{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T01:35:19Z","timestamp":1775871319104,"version":"3.50.1"},"reference-count":20,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"16","license":[{"start":{"date-parts":[[2024,4,15]],"date-time":"2024-04-15T00:00:00Z","timestamp":1713139200000},"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":[[2024,4,15]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Thoracic spinal cord injury after posterior cranial fossa surgery in younger patients is a rare complication. There have been reports of this complication in tumor and spine fields but not in vascular surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>A 22-year-old-man experienced cerebellar arteriovenous malformation rupture, and the malformation was surgically removed with the man in the Concorde position. After surgery, the man had severe paraplegia, and a thoracic spinal cord injury was diagnosed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>In younger patients, cervical hyperflexion in the Concorde position can cause thoracic spinal cord injury even in surgery for cerebrovascular disease.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case249","type":"journal-article","created":{"date-parts":[[2024,4,15]],"date-time":"2024-04-15T02:43:01Z","timestamp":1713148981000},"source":"Crossref","is-referenced-by-count":2,"title":["Thoracic spinal cord injury after surgical removal of a ruptured cerebellar arteriovenous malformation in a patient in the Concorde position: illustrative case"],"prefix":"10.3171","volume":"7","author":[{"given":"Kohei","family":"Ishikawa","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Nakamura Memorial Hospital, Sapporo, Hokkaido, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideki","family":"Endo","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nakamura Memorial Hospital, Sapporo, Hokkaido, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasufumi","family":"Ohtake","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nakamura Memorial Hospital, Sapporo, Hokkaido, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshiichi","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nakamura Memorial Hospital, Sapporo, Hokkaido, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirohiko","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nakamura Memorial Hospital, Sapporo, Hokkaido, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"6","key":"b1","series-title":"J Clin Neurosci","first-page":"522","article-title":"Paraplegia following surgery for medulloblastoma in the posterior fossa","volume":"6","author":"Hongo K","year":"1999","unstructured":"Hongo K, Nakagawa H, Tamai K, Kobayashi S. Paraplegia following surgery for medulloblastoma in the posterior fossa. J Clin Neurosci. 1999;6(6):522\u2013524."},{"issue":"1","key":"b2","series-title":"Childs Nerv Syst","first-page":"25","article-title":"Paraplegia after posterior fossa surgery in prone position: can we prevent it?","volume":"33","author":"Maduri R","year":"2017","unstructured":"Maduri R, Daniel RT, Diezi M, Cotting J, Messerer M. Paraplegia after posterior fossa surgery in prone position: can we prevent it? Childs Nerv Syst. 2017;33(1):25\u201326."},{"issue":"12","key":"b3","series-title":"Childs Nerv Syst","first-page":"1541","article-title":"Cervical spinal cord infarction after posterior fossa surgery: a case-based update","volume":"25","author":"Mart\u00ednez-Lage JF","year":"2009","unstructured":"Mart\u00ednez-Lage JF, Almagro MJ, Izura V, Serrano C, Ruiz-Espejo AM, S\u00e1nchez-Del-Rinc\u00f3n I. Cervical spinal cord infarction after posterior fossa surgery: a case-based update. Childs Nerv Syst. 2009;25(12):1541\u20131546."},{"issue":"2","key":"b4","series-title":"J Pediatr Neurosci","first-page":"152","article-title":"Preoperative diffuse leptomeningeal spread in a medulloblastoma: paraplegia following surgery for posterior fossa and call for newer management protocols","volume":"6","author":"Salunke P","year":"2011","unstructured":"Salunke P, Gupta K, Kovai P, Sura S, Aggarwal A. Preoperative diffuse leptomeningeal spread in a medulloblastoma: paraplegia following surgery for posterior fossa and call for newer management protocols. J Pediatr Neurosci. 2011;6(2):152\u2013154."},{"issue":"4","key":"b5","series-title":"J Neurosurg Spine","first-page":"1","article-title":"Spinal cord infarction with resultant paraplegia after Chiari I decompression: case report","volume":"32","author":"Shah AS","year":"2019","unstructured":"Shah AS, Yahanda AT, Athiraman U, Tempelhoff R, Chicoine MR. Spinal cord infarction with resultant paraplegia after Chiari I decompression: case report. J Neurosurg Spine. 2019;32(4):1\u20137."},{"key":"b6","series-title":"World Neurosurg","first-page":"151","article-title":"Paralysis caused by spinal cord injury after posterior fossa surgery: a systematic review","volume":"139","author":"Yahanda AT","year":"2020","unstructured":"Yahanda AT, Chicoine MR. Paralysis caused by spinal cord injury after posterior fossa surgery: a systematic review. World Neurosurg. 2020;139:151\u2013157."},{"issue":"4","key":"b7","series-title":"AJNR Am J Neuroradiol","first-page":"787","article-title":"Giant cervical epidural veins after lumbar puncture in a case of intracranial hypotension","volume":"21","author":"Clarot F","year":"2000","unstructured":"Clarot F, Callonnec F, Douvrin F,  Giant cervical epidural veins after lumbar puncture in a case of intracranial hypotension. AJNR Am J Neuroradiol. 2000;21(4):787\u2013789."},{"issue":"2","key":"b8","series-title":"Br J Anaesth","first-page":"153","article-title":"Soft tissue anatomy within the vertebral canal in pregnant women","volume":"77","author":"Hirabayashi Y","year":"1996","unstructured":"Hirabayashi Y, Shimizu R, Fukuda H, Saitoh K, Igarashi T. Soft tissue anatomy within the vertebral canal in pregnant women. Br J Anaesth. 1996;77(2):153\u2013156."},{"issue":"4","key":"b9","series-title":"J Neurol","first-page":"1776","article-title":"Is surfer\u2019s myelopathy an acute\u00a0hyperextension-induced myelopathy? A systematic synthesis of case studies and proposed diagnostic criteria","volume":"269","author":"Alva-D\u00edaz C","year":"2022","unstructured":"Alva-D\u00edaz C, Rodriguez-L\u00f3pez E, L\u00f3pez-Saavedra A,  Is surfer\u2019s myelopathy an acute\u00a0hyperextension-induced myelopathy? A systematic synthesis of case studies and proposed diagnostic criteria. J Neurol. 2022;269(4):1776\u20131785."},{"issue":"6","key":"b10","series-title":"J Neurosurg Pediatr","first-page":"608","article-title":"Spinal cord infarction remote from maximal compression in a patient with Morquio syndrome","volume":"9","author":"Tong CK","year":"2012","unstructured":"Tong CK, Chen JC, Cochrane DD. Spinal cord infarction remote from maximal compression in a patient with Morquio syndrome. J Neurosurg Pediatr. 2012;9(6):608\u2013612."},{"issue":"6","key":"b1","series-title":"J Clin Neurosci","first-page":"522","article-title":"Paraplegia following surgery for medulloblastoma in the posterior fossa","volume":"6","author":"Hongo K","year":"1999","unstructured":"Hongo K, Nakagawa H, Tamai K, Kobayashi S. Paraplegia following surgery for medulloblastoma in the posterior fossa. 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AJNR Am J Neuroradiol. 2000;21(4):787\u2013789."},{"issue":"2","key":"b8","series-title":"Br J Anaesth","first-page":"153","article-title":"Soft tissue anatomy within the vertebral canal in pregnant women","volume":"77","author":"Hirabayashi Y","year":"1996","unstructured":"Hirabayashi Y, Shimizu R, Fukuda H, Saitoh K, Igarashi T. Soft tissue anatomy within the vertebral canal in pregnant women. Br J Anaesth. 1996;77(2):153\u2013156."},{"issue":"4","key":"b9","series-title":"J Neurol","first-page":"1776","article-title":"Is surfer\u2019s myelopathy an acute\u00a0hyperextension-induced myelopathy? A systematic synthesis of case studies and proposed diagnostic criteria","volume":"269","author":"Alva-D\u00edaz C","year":"2022","unstructured":"Alva-D\u00edaz C, Rodriguez-L\u00f3pez E, L\u00f3pez-Saavedra A,  Is surfer\u2019s myelopathy an acute\u00a0hyperextension-induced myelopathy? A systematic synthesis of case studies and proposed diagnostic criteria. J Neurol. 2022;269(4):1776\u20131785."},{"issue":"6","key":"b10","series-title":"J Neurosurg Pediatr","first-page":"608","article-title":"Spinal cord infarction remote from maximal compression in a patient with Morquio syndrome","volume":"9","author":"Tong CK","year":"2012","unstructured":"Tong CK, Chen JC, Cochrane DD. Spinal cord infarction remote from maximal compression in a patient with Morquio syndrome. 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