{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T03:14:01Z","timestamp":1791947641402,"version":"4.3.4"},"reference-count":38,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","license":[{"start":{"date-parts":[[2021,1,18]],"date-time":"2021-01-18T00:00:00Z","timestamp":1610928000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,1,18]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Malignant pleural mesothelioma (MPM) is a rare cancer, and in 80% of cases the cause is asbestos exposure. In 1972, the World Health Organization (WHO) declared asbestos is a carcinogenic substance. Since then, every developed country has restricted and banned the product. Because of its high heat resistance, asbestos had been widely used as building material for decades. The WHO estimated that approximately 125 million people are exposed to asbestos, and more than 107,000 die from asbestos-related diseases annually. Because of its long incubation period, the number of patients is estimated to keep increasing in the near future.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>The authors report a case of long-surviving MPM with a rushed clinical course after brain metastasis. A 69-year-old woman diagnosed with MPM (epithelial type) 6 years earlier presented with a brain metastasis. The pathological result of the brain metastasis was the sarcomatoid type. This case showed the possibility of subtype transition after long survival.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>This article aids in understanding the long-term natural history of MPM and the possibility of epithelial-mesenchymal transition. Neurosurgeons have to be aware of its the natural history and the possibility of brain metastasis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case2099","type":"journal-article","created":{"date-parts":[[2021,1,29]],"date-time":"2021-01-29T15:32:36Z","timestamp":1611934356000},"source":"Crossref","is-referenced-by-count":3,"title":["A case of brain metastasis with pathological transformation of long-surviving malignant pleural mesothelioma: illustrative case"],"prefix":"10.3171","volume":"1","author":[{"given":"Ryuichi","family":"Noda","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Center Hospital of the National Center for Global Health and Medicine, Shinjuku-ku, Tokyo, Japan;"},{"name":"Department of Neurosurgery, NTT Medical Center Tokyo, Shinagawa-ku, Tokyo, Japan; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shunsuke","family":"Yanagisawa","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Center Hospital of the National Center for Global Health and Medicine, Shinjuku-ku, Tokyo, Japan;"},{"name":"Department of Neurosurgery and Neuro-Oncology, National Cancer Center Hospital, Chuo-ku, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masato","family":"Inoue","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Center Hospital of the National Center for Global Health and Medicine, Shinjuku-ku, Tokyo, Japan;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tetsuo","family":"Hara","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Center Hospital of the National Center for Global Health and Medicine, Shinjuku-ku, Tokyo, Japan;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"2","key":"b1","series-title":"Tumori","doi-asserted-by":"publisher","first-page":"127","DOI":"10.5301\/tj.5000364","article-title":"Sarcomatoid mesothelioma: future advances in diagnosis, biomolecular assessment, and therapeutic options in a poor-outcome disease","volume":"102","author":"Galetta D","year":"2016","unstructured":"Galetta D, Catino A, Misino A, . Sarcomatoid mesothelioma: future advances in diagnosis, biomolecular assessment, and therapeutic options in a poor-outcome disease. Tumori. 2016;102(2):127\u2013130.10.5301\/tj.5000364"},{"key":"b2","series-title":"Minerals Yearbook","article-title":"Asbestos (advance release)","author":"Flanagan DM","year":"2016","unstructured":"Flanagan DM. Asbestos (advance release). In: Minerals Yearbook. U.S. Geological Survey, U.S. Dept of the Interior; 2016."},{"issue":"6","key":"b3","series-title":"JAMA Oncol","doi-asserted-by":"publisher","first-page":"779","DOI":"10.1001\/jamaoncol.2019.0446","article-title":"High time for complete ban on asbestos use in developing countries","volume":"5","author":"Chen T","year":"2019","unstructured":"Chen T, Sun XM, Wu L. High time for complete ban on asbestos use in developing countries. JAMA Oncol. 2019;5(6):779\u2013780.10.1001\/jamaoncol.2019.044619514499"},{"key":"b4","series-title":"Ann Japanese Respir Soc.","first-page":"800","article-title":"An autopsy case of pleural mesothelioma that presented rapid progression and multiple organ metastasis after disease control for 5 years. Article in Japanese with English abstract","volume":"3","author":"Ota S","year":"2014","unstructured":"Ota S, Hara Y, Shinkai M, . An autopsy case of pleural mesothelioma that presented rapid progression and multiple organ metastasis after disease control for 5 years. Article in Japanese with English abstract. Ann Japanese Respir Soc. 2014;3:800\u2013804.4773776"},{"issue":"6","key":"b5","series-title":"Int Arch Occup Environ Health","doi-asserted-by":"publisher","first-page":"383","DOI":"10.1007\/s004200100240","article-title":"Malignant mesothelioma--German mesothelioma register 1987-1999","volume":"74","author":"Neumann V","year":"2001","unstructured":"Neumann V, G\u00fcnthe S, M\u00fclle KM, . Malignant mesothelioma--German mesothelioma register 1987-1999. Int Arch Occup Environ Health. 2001;74(6):383\u2013395.10.1007\/s004200100240"},{"issue":"3","key":"b6","series-title":"J Thorac Cardiovasc Surg","doi-asserted-by":"publisher","first-page":"620","DOI":"10.1016\/j.jtcvs.2007.10.054","article-title":"Extrapleural pneumonectomy versus pleurectomy\/decortication in the surgical management of malignant pleural mesothelioma: results in 663 patients","volume":"135","author":"Flores RM","year":"2008","unstructured":"Flores RM, Pass HI, Seshan VE, . Extrapleural pneumonectomy versus pleurectomy\/decortication in the surgical management of malignant pleural mesothelioma: results in 663 patients. J Thorac Cardiovasc Surg. 2008;135(3):620\u2013626.10.1016\/j.jtcvs.2007.10.054"},{"issue":"1","key":"b7","series-title":"Am J Med Sci","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1097\/00000441-200501000-00007","article-title":"Malignant pleural mesothelioma","volume":"329","author":"Hughes RS","year":"2005","unstructured":"Hughes RS. Malignant pleural mesothelioma. Am J Med Sci. 2005;329(1):29\u201344.10.1097\/00000441-200501000-0000719514499"},{"key":"b8","series-title":"Haigan.","doi-asserted-by":"publisher","first-page":"926","DOI":"10.2482\/haigan.50.926","article-title":"A case of epithelial-type diffuse malignant pleural mesothelioma who survived with chemotherapy for 7 years. Article in Japanese with English abstract","volume":"50","author":"Kawamata O","year":"2010","unstructured":"Kawamata O. A case of epithelial-type diffuse malignant pleural mesothelioma who survived with chemotherapy for 7 years. Article in Japanese with English abstract. Haigan. 2010;50:926\u2013931.10.2482\/haigan.50.9264773776"},{"issue":"5","key":"b9","series-title":"Nihon Kokyuki Gakkai Zasshi","first-page":"383","article-title":"Case of malignant pleural mesothelioma with long-term disease control after 4 different lines of systemic chemotherapy and pleurodesis.","volume":"47","author":"Tanaka A","year":"2009","unstructured":"Tanaka A, Takahashi T. Case of malignant pleural mesothelioma with long-term disease control after 4 different lines of systemic chemotherapy and pleurodesis. Article in Japanese. Nihon Kokyuki Gakkai Zasshi. 2009;47(5):383\u2013387."},{"issue":"1","key":"b10","series-title":"Histopathology","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1046\/j.1365-2559.2000.00793.x","article-title":"MIB-1 proliferation index correlates with survival in pleural malignant mesothelioma","volume":"36","author":"Comin CE","year":"2000","unstructured":"Comin CE, Anichini C, Boddi V, . MIB-1 proliferation index correlates with survival in pleural malignant mesothelioma. Histopathology. 2000;36(1):26\u201331.10.1046\/j.1365-2559.2000.00793.x"},{"issue":"4","key":"b11","series-title":"J Bras Pneumol","doi-asserted-by":"publisher","first-page":"322","DOI":"10.1590\/S1806-37132006000400011","article-title":"Morphological aspects as prognostic factors in malignant mesothelioma: a study of 58 cases","volume":"32","author":"Motta AB","year":"2006","unstructured":"Motta AB, Pinheiro G, Anton\u00e2ngelo L, . Morphological aspects as prognostic factors in malignant mesothelioma: a study of 58 cases. J Bras Pneumol. 2006;32(4):322\u2013332.10.1590\/S1806-37132006000400011"},{"issue":"1","key":"b12","series-title":"Zentralbl Neurochir","first-page":"41","article-title":"Intracranial formation of metastases of diffuse pleuro-mesothelioma","volume":"34","author":"Grumme T","year":"1973","unstructured":"Grumme T, Bingas B. Intracranial formation of metastases of diffuse pleuro-mesothelioma. Article in German. Zentralbl Neurochir. 1973;34(1):41\u201348."},{"issue":"1","key":"b13","series-title":"J Neurooncol","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1007\/BF01054270","article-title":"Cerebral metastases in pleural mesothelioma: case report and review of the literature","volume":"17","author":"Wro\u0144ski M","year":"1993","unstructured":"Wro\u0144ski M, Burt M. Cerebral metastases in pleural mesothelioma: case report and review of the literature. J Neurooncol. 1993;17(1):21\u201326.10.1007\/BF01054270"},{"issue":"7","key":"b14","series-title":"Ann Am Thorac Soc","doi-asserted-by":"publisher","first-page":"1075","DOI":"10.1513\/AnnalsATS.201404-165BC","article-title":"Malignant mesothelioma and central nervous system metastases. Report of two cases, pooled analysis, and systematic review","volume":"11","author":"Miller AC","year":"2014","unstructured":"Miller AC, Miettinen M, Schrump DS, . Malignant mesothelioma and central nervous system metastases. Report of two cases, pooled analysis, and systematic review. Ann Am Thorac Soc. 2014;11(7):1075\u20131081.10.1513\/AnnalsATS.201404-165BC"},{"issue":"5","key":"b15","series-title":"Tumori","doi-asserted-by":"publisher","first-page":"456","DOI":"10.1177\/030089169608200509","article-title":"Response to chemotherapy of brain metastases from malignant pleural mesothelioma","volume":"82","author":"Colleoni M","year":"1996","unstructured":"Colleoni M, Liessi G, Avventi C, . Response to chemotherapy of brain metastases from malignant pleural mesothelioma. Tumori. 1996;82(5):456\u2013458.10.1177\/030089169608200509"},{"issue":"11","key":"b16","series-title":"Neurol Med Chir (Tokyo)","doi-asserted-by":"publisher","first-page":"1027","DOI":"10.2176\/nmc.50.1027","article-title":"Brain metastasis in malignant pleural mesothelioma presenting as intratumoral hemorrhage","volume":"50","author":"Ishikawa T","year":"2010","unstructured":"Ishikawa T, Wanifuchi H, Abe K, . Brain metastasis in malignant pleural mesothelioma presenting as intratumoral hemorrhage. Neurol Med Chir (Tokyo). 2010;50(11):1027\u20131030.10.2176\/nmc.50.1027"},{"issue":"1","key":"b17","series-title":"Mod Pathol","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1038\/modpathol.2011.144","article-title":"Epithelial-mesenchymal transition in malignant mesothelioma","volume":"25","author":"Fassina A","year":"2012","unstructured":"Fassina A, Cappellesso R, Guzzardo V, . Epithelial-mesenchymal transition in malignant mesothelioma. Mod Pathol. 2012;25(1):86\u201399.10.1038\/modpathol.2011.144"},{"issue":"12","key":"b18","series-title":"J Clin Invest","doi-asserted-by":"publisher","first-page":"1776","DOI":"10.1172\/JCI200320530","article-title":"Epithelial-mesenchymal transition and its implications for fibrosis","volume":"112","author":"Kalluri R","year":"2003","unstructured":"Kalluri R, Neilson EG. Epithelial-mesenchymal transition and its implications for fibrosis. J Clin Invest. 2003;112(12):1776\u20131784.10.1172\/JCI200320530"},{"issue":"11","key":"b19","series-title":"Pathol Int","doi-asserted-by":"publisher","first-page":"754","DOI":"10.1111\/pin.12003","article-title":"The recurrence of malignant pleural mesothelioma 14 years after extrapleural pneumonectomy: possible histological transformation","volume":"62","author":"Kinoshita T","year":"2012","unstructured":"Kinoshita T, Ishii G, Matsumura Y, . The recurrence of malignant pleural mesothelioma 14 years after extrapleural pneumonectomy: possible histological transformation. Pathol Int. 2012;62(11):754\u2013757.10.1111\/pin.12003"},{"issue":"2","key":"b1","series-title":"Tumori","doi-asserted-by":"publisher","first-page":"127","DOI":"10.5301\/tj.5000364","article-title":"Sarcomatoid mesothelioma: future advances in diagnosis, biomolecular assessment, and therapeutic options in a poor-outcome disease","volume":"102","author":"Galetta D","year":"2016","unstructured":"Galetta D, Catino A, Misino A, . Sarcomatoid mesothelioma: future advances in diagnosis, biomolecular assessment, and therapeutic options in a poor-outcome disease. Tumori. 2016;102(2):127\u2013130.10.5301\/tj.5000364"},{"key":"b2","series-title":"Minerals Yearbook","article-title":"Asbestos (advance release)","author":"Flanagan DM","year":"2016","unstructured":"Flanagan DM. Asbestos (advance release). In: Minerals Yearbook. U.S. Geological Survey, U.S. Dept of the Interior; 2016."},{"issue":"6","key":"b3","series-title":"JAMA Oncol","doi-asserted-by":"publisher","first-page":"779","DOI":"10.1001\/jamaoncol.2019.0446","article-title":"High time for complete ban on asbestos use in developing countries","volume":"5","author":"Chen T","year":"2019","unstructured":"Chen T, Sun XM, Wu L. High time for complete ban on asbestos use in developing countries. JAMA Oncol. 2019;5(6):779\u2013780.10.1001\/jamaoncol.2019.0446"},{"key":"b4","series-title":"Ann Japanese Respir Soc.","first-page":"800","article-title":"An autopsy case of pleural mesothelioma that presented rapid progression and multiple organ metastasis after disease control for 5 years. Article in Japanese with English abstract","volume":"3","author":"Ota S","year":"2014","unstructured":"Ota S, Hara Y, Shinkai M, . An autopsy case of pleural mesothelioma that presented rapid progression and multiple organ metastasis after disease control for 5 years. Article in Japanese with English abstract. Ann Japanese Respir Soc. 2014;3:800\u2013804."},{"issue":"6","key":"b5","series-title":"Int Arch Occup Environ Health","doi-asserted-by":"publisher","first-page":"383","DOI":"10.1007\/s004200100240","article-title":"Malignant mesothelioma--German mesothelioma register 1987-1999","volume":"74","author":"Neumann V","year":"2001","unstructured":"Neumann V, G\u00fcnthe S, M\u00fclle KM, . Malignant mesothelioma--German mesothelioma register 1987-1999. Int Arch Occup Environ Health. 2001;74(6):383\u2013395.10.1007\/s004200100240"},{"issue":"3","key":"b6","series-title":"J Thorac Cardiovasc Surg","doi-asserted-by":"publisher","first-page":"620","DOI":"10.1016\/j.jtcvs.2007.10.054","article-title":"Extrapleural pneumonectomy versus pleurectomy\/decortication in the surgical management of malignant pleural mesothelioma: results in 663 patients","volume":"135","author":"Flores RM","year":"2008","unstructured":"Flores RM, Pass HI, Seshan VE, . Extrapleural pneumonectomy versus pleurectomy\/decortication in the surgical management of malignant pleural mesothelioma: results in 663 patients. J Thorac Cardiovasc Surg. 2008;135(3):620\u2013626.10.1016\/j.jtcvs.2007.10.054"},{"issue":"1","key":"b7","series-title":"Am J Med Sci","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1097\/00000441-200501000-00007","article-title":"Malignant pleural mesothelioma","volume":"329","author":"Hughes RS","year":"2005","unstructured":"Hughes RS. Malignant pleural mesothelioma. Am J Med Sci. 2005;329(1):29\u201344.10.1097\/00000441-200501000-00007"},{"key":"b8","series-title":"Haigan.","doi-asserted-by":"publisher","first-page":"926","DOI":"10.2482\/haigan.50.926","article-title":"A case of epithelial-type diffuse malignant pleural mesothelioma who survived with chemotherapy for 7 years. Article in Japanese with English abstract","volume":"50","author":"Kawamata O","year":"2010","unstructured":"Kawamata O. A case of epithelial-type diffuse malignant pleural mesothelioma who survived with chemotherapy for 7 years. Article in Japanese with English abstract. Haigan. 2010;50:926\u2013931.10.2482\/haigan.50.926"},{"issue":"5","key":"b9","series-title":"Nihon Kokyuki Gakkai Zasshi","first-page":"383","article-title":"Case of malignant pleural mesothelioma with long-term disease control after 4 different lines of systemic chemotherapy and pleurodesis.","volume":"47","author":"Tanaka A","year":"2009","unstructured":"Tanaka A, Takahashi T. Case of malignant pleural mesothelioma with long-term disease control after 4 different lines of systemic chemotherapy and pleurodesis. Article in Japanese. Nihon Kokyuki Gakkai Zasshi. 2009;47(5):383\u2013387."},{"issue":"1","key":"b10","series-title":"Histopathology","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1046\/j.1365-2559.2000.00793.x","article-title":"MIB-1 proliferation index correlates with survival in pleural malignant mesothelioma","volume":"36","author":"Comin CE","year":"2000","unstructured":"Comin CE, Anichini C, Boddi V, . MIB-1 proliferation index correlates with survival in pleural malignant mesothelioma. Histopathology. 2000;36(1):26\u201331.10.1046\/j.1365-2559.2000.00793.x"},{"issue":"4","key":"b11","series-title":"J Bras Pneumol","doi-asserted-by":"publisher","first-page":"322","DOI":"10.1590\/S1806-37132006000400011","article-title":"Morphological aspects as prognostic factors in malignant mesothelioma: a study of 58 cases","volume":"32","author":"Motta AB","year":"2006","unstructured":"Motta AB, Pinheiro G, Anton\u00e2ngelo L, . Morphological aspects as prognostic factors in malignant mesothelioma: a study of 58 cases. J Bras Pneumol. 2006;32(4):322\u2013332.10.1590\/S1806-37132006000400011"},{"issue":"1","key":"b12","series-title":"Zentralbl Neurochir","first-page":"41","article-title":"Intracranial formation of metastases of diffuse pleuro-mesothelioma","volume":"34","author":"Grumme T","year":"1973","unstructured":"Grumme T, Bingas B. Intracranial formation of metastases of diffuse pleuro-mesothelioma. Article in German. Zentralbl Neurochir. 1973;34(1):41\u201348."},{"issue":"1","key":"b13","series-title":"J Neurooncol","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1007\/BF01054270","article-title":"Cerebral metastases in pleural mesothelioma: case report and review of the literature","volume":"17","author":"Wro\u0144ski M","year":"1993","unstructured":"Wro\u0144ski M, Burt M. Cerebral metastases in pleural mesothelioma: case report and review of the literature. J Neurooncol. 1993;17(1):21\u201326.10.1007\/BF01054270"},{"issue":"7","key":"b14","series-title":"Ann Am Thorac Soc","doi-asserted-by":"publisher","first-page":"1075","DOI":"10.1513\/AnnalsATS.201404-165BC","article-title":"Malignant mesothelioma and central nervous system metastases. Report of two cases, pooled analysis, and systematic review","volume":"11","author":"Miller AC","year":"2014","unstructured":"Miller AC, Miettinen M, Schrump DS, . Malignant mesothelioma and central nervous system metastases. Report of two cases, pooled analysis, and systematic review. Ann Am Thorac Soc. 2014;11(7):1075\u20131081.10.1513\/AnnalsATS.201404-165BC"},{"issue":"5","key":"b15","series-title":"Tumori","doi-asserted-by":"publisher","first-page":"456","DOI":"10.1177\/030089169608200509","article-title":"Response to chemotherapy of brain metastases from malignant pleural mesothelioma","volume":"82","author":"Colleoni M","year":"1996","unstructured":"Colleoni M, Liessi G, Avventi C, . Response to chemotherapy of brain metastases from malignant pleural mesothelioma. Tumori. 1996;82(5):456\u2013458.10.1177\/030089169608200509"},{"issue":"11","key":"b16","series-title":"Neurol Med Chir (Tokyo)","doi-asserted-by":"publisher","first-page":"1027","DOI":"10.2176\/nmc.50.1027","article-title":"Brain metastasis in malignant pleural mesothelioma presenting as intratumoral hemorrhage","volume":"50","author":"Ishikawa T","year":"2010","unstructured":"Ishikawa T, Wanifuchi H, Abe K, . Brain metastasis in malignant pleural mesothelioma presenting as intratumoral hemorrhage. Neurol Med Chir (Tokyo). 2010;50(11):1027\u20131030.10.2176\/nmc.50.1027"},{"issue":"1","key":"b17","series-title":"Mod Pathol","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1038\/modpathol.2011.144","article-title":"Epithelial-mesenchymal transition in malignant mesothelioma","volume":"25","author":"Fassina A","year":"2012","unstructured":"Fassina A, Cappellesso R, Guzzardo V, . Epithelial-mesenchymal transition in malignant mesothelioma. Mod Pathol. 2012;25(1):86\u201399.10.1038\/modpathol.2011.144"},{"issue":"12","key":"b18","series-title":"J Clin Invest","doi-asserted-by":"publisher","first-page":"1776","DOI":"10.1172\/JCI200320530","article-title":"Epithelial-mesenchymal transition and its implications for fibrosis","volume":"112","author":"Kalluri R","year":"2003","unstructured":"Kalluri R, Neilson EG. Epithelial-mesenchymal transition and its implications for fibrosis. J Clin Invest. 2003;112(12):1776\u20131784.10.1172\/JCI200320530"},{"issue":"11","key":"b19","series-title":"Pathol Int","doi-asserted-by":"publisher","first-page":"754","DOI":"10.1111\/pin.12003","article-title":"The recurrence of malignant pleural mesothelioma 14 years after extrapleural pneumonectomy: possible histological transformation","volume":"62","author":"Kinoshita T","year":"2012","unstructured":"Kinoshita T, Ishii G, Matsumura Y, . The recurrence of malignant pleural mesothelioma 14 years after extrapleural pneumonectomy: possible histological transformation. Pathol Int. 2012;62(11):754\u2013757.10.1111\/pin.12003"}],"container-title":["Journal of Neurosurgery: Case Lessons"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/1\/3\/article-CASE2099.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/1\/3\/article-CASE2099.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/1\/3\/article-CASE2099.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T14:59:49Z","timestamp":1770303589000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/1\/3\/article-CASE2099.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,18]]},"references-count":38,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.3171\/case2099","relation":{},"ISSN":["2694-1902"],"issn-type":[{"value":"2694-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1,18]]}}}