{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T14:31:27Z","timestamp":1778509887342,"version":"3.51.4"},"reference-count":42,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"19","license":[{"start":{"date-parts":[[2022,5,9]],"date-time":"2022-05-09T00:00:00Z","timestamp":1652054400000},"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":[[2022,5,9]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Compared with several reports of cerebral vasospasm after clipping for unruptured cerebral aneurysm, only one study to date has reported cerebral vasospasm after coil embolization. Herein, the authors report a rare case of cerebral vasospasm after coil embolization for unruptured cerebral aneurysm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>A 58-year-old woman with an unruptured anterior communicating artery aneurysm was referred to our department. Stent-assisted coil embolization was performed for the aneurysm, and no obvious adverse events were observed on cerebral angiography obtained immediately after the operation. However, the patient developed mild headache and slight restlessness soon after the operation and new-onset disorientation, left hemispatial neglect, and left hemiplegia the day after the operation. Emergency brain magnetic resonance imaging and cerebral angiography indicated vasospasm in the right middle cerebral artery, and intra-arterial injection of fasudil hydrochloride hydrate was performed to dilate the middle cerebral artery. Blood flow in the middle cerebral artery immediately improved, and she was discharged without neurological deficits 8 days after the operation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>Immediate intervention is necessary to prevent cerebral infarction in patients with cerebral vasospasm, which may occur even after coil embolization for unruptured cerebral aneurysm.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case2288","type":"journal-article","created":{"date-parts":[[2022,5,9]],"date-time":"2022-05-09T03:09:01Z","timestamp":1652065741000},"source":"Crossref","is-referenced-by-count":4,"title":["Cerebral vasospasm after coil embolization for unruptured anterior communicating artery aneurysm: illustrative case"],"prefix":"10.3171","volume":"3","author":[{"given":"Kenji","family":"Fukutome","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Osaka Police Hospital, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuta","family":"Aketa","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka Police Hospital, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junji","family":"Fukumori","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka Police Hospital, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takaaki","family":"Mitsui","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka Police Hospital, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsukasa","family":"Nakajima","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka Police Hospital, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiromichi","family":"Hayami","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka Police Hospital, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryuta","family":"Matsuoka","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka Police Hospital, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rinsei","family":"Tei","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka Police Hospital, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasushi","family":"Shin","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka Police Hospital, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasushi","family":"Motoyama","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka Police Hospital, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"5","key":"b1","series-title":"Neurosurgery","first-page":"792","article-title":"Delayed cerebral vasospasm after uncomplicated operation on an unruptured aneurysm: case report","volume":"17","author":"Bloomfield SM","year":"1985","unstructured":"Bloomfield SM, Sonntag VK. Delayed cerebral vasospasm after uncomplicated operation on an unruptured aneurysm: case report. Neurosurgery. 1985;17(5):792\u2013796."},{"issue":"6","key":"b2","series-title":"Neurosurgery","first-page":"729","article-title":"Severe vasospasm with an unruptured aneurysm","volume":"6","author":"DeLong WB","year":"1980","unstructured":"DeLong WB. Severe vasospasm with an unruptured aneurysm. Neurosurgery. 1980;6(6):729."},{"issue":"1","key":"b3","series-title":"Surg Neurol","first-page":"21","article-title":"Vasospasm with an unruptured and unoperated aneurysm","volume":"19","author":"Friedman P","year":"1983","unstructured":"Friedman P, Gass HH, Magidson M. Vasospasm with an unruptured and unoperated aneurysm. Surg Neurol. 1983;19(1):21\u201325."},{"issue":"3","key":"b4","series-title":"J Stroke Cerebrovasc Dis","first-page":"e25","article-title":"A case of unexpected symptomatic vasospasm after clipping surgery for an unruptured intracranial aneurysm","volume":"25","author":"Hashimoto H","year":"2016","unstructured":"Hashimoto H, Kameda M, Yasuhara T, Date I. A case of unexpected symptomatic vasospasm after clipping surgery for an unruptured intracranial aneurysm. J Stroke Cerebrovasc Dis. 2016;25(3):e25\u2013e27."},{"issue":"2","key":"b5","series-title":"J Clin Neurosci","first-page":"150","article-title":"Postoperative vasospasm of unruptured paraclinoid carotid aneurysms: analysis of 30 cases","volume":"12","author":"Kitazawa K","year":"2005","unstructured":"Kitazawa K, Hongo K, Tanaka Y, Oikawa S, Kyoshima K, Kobayashi S. Postoperative vasospasm of unruptured paraclinoid carotid aneurysms: analysis of 30 cases. J Clin Neurosci. 2005;12(2): 150\u2013155."},{"issue":"11","key":"b6","series-title":"Acta Neurochir (Wien)","first-page":"1181","article-title":"Cerebral vasospasm in patients with unruptured intracranial aneurysms","volume":"147","author":"Paolini S","year":"2005","unstructured":"Paolini S, Kanaan Y, Wagenbach A, Fraser K, Lanzino G. Cerebral vasospasm in patients with unruptured intracranial aneurysms. Acta Neurochir (Wien). 2005;147(11):1181\u20131188."},{"issue":"1","key":"b7","series-title":"Neurosurgery","first-page":"92","article-title":"Severe vasospasm with an unruptured aneurysm: case report","volume":"6","author":"Raynor RB","year":"1980","unstructured":"Raynor RB, Messer HD. Severe vasospasm with an unruptured aneurysm: case report. Neurosurgery. 1980;6(1):92\u201395."},{"key":"b8","series-title":"J Clin Neurosci","first-page":"33","article-title":"Cerebral vasospasm and delayed ischaemic deficit following elective aneurysm clipping","volume":"34","author":"Tsyben A","year":"2016","unstructured":"Tsyben A, Paldor I, Laidlaw J. Cerebral vasospasm and delayed ischaemic deficit following elective aneurysm clipping. J Clin Neurosci. 2016;34:33\u201338."},{"issue":"4","key":"b9","series-title":"Turk Neurosurg","first-page":"662","article-title":"Clinical and angiographical delayed cerebral vasospasms after uncomplicated surgical clipping of unruptured intracranial aneurysms: illustrated review and two case reports","volume":"25","author":"Yang K","year":"2015","unstructured":"Yang K, Ahn JS, Park JC, Kwon DH, Kwun BD. Clinical and angiographical delayed cerebral vasospasms after uncomplicated surgical clipping of unruptured intracranial aneurysms: illustrated review and two case reports. Turk Neurosurg. 2015;25(4):662\u2013665."},{"issue":"2","key":"b10","series-title":"Surg Cereb Stroke","first-page":"104","article-title":"Postoperative ischemic complications in the surgical treatment of unruptured intracranial aneurysms","volume":"31","author":"Yasui T","year":"2003","unstructured":"Yasui T, Komiyama M, Iwai Y,  Postoperative ischemic complications in the surgical treatment of unruptured intracranial aneurysms. Surg Cereb Stroke. 2003;31(2):104\u2013110."},{"issue":"5","key":"b11","series-title":"Surg Cereb Stroke","first-page":"343","article-title":"Vasospasm following surgical treatment of unruptured aneurysms","volume":"49","author":"Kurosaki K","year":"2021","unstructured":"Kurosaki K, Umezawa K, Kimura S, Takegami T. Vasospasm following surgical treatment of unruptured aneurysms. Surg Cereb Stroke. 2021;49(5):343\u2013350."},{"issue":"3","key":"b12","series-title":"Surg Cereb Stroke","first-page":"207","article-title":"A case of delayed symptomatic vasospasm after surgical clipping of an unruptured intracranial aneurysm","volume":"47","author":"Yonemasu Y","year":"2019","unstructured":"Yonemasu Y, Takahashi A, Onda T,  A case of delayed symptomatic vasospasm after surgical clipping of an unruptured intracranial aneurysm. Surg Cereb Stroke. 2019;47(3):207\u2013212."},{"issue":"1","key":"b13","series-title":"No Shinkei Geka","first-page":"47","article-title":"Cerebral vasospasm after coil embolization for unruptured internal carotid artery aneurysm: case report. Article in Japanese","volume":"38","author":"Ogata A","year":"2010","unstructured":"Ogata A, Suzuyama K, Koga H, Takase Y, Matsushima T. Cerebral vasospasm after coil embolization for unruptured internal carotid artery aneurysm: case report. Article in Japanese. No Shinkei Geka. 2010;38(1):47\u201351."},{"issue":"2","key":"b14","series-title":"J Neurosurg","first-page":"173","article-title":"Time course of vasospasm in man","volume":"48","author":"Weir B","year":"1978","unstructured":"Weir B, Grace M, Hansen J, Rothberg C. Time course of vasospasm in man. J Neurosurg. 1978;48(2):173\u2013178."},{"issue":"3","key":"b15","series-title":"J Neurosurg","first-page":"471","article-title":"Upregulation of rho A and rho kinase messenger RNAs in the basilar artery of a rat model of subarachnoid hemorrhage","volume":"93","author":"Miyagi Y","year":"2000","unstructured":"Miyagi Y, Carpenter RC, Meguro T, Parent AD, Zhang JH. Upregulation of rho A and rho kinase messenger RNAs in the basilar artery of a rat model of subarachnoid hemorrhage. J Neurosurg. 2000;93(3):471\u2013476."},{"issue":"3","key":"b16","series-title":"J Neurosurg","first-page":"425","article-title":"Surgical manipulation of primate cerebral arteries in established vasospasm","volume":"75","author":"Findlay JM","year":"1991","unstructured":"Findlay JM, Macdonald RL, Weir BK, Grace MG. Surgical manipulation of primate cerebral arteries in established vasospasm. J Neurosurg. 1991;75(3):425\u2013432."},{"issue":"4","key":"b17","series-title":"Neurosurgery","first-page":"971","article-title":"The transsylvian approach is \u201cminimally invasive\u201d but not \u201catraumatic\u201d","volume":"51","author":"Schaller C","year":"2002","unstructured":"Schaller C, Klemm E, Haun D, Schramm J, Meyer B. The transsylvian approach is \u201cminimally invasive\u201d but not \u201catraumatic\u201d. Neurosurgery. 2002;51(4):971\u2013977."},{"issue":"2","key":"b18","series-title":"J Neurosurg","first-page":"319","article-title":"Symptomatic vasospasm and outcomes following aneurysmal subarachnoid hemorrhage: a comparison between surgical repair and endovascular coil occlusion","volume":"98","author":"Rabinstein AA","year":"2003","unstructured":"Rabinstein AA, Pichelmann MA, Friedman JA,  Symptomatic vasospasm and outcomes following aneurysmal subarachnoid hemorrhage: a comparison between surgical repair and endovascular coil occlusion. J Neurosurg. 2003;98(2):319\u2013325."},{"issue":"5","key":"b19","series-title":"Surg Neurol","first-page":"472","article-title":"Hypothalamic dysfunction and intracranial arterial spasms","volume":"4","author":"Wilkins RH","year":"1975","unstructured":"Wilkins RH. Hypothalamic dysfunction and intracranial arterial spasms. Surg Neurol. 1975;4(5):472\u2013480."},{"issue":"4","key":"b20","series-title":"J Neurosurg","first-page":"473","article-title":"The production of intracranial vascular spasm by hypothalamic extract","volume":"40","author":"Wilson JL","year":"1974","unstructured":"Wilson JL, Feild JR. The production of intracranial vascular spasm by hypothalamic extract. J Neurosurg. 1974;40(4):473\u2013479."},{"key":"b21","series-title":"World Neurosurg","first-page":"214","article-title":"Contralateral vasospasm in an uncomplicated elective anterior communicating artery aneurysm clipping","volume":"138","author":"Knight JA 2nd","year":"2020","unstructured":"Knight JA 2nd, Bigder MG, Mandel M, Li Y, Steinberg GK. Contralateral vasospasm in an uncomplicated elective anterior communicating artery aneurysm clipping. World Neurosurg. 2020;138:214\u2013217."},{"issue":"5","key":"b1","series-title":"Neurosurgery","first-page":"792","article-title":"Delayed cerebral vasospasm after uncomplicated operation on an unruptured aneurysm: case report","volume":"17","author":"Bloomfield SM","year":"1985","unstructured":"Bloomfield SM, Sonntag VK. Delayed cerebral vasospasm after uncomplicated operation on an unruptured aneurysm: case report. Neurosurgery. 1985;17(5):792\u2013796."},{"issue":"6","key":"b2","series-title":"Neurosurgery","first-page":"729","article-title":"Severe vasospasm with an unruptured aneurysm","volume":"6","author":"DeLong WB","year":"1980","unstructured":"DeLong WB. Severe vasospasm with an unruptured aneurysm. Neurosurgery. 1980;6(6):729."},{"issue":"1","key":"b3","series-title":"Surg Neurol","first-page":"21","article-title":"Vasospasm with an unruptured and unoperated aneurysm","volume":"19","author":"Friedman P","year":"1983","unstructured":"Friedman P, Gass HH, Magidson M. Vasospasm with an unruptured and unoperated aneurysm. Surg Neurol. 1983;19(1):21\u201325."},{"issue":"3","key":"b4","series-title":"J Stroke Cerebrovasc Dis","first-page":"e25","article-title":"A case of unexpected symptomatic vasospasm after clipping surgery for an unruptured intracranial aneurysm","volume":"25","author":"Hashimoto H","year":"2016","unstructured":"Hashimoto H, Kameda M, Yasuhara T, Date I. A case of unexpected symptomatic vasospasm after clipping surgery for an unruptured intracranial aneurysm. J Stroke Cerebrovasc Dis. 2016;25(3):e25\u2013e27."},{"issue":"2","key":"b5","series-title":"J Clin Neurosci","first-page":"150","article-title":"Postoperative vasospasm of unruptured paraclinoid carotid aneurysms: analysis of 30 cases","volume":"12","author":"Kitazawa K","year":"2005","unstructured":"Kitazawa K, Hongo K, Tanaka Y, Oikawa S, Kyoshima K, Kobayashi S. Postoperative vasospasm of unruptured paraclinoid carotid aneurysms: analysis of 30 cases. J Clin Neurosci. 2005;12(2): 150\u2013155."},{"issue":"11","key":"b6","series-title":"Acta Neurochir (Wien)","first-page":"1181","article-title":"Cerebral vasospasm in patients with unruptured intracranial aneurysms","volume":"147","author":"Paolini S","year":"2005","unstructured":"Paolini S, Kanaan Y, Wagenbach A, Fraser K, Lanzino G. Cerebral vasospasm in patients with unruptured intracranial aneurysms. Acta Neurochir (Wien). 2005;147(11):1181\u20131188."},{"issue":"1","key":"b7","series-title":"Neurosurgery","first-page":"92","article-title":"Severe vasospasm with an unruptured aneurysm: case report","volume":"6","author":"Raynor RB","year":"1980","unstructured":"Raynor RB, Messer HD. Severe vasospasm with an unruptured aneurysm: case report. Neurosurgery. 1980;6(1):92\u201395."},{"key":"b8","series-title":"J Clin Neurosci","first-page":"33","article-title":"Cerebral vasospasm and delayed ischaemic deficit following elective aneurysm clipping","volume":"34","author":"Tsyben A","year":"2016","unstructured":"Tsyben A, Paldor I, Laidlaw J. Cerebral vasospasm and delayed ischaemic deficit following elective aneurysm clipping. J Clin Neurosci. 2016;34:33\u201338."},{"issue":"4","key":"b9","series-title":"Turk Neurosurg","first-page":"662","article-title":"Clinical and angiographical delayed cerebral vasospasms after uncomplicated surgical clipping of unruptured intracranial aneurysms: illustrated review and two case reports","volume":"25","author":"Yang K","year":"2015","unstructured":"Yang K, Ahn JS, Park JC, Kwon DH, Kwun BD. Clinical and angiographical delayed cerebral vasospasms after uncomplicated surgical clipping of unruptured intracranial aneurysms: illustrated review and two case reports. Turk Neurosurg. 2015;25(4):662\u2013665."},{"issue":"2","key":"b10","series-title":"Surg Cereb Stroke","first-page":"104","article-title":"Postoperative ischemic complications in the surgical treatment of unruptured intracranial aneurysms","volume":"31","author":"Yasui T","year":"2003","unstructured":"Yasui T, Komiyama M, Iwai Y,  Postoperative ischemic complications in the surgical treatment of unruptured intracranial aneurysms. Surg Cereb Stroke. 2003;31(2):104\u2013110."},{"issue":"5","key":"b11","series-title":"Surg Cereb Stroke","first-page":"343","article-title":"Vasospasm following surgical treatment of unruptured aneurysms","volume":"49","author":"Kurosaki K","year":"2021","unstructured":"Kurosaki K, Umezawa K, Kimura S, Takegami T. Vasospasm following surgical treatment of unruptured aneurysms. Surg Cereb Stroke. 2021;49(5):343\u2013350."},{"issue":"3","key":"b12","series-title":"Surg Cereb Stroke","first-page":"207","article-title":"A case of delayed symptomatic vasospasm after surgical clipping of an unruptured intracranial aneurysm","volume":"47","author":"Yonemasu Y","year":"2019","unstructured":"Yonemasu Y, Takahashi A, Onda T,  A case of delayed symptomatic vasospasm after surgical clipping of an unruptured intracranial aneurysm. Surg Cereb Stroke. 2019;47(3):207\u2013212."},{"issue":"1","key":"b13","series-title":"No Shinkei Geka","first-page":"47","article-title":"Cerebral vasospasm after coil embolization for unruptured internal carotid artery aneurysm: case report. Article in Japanese","volume":"38","author":"Ogata A","year":"2010","unstructured":"Ogata A, Suzuyama K, Koga H, Takase Y, Matsushima T. Cerebral vasospasm after coil embolization for unruptured internal carotid artery aneurysm: case report. Article in Japanese. No Shinkei Geka. 2010;38(1):47\u201351."},{"issue":"2","key":"b14","series-title":"J Neurosurg","first-page":"173","article-title":"Time course of vasospasm in man","volume":"48","author":"Weir B","year":"1978","unstructured":"Weir B, Grace M, Hansen J, Rothberg C. Time course of vasospasm in man. J Neurosurg. 1978;48(2):173\u2013178."},{"issue":"3","key":"b15","series-title":"J Neurosurg","first-page":"471","article-title":"Upregulation of rho A and rho kinase messenger RNAs in the basilar artery of a rat model of subarachnoid hemorrhage","volume":"93","author":"Miyagi Y","year":"2000","unstructured":"Miyagi Y, Carpenter RC, Meguro T, Parent AD, Zhang JH. Upregulation of rho A and rho kinase messenger RNAs in the basilar artery of a rat model of subarachnoid hemorrhage. J Neurosurg. 2000;93(3):471\u2013476."},{"issue":"3","key":"b16","series-title":"J Neurosurg","first-page":"425","article-title":"Surgical manipulation of primate cerebral arteries in established vasospasm","volume":"75","author":"Findlay JM","year":"1991","unstructured":"Findlay JM, Macdonald RL, Weir BK, Grace MG. Surgical manipulation of primate cerebral arteries in established vasospasm. J Neurosurg. 1991;75(3):425\u2013432."},{"issue":"4","key":"b17","series-title":"Neurosurgery","first-page":"971","article-title":"The transsylvian approach is \u201cminimally invasive\u201d but not \u201catraumatic\u201d","volume":"51","author":"Schaller C","year":"2002","unstructured":"Schaller C, Klemm E, Haun D, Schramm J, Meyer B. The transsylvian approach is \u201cminimally invasive\u201d but not \u201catraumatic\u201d. Neurosurgery. 2002;51(4):971\u2013977."},{"issue":"2","key":"b18","series-title":"J Neurosurg","first-page":"319","article-title":"Symptomatic vasospasm and outcomes following aneurysmal subarachnoid hemorrhage: a comparison between surgical repair and endovascular coil occlusion","volume":"98","author":"Rabinstein AA","year":"2003","unstructured":"Rabinstein AA, Pichelmann MA, Friedman JA,  Symptomatic vasospasm and outcomes following aneurysmal subarachnoid hemorrhage: a comparison between surgical repair and endovascular coil occlusion. J Neurosurg. 2003;98(2):319\u2013325."},{"issue":"5","key":"b19","series-title":"Surg Neurol","first-page":"472","article-title":"Hypothalamic dysfunction and intracranial arterial spasms","volume":"4","author":"Wilkins RH","year":"1975","unstructured":"Wilkins RH. Hypothalamic dysfunction and intracranial arterial spasms. Surg Neurol. 1975;4(5):472\u2013480."},{"issue":"4","key":"b20","series-title":"J Neurosurg","first-page":"473","article-title":"The production of intracranial vascular spasm by hypothalamic extract","volume":"40","author":"Wilson JL","year":"1974","unstructured":"Wilson JL, Feild JR. The production of intracranial vascular spasm by hypothalamic extract. J Neurosurg. 1974;40(4):473\u2013479."},{"key":"b21","series-title":"World Neurosurg","first-page":"214","article-title":"Contralateral vasospasm in an uncomplicated elective anterior communicating artery aneurysm clipping","volume":"138","author":"Knight JA 2nd","year":"2020","unstructured":"Knight JA 2nd, Bigder MG, Mandel M, Li Y, Steinberg GK. Contralateral vasospasm in an uncomplicated elective anterior communicating artery aneurysm clipping. World Neurosurg. 2020;138:214\u2013217."}],"container-title":["Journal of Neurosurgery: Case Lessons"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/3\/19\/article-CASE2288.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/3\/19\/article-CASE2288.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/3\/19\/article-CASE2288.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T14:44:04Z","timestamp":1770302644000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/3\/19\/article-CASE2288.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,9]]},"references-count":42,"journal-issue":{"issue":"19"},"URL":"https:\/\/doi.org\/10.3171\/case2288","relation":{},"ISSN":["2694-1902"],"issn-type":[{"value":"2694-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,5,9]]}}}