{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T23:49:54Z","timestamp":1791589794135,"version":"4.3.4"},"reference-count":9,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T00:00:00Z","timestamp":1774483200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Neurosurg"],"published-print":{"date-parts":[[2026,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>A ruptured aneurysm is an emergency. With recent advances, most neurosurgeons' approach is comprehensive nervous system examination, investigations, and proceeding to treatment. The old habit of systemic examination is getting lost. We encountered a ruptured aneurysm case and paid a price for forgetting systemic examination. A late-30-year-old-female presented with a ruptured aneurysm and poor chest condition. Her CT head showed subarachnoid hemorrhage with colpocephaly. Her colpocephaly was asymptomatic. We performed clipping. However, she developed weakness in both her lower limbs. A postoperative scan showed a small infarct and vasospasm. An accidental examination of the back showed spina bifida, and magnetic resonance imaging of the spine confirmed adult tethered cord syndrome. A nerve conduction velocity study confirmed neuropraxic injury. She was managed conservatively. An abnormal finding on a scan, not related to the primary disease, should not be ignored. Systemic examination of the patient can decrease the chances of disastrous complications due to an unrelated disease.<\/jats:p>","DOI":"10.1055\/s-0046-1819613","type":"journal-article","created":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T00:23:13Z","timestamp":1774570993000},"page":"827-830","source":"Crossref","is-referenced-by-count":0,"title":["Don't Let Old Habits Die \u2013 Lesson Learnt the Hard Way in a Rare Case of Ruptured Aneurysm with Colpocephaly"],"prefix":"10.1055","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8604-2444","authenticated-orcid":false,"given":"Ishu","family":"Bishnoi","sequence":"additional","affiliation":[{"name":"Neurosurgery Department, Maharaja Agrasen Medical College, Agroha, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanpreet","family":"Singh","sequence":"additional","affiliation":[{"name":"Anesthesia Department, Maharaja Agrasen Medical College, Agroha, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bansi","family":"Lal","sequence":"additional","affiliation":[{"name":"Neurosurgery Department, Maharaja Agrasen Medical College, Agroha, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruchika","family":"Kathuria","sequence":"additional","affiliation":[{"name":"Anesthesia Department, Maharaja Agrasen Medical College, Agroha, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,3,26]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"306","DOI":"10.4997\/JRCPE.2012.405","article-title":"The TOS study: can we use our patients to help improve clinical assessment?","volume":"42","author":"D J Nicholl","year":"2012","journal-title":"J R Coll Physicians Edinb"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1136\/jnnp-2013-306881","article-title":"Clinical neurology: why this still matters in the 21st century","volume":"86","author":"D J Nicholl","year":"2015","journal-title":"J Neurol Neurosurg Psychiatry"},{"issue":"04","key":"ref3","first-page":"421","article-title":"Colpocephaly diagnosed in a neurologically normal adult in the emergency department","volume":"3","author":"C Parker","year":"2019","journal-title":"Clin Pract Cases Emerg Med"},{"issue":"05","key":"ref4","doi-asserted-by":"crossref","first-page":"2048","DOI":"10.1016\/j.radcr.2024.02.035","article-title":"Colpocephaly in an adult: a rare case report","volume":"19","author":"A Sangwan","year":"2024","journal-title":"Radiol Case Rep"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1177\/088307388800300204","article-title":"Colpocephaly: frequency and associated findings","volume":"3","author":"P A Noorani","year":"1988","journal-title":"J Child Neurol"},{"issue":"03","key":"ref6","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1080\/10790268.2008.11760722","article-title":"Tethered cord syndrome in adulthood","volume":"31","author":"B D\u00fcz","year":"2008","journal-title":"J Spinal Cord Med"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"123","DOI":"10.3171\/spi.2006.4.2.123","article-title":"Surgical management of tethered cord syndrome in adults: indications, techniques, and long-term outcomes in 60 patients","volume":"4","author":"G Y Lee","year":"2006","journal-title":"J Neurosurg Spine"},{"issue":"04","key":"ref8","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1007\/s00381-006-0276-3","article-title":"What is the true tethered cord syndrome?","volume":"23","author":"S Yamada","year":"2007","journal-title":"Childs Nerv Syst"},{"issue":"S 01","key":"ref9","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1111\/anae.14140","article-title":"Peripheral nerve injury arising in anaesthesia practice","volume":"73","author":"D W Hewson","year":"2018","journal-title":"Anaesthesia"}],"container-title":["Asian Journal of Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0046-1819613.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T22:57:13Z","timestamp":1791586633000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0046-1819613"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,26]]},"references-count":9,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2026,10,9]]},"published-print":{"date-parts":[[2026,12]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0046-1819613","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1793-5482","2248-9614"],"issn-type":[{"value":"1793-5482","type":"print"},{"value":"2248-9614","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,26]]}}}