.2019.08.014","article-title":"Duplicated vagus nerve in adolescence: case report and review of literature","volume":"131","author":"J J Labuschagne","year":"2019","journal-title":"World Neurosurg"}],"container-title":["Journal of Neurological Surgery Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0043-1768713.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,18]],"date-time":"2023-05-18T22:44:03Z","timestamp":1684449843000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0043-1768713"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4]]},"references-count":5,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2023,4,12]]},"published-print":{"date-parts":[[2023,4]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0043-1768713","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2193-6358","2193-6366"],"issn-type":[{"value":"2193-6358","type":"print"},{"value":"2193-6366","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4]]}}}