{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T02:48:31Z","timestamp":1789699711794,"version":"4.0.1"},"reference-count":52,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>Postoperative ischemia is a major complication of neurosurgical procedures. Perforator territory ischemia has been related to poor postoperative neurological outcome. This study aimed to investigate the incidence and clinical severity of postoperative perforator territory ischemia in patients with intra-axial or extra-axial tumors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>Between 2019 and 2022, records of all patients who underwent craniotomies for intra-axial or extra-axial tumors at the authors\u2019 brain tumor center were retrospectively reviewed. Patient and disease characteristics, abnormalities identified on early postoperative MRI diffusion-weighted imaging (DWI) sequences, and neurological status measured using the full-scale National Institutes of Health Stroke Scale (NIHSS) at the preoperative time and postoperative follow-up were extracted. Groups were compared based on NIHSS score deterioration at discharge and were stratified for intra-axial tumor subtypes and extra-axial tumor locations. Postoperative DWI abnormality assessment was divided into different territories (perforator territory, cortex, insular, white matter, and multiple locations). The authors distinguished between \"anticipated\" ischemia directly bordering the resection cavity and iatrogenic injury related to vessel injuries. Multivariable linear regression analyses were performed with full-scale NIHSS scores at discharge as the dependent variable while adjusting for preoperative NIHSS scores and the territories where DWI abnormalities were detected.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>In total, 1012 patients underwent craniotomies at the authors\u2019 institution. Ultimately, 548 patients with intra-axial tumors and 188 patients with extra-axial tumors were included. The overall incidence of DWI abnormalities in the perforator territory in patients with intra-axial tumors was 14% (n = 74). In the intra-axial group, multivariable linear regression analysis showed that patients with postoperative perforator territory DWI abnormalities (\u03b2 coefficient 0.72, 95% CI 0.18\u20131.27; p = 0.01), insular ischemia (\u03b2 coefficient 0.95, 95% CI 0.08\u20131.81; p = 0.03), or cortical ischemia (\u03b2 coefficient 0.43, 95% CI 0.06\u20130.81; p = 0.02) on DWI had a higher total NIHSS score at discharge. The overall incidence of perforator territory DWI abnormalities in patients with extra-axial tumors was 12% (n = 22). No association was found between NIHSS score at discharge and the territories showing DWI abnormalities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>The overall incidence of perforator territory DWI abnormalities suggesting ischemia was found to be around 13% in both patients with intra-axial and extra-axial tumors. Patients with intra-axial tumors, who had postoperative perforator territory or insular DWI abnormalities, performed worse neurologically at discharge, compared with patients with cortical and\/or white matter ischemia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2025.7.jns242861","type":"journal-article","created":{"date-parts":[[2025,11,22]],"date-time":"2025-11-22T01:47:00Z","timestamp":1763776020000},"page":"579-589","source":"Crossref","is-referenced-by-count":3,"title":["Incidence and effect of supratentorial postoperative deep cerebral perforator territory ischemia in neurosurgical patients with intra-axial and extra-axial tumors"],"prefix":"10.3171","volume":"144","author":[{"given":"Yasmin","family":"Sadigh","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Erasmus MC Stroke Center, Erasmus University Medical Center, Rotterdam;"},{"name":"Center for Complex Microvascular Surgery, Erasmus University Medical Center, Rotterdam;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joost W.","family":"Schouten","sequence":"additional","affiliation":[{"name":"Center for Complex Microvascular Surgery, Erasmus University Medical Center, Rotterdam;"},{"name":"Department of Neurosurgery, Brain Tumor Center, Erasmus Medical Center Cancer Institute, Rotterdam; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnaud J. P. E.","family":"Vincent","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Brain Tumor Center, Erasmus Medical Center Cancer Institute, Rotterdam; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clemens M. F.","family":"Dirven","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Brain Tumor Center, Erasmus Medical Center Cancer Institute, Rotterdam; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diederik W. J.","family":"Dippel","sequence":"additional","affiliation":[{"name":"Department of Neurology, Erasmus MC Stroke Center, Erasmus University Medical Center, Rotterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin T. K.","family":"Dang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Erasmus MC Stroke Center, Erasmus University Medical Center, Rotterdam;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruben","family":"Dammers","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Erasmus MC Stroke Center, Erasmus University Medical Center, Rotterdam;"},{"name":"Center for Complex Microvascular Surgery, Erasmus University Medical Center, Rotterdam;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor","family":"Volovici","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Erasmus MC Stroke Center, Erasmus University Medical Center, Rotterdam;"},{"name":"Center for Complex Microvascular Surgery, Erasmus University Medical Center, Rotterdam;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"4","key":"b1","series-title":"J Neurosurg","first-page":"801","article-title":"Postoperative ischemic changes following resection of newly diagnosed and recurrent gliomas and their clinical relevance","volume":"118","author":"Gempt J","year":"2013","unstructured":"Gempt J, F\u00f6rschler A, Buchmann N,  Postoperative ischemic changes following resection of newly diagnosed and recurrent gliomas and their clinical relevance. J Neurosurg. 2013;118(4):801\u2013808."},{"issue":"6","key":"b2","series-title":"J Neurosurg","first-page":"1395","article-title":"Postoperative ischemic changes following brain metastasis resection as measured by diffusion-weighted magnetic resonance imaging","volume":"119","author":"Gempt J","year":"2013","unstructured":"Gempt J, Gerhardt J, Toth V,  Postoperative ischemic changes following brain metastasis resection as measured by diffusion-weighted magnetic resonance imaging. J Neurosurg. 2013;119(6):1395\u20131400."},{"key":"b3","series-title":"Clin Neurol Neurosurg","first-page":"6","article-title":"Surgical complications following malignant brain tumor surgery: an analysis of 2002-2011 data","volume":"140","author":"De la Garza-Ramos R","year":"2016","unstructured":"De la Garza-Ramos R, Kerezoudis P, Tamargo RJ, Brem H, Huang J, Bydon M. Surgical complications following malignant brain tumor surgery: an analysis of 2002-2011 data. Clin Neurol Neurosurg. 2016;140:6\u201310."},{"issue":"4","key":"b4","series-title":"J Neurosurg","first-page":"1088","article-title":"Comprehensive analysis of perforator territory infarction on postoperative diffusion-weighted imaging in patients with surgically treated unruptured intracranial saccular aneurysms","volume":"132","author":"Matsukawa H","year":"2020","unstructured":"Matsukawa H, Kamiyama H, Miyazaki T,  Comprehensive analysis of perforator territory infarction on postoperative diffusion-weighted imaging in patients with surgically treated unruptured intracranial saccular aneurysms. J Neurosurg. 2020;132(4):1088\u20131095."},{"issue":"5","key":"b5","series-title":"Neurosurg Rev","first-page":"3237","article-title":"Brain infarction following meningioma surgery-incidence, risk factors, and impact on function, seizure risk, and patient-reported quality of life","volume":"45","author":"Strand PS","year":"2022","unstructured":"Strand PS, Sagberg LM, Gulati S, Solheim O. Brain infarction following meningioma surgery-incidence, risk factors, and impact on function, seizure risk, and patient-reported quality of life. Neurosurg Rev. 2022;45(5):3237\u20133244."},{"issue":"7","key":"b6","series-title":"J Clin Med","first-page":"2706","article-title":"Skull-base surgery\u2014a narrative review on current approaches and future developments in surgical navigation","volume":"12","author":"Tzelnick S","year":"2023","unstructured":"Tzelnick S, Rampinelli V, Sahovaler A,  Skull-base surgery\u2014a narrative review on current approaches and future developments in surgical navigation. J Clin Med. 2023;12(7):2706."},{"key":"b7","series-title":"Front Surg","first-page":"956872","article-title":"Incidence of ischemic complications and technical nuances of arteries preservation for insular gliomas resection","volume":"9","author":"Hou Z","year":"2022","unstructured":"Hou Z, Huang Z, Li Z,  Incidence of ischemic complications and technical nuances of arteries preservation for insular gliomas resection. Front Surg. 2022;9:956872."},{"issue":"10","key":"b8","series-title":"Stroke","first-page":"e660","article-title":"Deep cerebral perforators: anatomical distribution and clinical symptoms: an overview","volume":"52","author":"Vogels V","year":"2021","unstructured":"Vogels V, Dammers R, van Bilsen M, Volovici V. Deep cerebral perforators: anatomical distribution and clinical symptoms: an overview. Stroke. 2021;52(10):e660\u2013e674."},{"issue":"5","key":"b9","series-title":"J Neurosurg","first-page":"825","article-title":"Resection of insular gliomas: the importance of lenticulostriate artery position","volume":"109","author":"Moshel YA","year":"2008","unstructured":"Moshel YA, Marcus JD, Parker EC, Kelly PJ. Resection of insular gliomas: the importance of lenticulostriate artery position. J Neurosurg. 2008;109(5):825\u2013834."},{"key":"b10","series-title":"Front Surg","first-page":"906466","article-title":"Avoiding vascular complications in insular glioma surgery - a microsurgical anatomy study and critical reflections regarding intraoperative findings","volume":"9","author":"Isolan GR","year":"2022","unstructured":"Isolan GR, Buffon V, Maldonado I,  Avoiding vascular complications in insular glioma surgery - a microsurgical anatomy study and critical reflections regarding intraoperative findings. Front Surg. 2022;9:906466."},{"key":"b11","series-title":"BMJ","first-page":"k949","article-title":"Endovascular treatment for acute ischaemic stroke in routine clinical practice: prospective, observational cohort study (MR CLEAN Registry)","volume":"360","author":"Jansen IGH","year":"2018","unstructured":"Jansen IGH, Mulder MJHL, Goldhoorn RB. Endovascular treatment for acute ischaemic stroke in routine clinical practice: prospective, observational cohort study (MR CLEAN Registry). BMJ. 2018;360:k949."},{"issue":"6","key":"b12","series-title":"Acta Neuropathol","first-page":"803","article-title":"The 2016 World Health Organization Classification of Tumors of the Central Nervous System: a summary","volume":"131","author":"Louis DN","year":"2016","unstructured":"Louis DN, Perry A, Reifenberger G,  The 2016 World Health Organization Classification of Tumors of the Central Nervous System: a summary. Acta Neuropathol. 2016;131(6):803\u2013820."},{"issue":"1","key":"b13","series-title":"Neurosurgery","first-page":"125","article-title":"Occurrence, risk factors, and consequences of postoperative ischemia after glioma resection: a retrospective study","volume":"92","author":"van der Boog ATJ","year":"2023","unstructured":"van der Boog ATJ, Rados M, Akkermans A,  Occurrence, risk factors, and consequences of postoperative ischemia after glioma resection: a retrospective study. Neurosurgery. 2023;92(1):125\u2013136."},{"issue":"11","key":"b14","series-title":"Acta Neurochir (Wien)","first-page":"3097","article-title":"Brain infarctions after glioma surgery: prevalence, radiological characteristics and risk factors","volume":"163","author":"Strand PS","year":"2021","unstructured":"Strand PS, Berntsen EM, Fyllingen EH,  Brain infarctions after glioma surgery: prevalence, radiological characteristics and risk factors. Acta Neurochir (Wien). 2021;163(11):3097\u20133108."},{"issue":"3","key":"b15","series-title":"J Neurooncol","first-page":"599","article-title":"Risk of ischemia in glioma surgery: comparison of first and repeat procedures","volume":"107","author":"D\u00fctzmann S","year":"2012","unstructured":"D\u00fctzmann S, Ge\u00dfler F, Bink A,  Risk of ischemia in glioma surgery: comparison of first and repeat procedures. J Neurooncol. 2012;107(3):599\u2013607."},{"issue":"4","key":"b16","series-title":"J Neurosurg","first-page":"1008","article-title":"Postoperative diffusion-weighted imaging and neurological outcome after convexity meningioma resection","volume":"135","author":"Magill ST","year":"2021","unstructured":"Magill ST, Nguyen MP, Aghi MK, Theodosopoulos PV, Villanueva-Meyer JE, McDermott MW. Postoperative diffusion-weighted imaging and neurological outcome after convexity meningioma resection. J Neurosurg. 2021;135(4):1008\u20131015."},{"issue":"3","key":"b17","series-title":"PLoS One","first-page":"e0121051","article-title":"High-resolution postcontrast time-of-flight MR angiography of intracranial perforators at 7.0 Tesla","volume":"10","author":"Harteveld AA","year":"2015","unstructured":"Harteveld AA, De Cocker LJL, Dieleman N,  High-resolution postcontrast time-of-flight MR angiography of intracranial perforators at 7.0 Tesla. PLoS One. 2015;10(3):e0121051."},{"key":"b18","series-title":"Front Neurosci","first-page":"1384","article-title":"Functional ultrasound (fUS) during awake brain surgery: the clinical potential of intra-operative functional and vascular brain mapping","volume":"13","author":"Soloukey S","year":"2019","unstructured":"Soloukey S, Vincent AJPE, Satoer DD,  Functional ultrasound (fUS) during awake brain surgery: the clinical potential of intra-operative functional and vascular brain mapping. Front Neurosci. 2019;13:1384."},{"issue":"3","key":"b19","series-title":"Invest Radiol","first-page":"135","article-title":"Photon-counting computed tomography for vascular imaging of the head and neck: first in vivo human results","volume":"53","author":"Symons R","year":"2018","unstructured":"Symons R, Reich DS, Bagheri M,  Photon-counting computed tomography for vascular imaging of the head and neck: first in vivo human results. Invest Radiol. 2018;53(3):135\u2013142."},{"issue":"14","key":"b20","series-title":"J Clin Med","first-page":"4733","article-title":"Significance of early postoperative magnetic resonance imaging following intracranial meningioma resection","volume":"12","author":"Inoue M","year":"2023","unstructured":"Inoue M, Miyazaki M, Oya S. Significance of early postoperative magnetic resonance imaging following intracranial meningioma resection. J Clin Med. 2023;12(14):4733."},{"issue":"6","key":"b21","series-title":"Insights Imaging","first-page":"573","article-title":"Beyond the embolus: \"do not miss\" diffusion abnormalities of ischaemic and non-ischaemic neurological disease","volume":"8","author":"Yedavalli V","year":"2017","unstructured":"Yedavalli V, Nyberg EM, Chow DS, Thaker AA. Beyond the embolus: \"do not miss\" diffusion abnormalities of ischaemic and non-ischaemic neurological disease. Insights Imaging. 2017;8(6):573\u2013580."},{"issue":"1","key":"b22","series-title":"Neuroradiology","first-page":"15","article-title":"Clinical applications of diffusion-weighted sequence in brain imaging: beyond stroke","volume":"64","author":"Gaddamanugu S","year":"2022","unstructured":"Gaddamanugu S, Shafaat O, Sotoudeh H,  Clinical applications of diffusion-weighted sequence in brain imaging: beyond stroke. Neuroradiology. 2022;64(1):15\u201330."},{"issue":"1","key":"b23","series-title":"Stroke","first-page":"98","article-title":"Sensitivity of diffusion- and perfusion-weighted imaging for diagnosing acute ischemic stroke is 97.5%","volume":"46","author":"Simonsen CZ","year":"2015","unstructured":"Simonsen CZ, Madsen MH, Schmitz ML, Mikkelsen IK, Fisher M, Andersen G. Sensitivity of diffusion- and perfusion-weighted imaging for diagnosing acute ischemic stroke is 97.5%. Stroke. 2015;46(1):98\u2013101."},{"issue":"11","key":"b24","series-title":"Stroke","first-page":"3646","article-title":"Recommendations for imaging of acute ischemic stroke: a scientific statement from the American Heart Association","volume":"40","author":"Latchaw RE","year":"2009","unstructured":"Latchaw RE, Alberts MJ, Lev MH,  Recommendations for imaging of acute ischemic stroke: a scientific statement from the American Heart Association. Stroke. 2009;40(11):3646\u20133678."},{"issue":"3","key":"b25","series-title":"Neuroradiology","first-page":"305","article-title":"MRI of cerebral oedema in ischaemic stroke and its current use in routine clinical practice","volume":"66","author":"\u010civrn\u00fd J","year":"2024","unstructured":"\u010civrn\u00fd J, Tom\u00e1\u0161 D, \u010cern\u00e1 M. MRI of cerebral oedema in ischaemic stroke and its current use in routine clinical practice. Neuroradiology. 2024;66(3):305\u2013315."},{"issue":"2","key":"b26","series-title":"J Neurointerv Surg","first-page":"113","article-title":"Influence of the interventionist\u2019s experience on outcomes of endovascular thrombectomy in acute ischemic stroke: results from the MR CLEAN Registry","volume":"15","author":"Olthuis SGH","year":"2023","unstructured":"Olthuis SGH, den Hartog SJ, van Kuijk SMJ,  Influence of the interventionist\u2019s experience on outcomes of endovascular thrombectomy in acute ischemic stroke: results from the MR CLEAN Registry. J Neurointerv Surg. 2023;15(2):113\u2013119."},{"issue":"4","key":"b1","series-title":"J Neurosurg","first-page":"801","article-title":"Postoperative ischemic changes following resection of newly diagnosed and recurrent gliomas and their clinical relevance","volume":"118","author":"Gempt J","year":"2013","unstructured":"Gempt J, F\u00f6rschler A, Buchmann N,  Postoperative ischemic changes following resection of newly diagnosed and recurrent gliomas and their clinical relevance. J Neurosurg. 2013;118(4):801\u2013808."},{"issue":"6","key":"b2","series-title":"J Neurosurg","first-page":"1395","article-title":"Postoperative ischemic changes following brain metastasis resection as measured by diffusion-weighted magnetic resonance imaging","volume":"119","author":"Gempt J","year":"2013","unstructured":"Gempt J, Gerhardt J, Toth V,  Postoperative ischemic changes following brain metastasis resection as measured by diffusion-weighted magnetic resonance imaging. J Neurosurg. 2013;119(6):1395\u20131400."},{"key":"b3","series-title":"Clin Neurol Neurosurg","first-page":"6","article-title":"Surgical complications following malignant brain tumor surgery: an analysis of 2002-2011 data","volume":"140","author":"De la Garza-Ramos R","year":"2016","unstructured":"De la Garza-Ramos R, Kerezoudis P, Tamargo RJ, Brem H, Huang J, Bydon M. Surgical complications following malignant brain tumor surgery: an analysis of 2002-2011 data. Clin Neurol Neurosurg. 2016;140:6\u201310."},{"issue":"4","key":"b4","series-title":"J Neurosurg","first-page":"1088","article-title":"Comprehensive analysis of perforator territory infarction on postoperative diffusion-weighted imaging in patients with surgically treated unruptured intracranial saccular aneurysms","volume":"132","author":"Matsukawa H","year":"2020","unstructured":"Matsukawa H, Kamiyama H, Miyazaki T,  Comprehensive analysis of perforator territory infarction on postoperative diffusion-weighted imaging in patients with surgically treated unruptured intracranial saccular aneurysms. J Neurosurg. 2020;132(4):1088\u20131095."},{"issue":"5","key":"b5","series-title":"Neurosurg Rev","first-page":"3237","article-title":"Brain infarction following meningioma surgery-incidence, risk factors, and impact on function, seizure risk, and patient-reported quality of life","volume":"45","author":"Strand PS","year":"2022","unstructured":"Strand PS, Sagberg LM, Gulati S, Solheim O. Brain infarction following meningioma surgery-incidence, risk factors, and impact on function, seizure risk, and patient-reported quality of life. Neurosurg Rev. 2022;45(5):3237\u20133244."},{"issue":"7","key":"b6","series-title":"J Clin Med","first-page":"2706","article-title":"Skull-base surgery\u2014a narrative review on current approaches and future developments in surgical navigation","volume":"12","author":"Tzelnick S","year":"2023","unstructured":"Tzelnick S, Rampinelli V, Sahovaler A,  Skull-base surgery\u2014a narrative review on current approaches and future developments in surgical navigation. J Clin Med. 2023;12(7):2706."},{"key":"b7","series-title":"Front Surg","first-page":"956872","article-title":"Incidence of ischemic complications and technical nuances of arteries preservation for insular gliomas resection","volume":"9","author":"Hou Z","year":"2022","unstructured":"Hou Z, Huang Z, Li Z,  Incidence of ischemic complications and technical nuances of arteries preservation for insular gliomas resection. Front Surg. 2022;9:956872."},{"issue":"10","key":"b8","series-title":"Stroke","first-page":"e660","article-title":"Deep cerebral perforators: anatomical distribution and clinical symptoms: an overview","volume":"52","author":"Vogels V","year":"2021","unstructured":"Vogels V, Dammers R, van Bilsen M, Volovici V. Deep cerebral perforators: anatomical distribution and clinical symptoms: an overview. Stroke. 2021;52(10):e660\u2013e674."},{"issue":"5","key":"b9","series-title":"J Neurosurg","first-page":"825","article-title":"Resection of insular gliomas: the importance of lenticulostriate artery position","volume":"109","author":"Moshel YA","year":"2008","unstructured":"Moshel YA, Marcus JD, Parker EC, Kelly PJ. Resection of insular gliomas: the importance of lenticulostriate artery position. J Neurosurg. 2008;109(5):825\u2013834."},{"key":"b10","series-title":"Front Surg","first-page":"906466","article-title":"Avoiding vascular complications in insular glioma surgery - a microsurgical anatomy study and critical reflections regarding intraoperative findings","volume":"9","author":"Isolan GR","year":"2022","unstructured":"Isolan GR, Buffon V, Maldonado I,  Avoiding vascular complications in insular glioma surgery - a microsurgical anatomy study and critical reflections regarding intraoperative findings. Front Surg. 2022;9:906466."},{"key":"b11","series-title":"BMJ","first-page":"k949","article-title":"Endovascular treatment for acute ischaemic stroke in routine clinical practice: prospective, observational cohort study (MR CLEAN Registry)","volume":"360","author":"Jansen IGH","year":"2018","unstructured":"Jansen IGH, Mulder MJHL, Goldhoorn RB. Endovascular treatment for acute ischaemic stroke in routine clinical practice: prospective, observational cohort study (MR CLEAN Registry). BMJ. 2018;360:k949."},{"issue":"6","key":"b12","series-title":"Acta Neuropathol","first-page":"803","article-title":"The 2016 World Health Organization Classification of Tumors of the Central Nervous System: a summary","volume":"131","author":"Louis DN","year":"2016","unstructured":"Louis DN, Perry A, Reifenberger G,  The 2016 World Health Organization Classification of Tumors of the Central Nervous System: a summary. Acta Neuropathol. 2016;131(6):803\u2013820."},{"issue":"1","key":"b13","series-title":"Neurosurgery","first-page":"125","article-title":"Occurrence, risk factors, and consequences of postoperative ischemia after glioma resection: a retrospective study","volume":"92","author":"van der Boog ATJ","year":"2023","unstructured":"van der Boog ATJ, Rados M, Akkermans A,  Occurrence, risk factors, and consequences of postoperative ischemia after glioma resection: a retrospective study. Neurosurgery. 2023;92(1):125\u2013136."},{"issue":"11","key":"b14","series-title":"Acta Neurochir (Wien)","first-page":"3097","article-title":"Brain infarctions after glioma surgery: prevalence, radiological characteristics and risk factors","volume":"163","author":"Strand PS","year":"2021","unstructured":"Strand PS, Berntsen EM, Fyllingen EH,  Brain infarctions after glioma surgery: prevalence, radiological characteristics and risk factors. Acta Neurochir (Wien). 2021;163(11):3097\u20133108."},{"issue":"3","key":"b15","series-title":"J Neurooncol","first-page":"599","article-title":"Risk of ischemia in glioma surgery: comparison of first and repeat procedures","volume":"107","author":"D\u00fctzmann S","year":"2012","unstructured":"D\u00fctzmann S, Ge\u00dfler F, Bink A,  Risk of ischemia in glioma surgery: comparison of first and repeat procedures. J Neurooncol. 2012;107(3):599\u2013607."},{"issue":"4","key":"b16","series-title":"J Neurosurg","first-page":"1008","article-title":"Postoperative diffusion-weighted imaging and neurological outcome after convexity meningioma resection","volume":"135","author":"Magill ST","year":"2021","unstructured":"Magill ST, Nguyen MP, Aghi MK, Theodosopoulos PV, Villanueva-Meyer JE, McDermott MW. Postoperative diffusion-weighted imaging and neurological outcome after convexity meningioma resection. J Neurosurg. 2021;135(4):1008\u20131015."},{"issue":"3","key":"b17","series-title":"PLoS One","first-page":"e0121051","article-title":"High-resolution postcontrast time-of-flight MR angiography of intracranial perforators at 7.0 Tesla","volume":"10","author":"Harteveld AA","year":"2015","unstructured":"Harteveld AA, De Cocker LJL, Dieleman N,  High-resolution postcontrast time-of-flight MR angiography of intracranial perforators at 7.0 Tesla. PLoS One. 2015;10(3):e0121051."},{"key":"b18","series-title":"Front Neurosci","first-page":"1384","article-title":"Functional ultrasound (fUS) during awake brain surgery: the clinical potential of intra-operative functional and vascular brain mapping","volume":"13","author":"Soloukey S","year":"2019","unstructured":"Soloukey S, Vincent AJPE, Satoer DD,  Functional ultrasound (fUS) during awake brain surgery: the clinical potential of intra-operative functional and vascular brain mapping. Front Neurosci. 2019;13:1384."},{"issue":"3","key":"b19","series-title":"Invest Radiol","first-page":"135","article-title":"Photon-counting computed tomography for vascular imaging of the head and neck: first in vivo human results","volume":"53","author":"Symons R","year":"2018","unstructured":"Symons R, Reich DS, Bagheri M,  Photon-counting computed tomography for vascular imaging of the head and neck: first in vivo human results. Invest Radiol. 2018;53(3):135\u2013142."},{"issue":"14","key":"b20","series-title":"J Clin Med","first-page":"4733","article-title":"Significance of early postoperative magnetic resonance imaging following intracranial meningioma resection","volume":"12","author":"Inoue M","year":"2023","unstructured":"Inoue M, Miyazaki M, Oya S. Significance of early postoperative magnetic resonance imaging following intracranial meningioma resection. J Clin Med. 2023;12(14):4733."},{"issue":"6","key":"b21","series-title":"Insights Imaging","first-page":"573","article-title":"Beyond the embolus: \"do not miss\" diffusion abnormalities of ischaemic and non-ischaemic neurological disease","volume":"8","author":"Yedavalli V","year":"2017","unstructured":"Yedavalli V, Nyberg EM, Chow DS, Thaker AA. Beyond the embolus: \"do not miss\" diffusion abnormalities of ischaemic and non-ischaemic neurological disease. Insights Imaging. 2017;8(6):573\u2013580."},{"issue":"1","key":"b22","series-title":"Neuroradiology","first-page":"15","article-title":"Clinical applications of diffusion-weighted sequence in brain imaging: beyond stroke","volume":"64","author":"Gaddamanugu S","year":"2022","unstructured":"Gaddamanugu S, Shafaat O, Sotoudeh H,  Clinical applications of diffusion-weighted sequence in brain imaging: beyond stroke. Neuroradiology. 2022;64(1):15\u201330."},{"issue":"1","key":"b23","series-title":"Stroke","first-page":"98","article-title":"Sensitivity of diffusion- and perfusion-weighted imaging for diagnosing acute ischemic stroke is 97.5%","volume":"46","author":"Simonsen CZ","year":"2015","unstructured":"Simonsen CZ, Madsen MH, Schmitz ML, Mikkelsen IK, Fisher M, Andersen G. Sensitivity of diffusion- and perfusion-weighted imaging for diagnosing acute ischemic stroke is 97.5%. Stroke. 2015;46(1):98\u2013101."},{"issue":"11","key":"b24","series-title":"Stroke","first-page":"3646","article-title":"Recommendations for imaging of acute ischemic stroke: a scientific statement from the American Heart Association","volume":"40","author":"Latchaw RE","year":"2009","unstructured":"Latchaw RE, Alberts MJ, Lev MH,  Recommendations for imaging of acute ischemic stroke: a scientific statement from the American Heart Association. Stroke. 2009;40(11):3646\u20133678."},{"issue":"3","key":"b25","series-title":"Neuroradiology","first-page":"305","article-title":"MRI of cerebral oedema in ischaemic stroke and its current use in routine clinical practice","volume":"66","author":"\u010civrn\u00fd J","year":"2024","unstructured":"\u010civrn\u00fd J, Tom\u00e1\u0161 D, \u010cern\u00e1 M. MRI of cerebral oedema in ischaemic stroke and its current use in routine clinical practice. Neuroradiology. 2024;66(3):305\u2013315."},{"issue":"2","key":"b26","series-title":"J Neurointerv Surg","first-page":"113","article-title":"Influence of the interventionist\u2019s experience on outcomes of endovascular thrombectomy in acute ischemic stroke: results from the MR CLEAN Registry","volume":"15","author":"Olthuis SGH","year":"2023","unstructured":"Olthuis SGH, den Hartog SJ, van Kuijk SMJ,  Influence of the interventionist\u2019s experience on outcomes of endovascular thrombectomy in acute ischemic stroke: results from the MR CLEAN Registry. J Neurointerv Surg. 2023;15(2):113\u2013119."}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/144\/3\/article-p579.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/144\/3\/article-p579.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/144\/3\/article-p579.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T14:30:35Z","timestamp":1772721035000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/144\/3\/article-p579.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,1]]},"references-count":52,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.3171\/2025.7.jns242861","relation":{},"ISSN":["0022-3085","1933-0693"],"issn-type":[{"value":"0022-3085","type":"print"},{"value":"1933-0693","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,1]]}}}