{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T15:18:19Z","timestamp":1780759099429,"version":"3.54.1"},"reference-count":40,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"25","license":[{"start":{"date-parts":[[2024,12,16]],"date-time":"2024-12-16T00:00:00Z","timestamp":1734307200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2024,12,16]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>A ventriculoatrial (VA) shunt is an alternative to a ventriculoperitoneal (VP) shunt for managing hydrocephalus, especially when VP shunt insertion is not feasible. Despite its decline in use, the VA shunt remains vital for certain patients. This report highlights a rare complication of bilateral vocal cord paralysis following VA shunt insertion for hydrocephalus secondary to subarachnoid hemorrhage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>A woman in her 60s with a history of hypertension and giant liver cysts developed hydrocephalus after a subarachnoid hemorrhage. Because of her abdominal anatomical problems, VA shunt insertion assisted by transesophageal echocardiography (TEE) was chosen. Postoperatively, she experienced sudden dyspnea and upper airway stridor, diagnosed as bilateral vocal cord paralysis, necessitating an emergency tracheostomy. Gradual improvement was noted over the following month.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>Bilateral vocal cord paralysis can be a potential complication of TEE-assisted VA shunt procedures. To mitigate this risk, preoperative assessments of vocal cord function and swallowing are recommended. Alternatives to TEE, such as fluoroscopy or smaller probes, can be considered for patients with risk factors, including severe subarachnoid hemorrhage and prolonged intubation.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/10.3171\/CASE24518\">https:\/\/thejns.org\/doi\/10.3171\/CASE24518<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case24518","type":"journal-article","created":{"date-parts":[[2024,12,16]],"date-time":"2024-12-16T01:49:17Z","timestamp":1734313757000},"source":"Crossref","is-referenced-by-count":1,"title":["Bilateral vocal cord paralysis following ventriculoatrial shunt placement for hydrocephalus after subarachnoid hemorrhage: illustrative case"],"prefix":"10.3171","volume":"8","author":[{"given":"Kensuke","family":"Ikeda","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Kyorin University School of Medicine, Tokyo, Japan"},{"name":"Department of Trauma and Critical Care Medicine, Kyorin University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shoko","family":"Fujii","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kyorin University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keisuke","family":"Maruyama","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kyorin University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroki","family":"Yoshida","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kyorin University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yosuke","family":"Seiya","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kyorin University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shoichi","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kyorin University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroki","family":"Kagiwata","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kyorin University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Nagai","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kyorin University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryo","family":"Onoda","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kyorin University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kei","family":"Okada","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kyorin University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akio","family":"Noguchi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kyorin University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirofumi","family":"Nakatomi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kyorin University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"1","key":"bib1","series-title":"Oper Neurosurg (Hagerstown)","first-page":"25","article-title":"Transesophageal echocardiography-guided ventriculoatrial shunt insertion","volume":"19","author":"Isaacs","year":"2020","unstructured":"Isaacs AMKrahn DWalker AMHurdle HHamilton MG. Transesophageal echocardiography-guided ventriculoatrial shunt insertion. Oper Neurosurg (Hagerstown). 2020;19(1):25-31."},{"issue":"5","key":"bib2","series-title":"Neurosurgery","first-page":"903","article-title":"Ventriculoatrial shunt versus ventriculoperitoneal shunt: a systematic review and meta-analysis","volume":"94","author":"Oliveira","year":"2023","unstructured":"Oliveira LBHakim FSemione GDS, et al. Ventriculoatrial shunt versus ventriculoperitoneal shunt: a systematic review and meta-analysis. Neurosurgery. 2023;94(5):903-915."},{"issue":"1","key":"bib3","series-title":"Chin Neurosurg J","first-page":"3","article-title":"Ventriculo-atrial shunt with occlusion of the internal jugular vein: operative experience and surgical technique","volume":"10","author":"Quintero","year":"2024","unstructured":"Quintero STRamirez-Velandia FHortua Moreno AFVera LRugeles PAzuero Gonzalez RA. Ventriculo-atrial shunt with occlusion of the internal jugular vein: operative experience and surgical technique. Chin Neurosurg J. 2024;10(1):3."},{"key":"bib4","series-title":"Clin Neurol Neurosurg","first-page":"108396","article-title":"Are ventriculopleural shunts the second option for treating hydrocephalus? A meta-analysis of 543 patients","volume":"244","author":"Oliveira","year":"2024","unstructured":"Oliveira LBPorto SJrAndre\u00e3o FF, et al. Are ventriculopleural shunts the second option for treating hydrocephalus? A meta-analysis of 543 patients. Clin Neurol Neurosurg. 2024;244:108396."},{"issue":"4","key":"bib5","series-title":"Kulak Burun Bogaz Ihtis Derg","first-page":"228","article-title":"Vocal cord paralysis: what matters between idiopathic and non-idiopathic cases?","volume":"26","author":"\u00d6zbal Ko\u00e7","year":"2016","unstructured":"\u00d6zbal Ko\u00e7 AET\u00fcrko\u011flu SBErol OErbek S. Vocal cord paralysis: what matters between idiopathic and non-idiopathic cases? Kulak Burun Bogaz Ihtis Derg. 2016;26(4):228-233."},{"issue":"3","key":"bib6","series-title":"Otolaryngol Head Neck Surg","first-page":"724","article-title":"Management of bilateral vocal fold paralysis: a systematic review","volume":"170","author":"Lechien","year":"2024","unstructured":"Lechien JRHans SMau T. Management of bilateral vocal fold paralysis: a systematic review. Otolaryngol Head Neck Surg. 2024;170(3):724-735."},{"issue":"1","key":"bib7","series-title":"Neurosurgery","first-page":"2","article-title":"Two-dimensional echographic localization of intracardiac cerebrospinal fluid shunt catheters","volume":"14","author":"Soyeur","year":"1984","unstructured":"Soyeur DBorn JLenelle JStevenaert A. Two-dimensional echographic localization of intracardiac cerebrospinal fluid shunt catheters. Neurosurgery. 1984;14(1):2-7."},{"issue":"6","key":"bib8","series-title":"J Neurosurg","first-page":"1018","article-title":"Transesophageal echocardiography: a simple method for monitoring the patency of ventriculoatrial shunts. Technical note","volume":"74","author":"Calliauw","year":"1991","unstructured":"Calliauw LVandenbogaerde JKalala OCaemaert JMartens FVandekerckhove T. Transesophageal echocardiography: a simple method for monitoring the patency of ventriculoatrial shunts. Technical note. J Neurosurg. 1991;74(6):1018-1020."},{"issue":"5","key":"bib9","series-title":"Neurosurgery","first-page":"747","article-title":"Ventriculoatrial shunt distal catheter placement using transesophageal echocardiography: technical note","volume":"30","author":"McGrail","year":"1992","unstructured":"McGrail KMMuzzi DALosasso TJMeyer FB. Ventriculoatrial shunt distal catheter placement using transesophageal echocardiography: technical note. Neurosurgery. 1992;30(5):747-749."},{"issue":"1","key":"bib10","series-title":"Chang Gung Med J","first-page":"62","article-title":"Minimally invasive procedure for ventriculoatrial shunt\u2014combining a percutaneous approach with real-time transesophageal echocardiogram monitoring: report of six cases","volume":"25","author":"Chuang","year":"2002","unstructured":"Chuang HLChang CNHsu JC. Minimally invasive procedure for ventriculoatrial shunt\u2014combining a percutaneous approach with real-time transesophageal echocardiogram monitoring: report of six cases. Chang Gung Med J. 2002;25(1):62-66."},{"issue":"1","key":"bib11","series-title":"J Neurosurg","first-page":"153","article-title":"Accurate placement of the distal end of a ventriculoatrial shunt with the aid of real-time transesophageal echocardiography. Technical note","volume":"105","author":"Machinis","year":"2006","unstructured":"Machinis TGFountas KNHudson JRobinson JSTroup EC. Accurate placement of the distal end of a ventriculoatrial shunt with the aid of real-time transesophageal echocardiography. Technical note. J Neurosurg. 2006;105(1):153-156."},{"issue":"5","key":"bib12","series-title":"Ann Thorac Surg","first-page":"1450","article-title":"The incidence of dysphagia in pediatric patients after open heart procedures with transesophageal echocardiography","volume":"76","author":"Kohr","year":"2003","unstructured":"Kohr LMDargan MHague A, et al. The incidence of dysphagia in pediatric patients after open heart procedures with transesophageal echocardiography. Ann Thorac Surg. 2003;76(5):1450-1456."},{"issue":"6","key":"bib13","series-title":"Acta Cardiol Sin","first-page":"624","article-title":"Vocal cord paralysis and laryngeal trauma in cardiac surgery","volume":"33","author":"Chen","year":"2017","unstructured":"Chen YYChia YYWang PCLin HYTsai CLHou SM. Vocal cord paralysis and laryngeal trauma in cardiac surgery. Acta Cardiol Sin. 2017;33(6):624-629."},{"key":"bib14","series-title":"J Neurosurg Anesthesiol","article-title":"Real-time 3D transesophageal echocardiography for the placement of ventriculoatrial shunt: a case series and technical note","author":"Chui","unstructured":"Chui JMacDougall KNg W. Real-time 3D transesophageal echocardiography for the placement of ventriculoatrial shunt: a case series and technical note. J Neurosurg Anesthesiol. Published online January 17, 2024. doi:10.1097\/ANA.0000000000000952."},{"issue":"9","key":"bib15","series-title":"Laryngoscope","first-page":"962","article-title":"The nasogastric tube syndrome","volume":"100","author":"Sofferman","year":"1990","unstructured":"Sofferman RAHaisch CEKirchner JAHardin NJ. The nasogastric tube syndrome. Laryngoscope. 1990;100(9):962-968."},{"issue":"1","key":"bib16","series-title":"Med Princ Pract","first-page":"44","article-title":"Nasogastric tube syndrome: the unilateral variant","volume":"12","author":"Nehru","year":"2003","unstructured":"Nehru VINAl Shammari HJJaffer AM. Nasogastric tube syndrome: the unilateral variant. Med Princ Pract. 2003;12(1):44-46."},{"issue":"1","key":"bib17","series-title":"Head Neck","first-page":"59","article-title":"The nasogastric tube syndrome: two case reports and review of the literature","volume":"23","author":"Apostolakis","year":"2001","unstructured":"Apostolakis LWFunk GFUrdaneta LFMcCulloch TMJeyapalan MM. The nasogastric tube syndrome: two case reports and review of the literature. Head Neck. 2001;23(1):59-63."},{"issue":"15","key":"bib18","series-title":"World J Gastroenterol","first-page":"4057","article-title":"Nasogastric tube syndrome induced by an indwelling long intestinal tube","volume":"22","author":"Sano","year":"2016","unstructured":"Sano NYamamoto MNagai KYamada KOhkohchi N. Nasogastric tube syndrome induced by an indwelling long intestinal tube. World J Gastroenterol. 2016;22(15):4057-4061."},{"issue":"1","key":"bib19","series-title":"J Pediatr Gastroenterol Nutr","first-page":"71","article-title":"Extraction of the plasticizers diethylhexylphthalate and polyadipate from polyvinylchloride nasogastric tubes through gastric juice and feeding solution","volume":"44","author":"Subotic","year":"2007","unstructured":"Subotic UHannmann TKiss MBrade JBreitkopf KLoff S. Extraction of the plasticizers diethylhexylphthalate and polyadipate from polyvinylchloride nasogastric tubes through gastric juice and feeding solution. J Pediatr Gastroenterol Nutr. 2007;44(1):71-76."},{"issue":"6","key":"bib20","series-title":"Crit Care Nurse","first-page":"80","article-title":"Nasogastric versus feeding tubes in critically ill patients","volume":"30","author":"McGinnis","year":"2010","unstructured":"McGinnis CMWorthington PLord LM. Nasogastric versus feeding tubes in critically ill patients. Crit Care Nurse. 2010;30(6):80-82."},{"issue":"1","key":"bib1","series-title":"Oper Neurosurg (Hagerstown)","first-page":"25","article-title":"Transesophageal echocardiography-guided ventriculoatrial shunt insertion","volume":"19","author":"Isaacs","year":"2020","unstructured":"Isaacs AMKrahn DWalker AMHurdle HHamilton MG. Transesophageal echocardiography-guided ventriculoatrial shunt insertion. Oper Neurosurg (Hagerstown). 2020;19(1):25-31."},{"issue":"5","key":"bib2","series-title":"Neurosurgery","first-page":"903","article-title":"Ventriculoatrial shunt versus ventriculoperitoneal shunt: a systematic review and meta-analysis","volume":"94","author":"Oliveira","year":"2023","unstructured":"Oliveira LBHakim FSemione GDS, et al. Ventriculoatrial shunt versus ventriculoperitoneal shunt: a systematic review and meta-analysis. Neurosurgery. 2023;94(5):903-915."},{"issue":"1","key":"bib3","series-title":"Chin Neurosurg J","first-page":"3","article-title":"Ventriculo-atrial shunt with occlusion of the internal jugular vein: operative experience and surgical technique","volume":"10","author":"Quintero","year":"2024","unstructured":"Quintero STRamirez-Velandia FHortua Moreno AFVera LRugeles PAzuero Gonzalez RA. Ventriculo-atrial shunt with occlusion of the internal jugular vein: operative experience and surgical technique. Chin Neurosurg J. 2024;10(1):3."},{"key":"bib4","series-title":"Clin Neurol Neurosurg","first-page":"108396","article-title":"Are ventriculopleural shunts the second option for treating hydrocephalus? A meta-analysis of 543 patients","volume":"244","author":"Oliveira","year":"2024","unstructured":"Oliveira LBPorto SJrAndre\u00e3o FF, et al. Are ventriculopleural shunts the second option for treating hydrocephalus? A meta-analysis of 543 patients. Clin Neurol Neurosurg. 2024;244:108396."},{"issue":"4","key":"bib5","series-title":"Kulak Burun Bogaz Ihtis Derg","first-page":"228","article-title":"Vocal cord paralysis: what matters between idiopathic and non-idiopathic cases?","volume":"26","author":"\u00d6zbal Ko\u00e7","year":"2016","unstructured":"\u00d6zbal Ko\u00e7 AET\u00fcrko\u011flu SBErol OErbek S. Vocal cord paralysis: what matters between idiopathic and non-idiopathic cases? Kulak Burun Bogaz Ihtis Derg. 2016;26(4):228-233."},{"issue":"3","key":"bib6","series-title":"Otolaryngol Head Neck Surg","first-page":"724","article-title":"Management of bilateral vocal fold paralysis: a systematic review","volume":"170","author":"Lechien","year":"2024","unstructured":"Lechien JRHans SMau T. Management of bilateral vocal fold paralysis: a systematic review. Otolaryngol Head Neck Surg. 2024;170(3):724-735."},{"issue":"1","key":"bib7","series-title":"Neurosurgery","first-page":"2","article-title":"Two-dimensional echographic localization of intracardiac cerebrospinal fluid shunt catheters","volume":"14","author":"Soyeur","year":"1984","unstructured":"Soyeur DBorn JLenelle JStevenaert A. Two-dimensional echographic localization of intracardiac cerebrospinal fluid shunt catheters. Neurosurgery. 1984;14(1):2-7."},{"issue":"6","key":"bib8","series-title":"J Neurosurg","first-page":"1018","article-title":"Transesophageal echocardiography: a simple method for monitoring the patency of ventriculoatrial shunts. Technical note","volume":"74","author":"Calliauw","year":"1991","unstructured":"Calliauw LVandenbogaerde JKalala OCaemaert JMartens FVandekerckhove T. Transesophageal echocardiography: a simple method for monitoring the patency of ventriculoatrial shunts. Technical note. J Neurosurg. 1991;74(6):1018-1020."},{"issue":"5","key":"bib9","series-title":"Neurosurgery","first-page":"747","article-title":"Ventriculoatrial shunt distal catheter placement using transesophageal echocardiography: technical note","volume":"30","author":"McGrail","year":"1992","unstructured":"McGrail KMMuzzi DALosasso TJMeyer FB. Ventriculoatrial shunt distal catheter placement using transesophageal echocardiography: technical note. Neurosurgery. 1992;30(5):747-749."},{"issue":"1","key":"bib10","series-title":"Chang Gung Med J","first-page":"62","article-title":"Minimally invasive procedure for ventriculoatrial shunt\u2014combining a percutaneous approach with real-time transesophageal echocardiogram monitoring: report of six cases","volume":"25","author":"Chuang","year":"2002","unstructured":"Chuang HLChang CNHsu JC. Minimally invasive procedure for ventriculoatrial shunt\u2014combining a percutaneous approach with real-time transesophageal echocardiogram monitoring: report of six cases. Chang Gung Med J. 2002;25(1):62-66."},{"issue":"1","key":"bib11","series-title":"J Neurosurg","first-page":"153","article-title":"Accurate placement of the distal end of a ventriculoatrial shunt with the aid of real-time transesophageal echocardiography. Technical note","volume":"105","author":"Machinis","year":"2006","unstructured":"Machinis TGFountas KNHudson JRobinson JSTroup EC. Accurate placement of the distal end of a ventriculoatrial shunt with the aid of real-time transesophageal echocardiography. Technical note. J Neurosurg. 2006;105(1):153-156."},{"issue":"5","key":"bib12","series-title":"Ann Thorac Surg","first-page":"1450","article-title":"The incidence of dysphagia in pediatric patients after open heart procedures with transesophageal echocardiography","volume":"76","author":"Kohr","year":"2003","unstructured":"Kohr LMDargan MHague A, et al. The incidence of dysphagia in pediatric patients after open heart procedures with transesophageal echocardiography. Ann Thorac Surg. 2003;76(5):1450-1456."},{"issue":"6","key":"bib13","series-title":"Acta Cardiol Sin","first-page":"624","article-title":"Vocal cord paralysis and laryngeal trauma in cardiac surgery","volume":"33","author":"Chen","year":"2017","unstructured":"Chen YYChia YYWang PCLin HYTsai CLHou SM. Vocal cord paralysis and laryngeal trauma in cardiac surgery. Acta Cardiol Sin. 2017;33(6):624-629."},{"key":"bib14","series-title":"J Neurosurg Anesthesiol","article-title":"Real-time 3D transesophageal echocardiography for the placement of ventriculoatrial shunt: a case series and technical note","author":"Chui","unstructured":"Chui JMacDougall KNg W. Real-time 3D transesophageal echocardiography for the placement of ventriculoatrial shunt: a case series and technical note. J Neurosurg Anesthesiol. Published online January 17, 2024. doi:10.1097\/ANA.0000000000000952."},{"issue":"9","key":"bib15","series-title":"Laryngoscope","first-page":"962","article-title":"The nasogastric tube syndrome","volume":"100","author":"Sofferman","year":"1990","unstructured":"Sofferman RAHaisch CEKirchner JAHardin NJ. The nasogastric tube syndrome. Laryngoscope. 1990;100(9):962-968."},{"issue":"1","key":"bib16","series-title":"Med Princ Pract","first-page":"44","article-title":"Nasogastric tube syndrome: the unilateral variant","volume":"12","author":"Nehru","year":"2003","unstructured":"Nehru VINAl Shammari HJJaffer AM. Nasogastric tube syndrome: the unilateral variant. Med Princ Pract. 2003;12(1):44-46."},{"issue":"1","key":"bib17","series-title":"Head Neck","first-page":"59","article-title":"The nasogastric tube syndrome: two case reports and review of the literature","volume":"23","author":"Apostolakis","year":"2001","unstructured":"Apostolakis LWFunk GFUrdaneta LFMcCulloch TMJeyapalan MM. The nasogastric tube syndrome: two case reports and review of the literature. Head Neck. 2001;23(1):59-63."},{"issue":"15","key":"bib18","series-title":"World J Gastroenterol","first-page":"4057","article-title":"Nasogastric tube syndrome induced by an indwelling long intestinal tube","volume":"22","author":"Sano","year":"2016","unstructured":"Sano NYamamoto MNagai KYamada KOhkohchi N. Nasogastric tube syndrome induced by an indwelling long intestinal tube. World J Gastroenterol. 2016;22(15):4057-4061."},{"issue":"1","key":"bib19","series-title":"J Pediatr Gastroenterol Nutr","first-page":"71","article-title":"Extraction of the plasticizers diethylhexylphthalate and polyadipate from polyvinylchloride nasogastric tubes through gastric juice and feeding solution","volume":"44","author":"Subotic","year":"2007","unstructured":"Subotic UHannmann TKiss MBrade JBreitkopf KLoff S. Extraction of the plasticizers diethylhexylphthalate and polyadipate from polyvinylchloride nasogastric tubes through gastric juice and feeding solution. J Pediatr Gastroenterol Nutr. 2007;44(1):71-76."},{"issue":"6","key":"bib20","series-title":"Crit Care Nurse","first-page":"80","article-title":"Nasogastric versus feeding tubes in critically ill patients","volume":"30","author":"McGinnis","year":"2010","unstructured":"McGinnis CMWorthington PLord LM. Nasogastric versus feeding tubes in critically ill patients. Crit Care Nurse. 2010;30(6):80-82."}],"container-title":["Journal of Neurosurgery: Case Lessons"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/8\/25\/article-CASE24518.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/8\/25\/article-CASE24518.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/8\/25\/article-CASE24518.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T11:54:49Z","timestamp":1769687689000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/8\/25\/article-CASE24518.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,16]]},"references-count":40,"journal-issue":{"issue":"25"},"URL":"https:\/\/doi.org\/10.3171\/case24518","relation":{},"ISSN":["2694-1902"],"issn-type":[{"value":"2694-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,16]]}}}