{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T04:13:48Z","timestamp":1783656828933,"version":"3.55.0"},"reference-count":40,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"14","license":[{"start":{"date-parts":[[2025,10,6]],"date-time":"2025-10-06T00:00:00Z","timestamp":1759708800000},"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 Neurosurg Case Lessons"],"published-print":{"date-parts":[[2025,10,6]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>\n                      Skull base reconstruction following an extended endoscopic endonasal approach (EEA) is essential for preventing postoperative CSF leakage. Despite recent advancements in surgical techniques and materials, CSF leakage remains a significant complication. This report presents a rigid reconstruction technique utilizing a resorbable unsintered hydroxyapatite\/poly-\n                      <jats:sc>l<\/jats:sc>\n                      -lactide (u-HA\/PLLA) plate to reduce postoperative CSF leakage.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>Between May 2024 and June 2025, this method was used in 10 cases of extended EEA involving high-flow intraoperative CSF leaks and bone defects more than 25 mm. Notably, no postoperative CSF leakage was observed following the introduction of the u-HA\/PLLA plate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>This material offers a unique combination of flexibility and mechanical strength comparable to cortical bone, along with osteoconductivity and bioresorbability, while producing negligible interference on postoperative imaging. These properties make it a highly promising material for skull base reconstruction.<\/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\/CASE25544\">https:\/\/thejns.org\/doi\/10.3171\/CASE25544<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case25544","type":"journal-article","created":{"date-parts":[[2025,10,7]],"date-time":"2025-10-07T00:02:41Z","timestamp":1759795361000},"source":"Crossref","is-referenced-by-count":1,"title":["Simple rigid skull base reconstruction with resorbable unsintered hydroxyapatite\/poly-l-lactide plate in endoscopic endonasal skull base tumor surgery: illustrative case"],"prefix":"10.3171","volume":"10","author":[{"given":"Kittipit","family":"Manthawornsiri","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan"},{"name":"Department of Neurosurgery, Taksin Hospital, Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroki","family":"Morisako","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atsufumi","family":"Nagahama","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7643-0782","authenticated-orcid":true,"given":"Masaki","family":"Ikegami","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-9142-0439","authenticated-orcid":true,"given":"Rayford","family":"Hazunga","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boon Seng","family":"Liew","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7790-2438","authenticated-orcid":true,"given":"Takeo","family":"Goto","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"6","key":"bib1","series-title":"Neurosurg Focus","first-page":"E3","article-title":"Brief history of endoscopic transsphenoidal surgery\u2014from Philipp Bozzini to the First World Congress of Endoscopic Skull Base Surgery","volume":"19","author":"Doglietto","year":"2005","unstructured":"Doglietto FPrevedello DMJane JAHan JLaws ER.Brief history of endoscopic transsphenoidal surgery\u2014from Philipp Bozzini to the First World Congress of Endoscopic Skull Base Surgery. Neurosurg Focus. 2005;19(6):E3."},{"issue":"7","key":"bib2","series-title":"J Sur Anesth Res","first-page":"1","article-title":"Visual impairment due to optic chiasm herniation following endoscopic transsphenoidal surgery: a collection of case studies","volume":"5","author":"Ngai","year":"2024","unstructured":"Ngai CH.Visual impairment due to optic chiasm herniation following endoscopic transsphenoidal surgery: a collection of case studies. J Sur Anesth Res. 2024;5(7):1-5."},{"key":"bib3","series-title":"Front Oncol","first-page":"1614","article-title":"Methods of skull base repair following endoscopic endonasal tumor resection: a review","volume":"10","author":"Hannan","year":"2020","unstructured":"Hannan CJKelleher EJavadpour M.Methods of skull base repair following endoscopic endonasal tumor resection: a review. Front Oncol. 2020;10:1614."},{"issue":"6","key":"bib4","series-title":"World Neurosurg","first-page":"1887","article-title":"Cranial base repair using suturing technique combined with a mucosal flap for cerebrospinal fluid leakage during endoscopic endonasal surgery","volume":"84","author":"Hara","year":"2015","unstructured":"Hara TAkutsu HYamamoto TCranial base repair using suturing technique combined with a mucosal flap for cerebrospinal fluid leakage during endoscopic endonasal surgery. World Neurosurg. 2015;84(6):1887-1893."},{"issue":"suppl 17","key":"bib5","series-title":"B-ENT","first-page":"41","article-title":"Endoscopic skull base reconstruction after endoscopic endonasal approach","volume":"7","author":"Van Zele","year":"2011","unstructured":"Van Zele TBachert C.Endoscopic skull base reconstruction after endoscopic endonasal approach. B-ENT. 2011;7(suppl 17):41-46."},{"key":"bib6","series-title":"World Neurosurg","first-page":"439","article-title":"The 3F (fat, flap, and flash) technique for skull base reconstruction after endoscopic endonasal suprasellar approach","volume":"126","author":"Cavallo","year":"2019","unstructured":"Cavallo LMSolari DSomma TCappabianca P.The 3F (fat, flap, and flash) technique for skull base reconstruction after endoscopic endonasal suprasellar approach. World Neurosurg. 2019;126:439-446."},{"issue":"3","key":"bib7","series-title":"Neurosurg Rev","first-page":"419","article-title":"A new multilayer reconstruction using nasal septal flap combined with fascia graft dural suturing for high-flow cerebrospinal fluid leak after endoscopic endonasal surgery","volume":"39","author":"Horiguchi","year":"2016","unstructured":"Horiguchi KNishioka HFukuhara NYamaguchi-Okada MYamada S.A new multilayer reconstruction using nasal septal flap combined with fascia graft dural suturing for high-flow cerebrospinal fluid leak after endoscopic endonasal surgery. Neurosurg Rev. 2016;39(3):419-427."},{"issue":"1","key":"bib8","series-title":"J Craniofac Surg","first-page":"193","article-title":"A stratified algorithm for skull base reconstruction with endoscopic endonasal approach","volume":"29","author":"Li","year":"2018","unstructured":"Li ZJi THuang GDGuo JYang JHLi WP.A stratified algorithm for skull base reconstruction with endoscopic endonasal approach. J Craniofac Surg. 2018;29(1):193-198."},{"issue":"2","key":"bib9","series-title":"J Rhinol","first-page":"69","article-title":"Reconstruction strategy after endoscopic skull-base surgery","volume":"29","author":"Hong","year":"2022","unstructured":"Hong SD.Reconstruction strategy after endoscopic skull-base surgery. J Rhinol. 2022;29(2):69-75."},{"issue":"4","key":"bib10","series-title":"Oper Neurosurg","first-page":"295","article-title":"Graded repair of cranial base defects and cerebrospinal fluid leaks in transsphenoidal surgery","volume":"60","author":"Esposito","year":"2007","unstructured":"Esposito FDusick JRFatemi NKelly DF.Graded repair of cranial base defects and cerebrospinal fluid leaks in transsphenoidal surgery. Oper Neurosurg. 2007;60(4)(suppl 2):295-303."},{"issue":"12PINS Suppl","key":"bib11","series-title":"Pak J Med Sci","first-page":"S20","article-title":"Incidence of postoperative cerebrospinal fluid leaks in endoscopic endonasal transsphenoidal surgery for pituitary adenomas without sellar floor reconstruction: a retrospective observational study from a low-middle-income country","volume":"40","author":"Kiran","year":"2024","unstructured":"Kiran SIkram SKhizar AIncidence of postoperative cerebrospinal fluid leaks in endoscopic endonasal transsphenoidal surgery for pituitary adenomas without sellar floor reconstruction: a retrospective observational study from a low-middle-income country. Pak J Med Sci. 2024;40(12PINS Suppl): S20-S24."},{"issue":"1","key":"bib12","series-title":"J Neurosurg","first-page":"47","article-title":"Risk factors for cerebrospinal fluid leak after extended endoscopic endonasal surgery for adult patients with craniopharyngiomas: a multivariate analysis of 364 cases","volume":"140","author":"Qiao","year":"2024","unstructured":"Qiao NLi CLiu FRisk factors for cerebrospinal fluid leak after extended endoscopic endonasal surgery for adult patients with craniopharyngiomas: a multivariate analysis of 364 cases. J Neurosurg. 2024;140(1):47-58."},{"key":"bib13","series-title":"World Neurosurg","first-page":"e736","article-title":"Endoscopic endonasal reconstruction of intraoperative cerebrospinal fluid leak in different skull base regions: outcomes, meningitis, and risk factors","volume":"189","author":"Wei","year":"2024","unstructured":"Wei WYan BZhang QEndoscopic endonasal reconstruction of intraoperative cerebrospinal fluid leak in different skull base regions: outcomes, meningitis, and risk factors. World Neurosurg. 2024;189:e736-e744."},{"key":"bib14","series-title":"World Neurosurg","first-page":"144","article-title":"Osaka sliding knot seals dural defect simply in extended endoscopic endonasal approach","volume":"155","author":"Shimohonji","year":"2021","unstructured":"Shimohonji WMorisako HOhata HValenzuela JCSakaeyama YGoto T.Osaka sliding knot seals dural defect simply in extended endoscopic endonasal approach. World Neurosurg. 2021;155:144-149."},{"issue":"1","key":"bib15","series-title":"Am J Otolaryngol","first-page":"102750","article-title":"Endoscopic extrasellar skull base reconstruction using bioabsorbable plates","volume":"42","author":"Seaman","year":"2021","unstructured":"Seaman SCMoline MJGraham SMGreenlee JD.Endoscopic extrasellar skull base reconstruction using bioabsorbable plates. Am J Otolaryngol. 2021;42(1):102750."},{"issue":"13","key":"bib16","series-title":"J Surg","article-title":"Rigid autologous bone reconstruction after endoscopic endonasal olfactory neuroblastoma resection","volume":"8","author":"Chuang","year":"2023","unstructured":"Chuang WChang KLee CRigid autologous bone reconstruction after endoscopic endonasal olfactory neuroblastoma resection. J Surg. 2023;8(13)."},{"issue":"2","key":"bib17","series-title":"Am J Rhinol Allergy","first-page":"122","article-title":"The use of polydioxanone plates for endoscopic skull base repair","volume":"31","author":"Al-Asousi","year":"2017","unstructured":"Al-Asousi FOkpaleke CDadgostar AJaver A.The use of polydioxanone plates for endoscopic skull base repair. Am J Rhinol Allergy. 2017;31(2):122-126."},{"issue":"1","key":"bib18","series-title":"Materials (Basel)","first-page":"150","article-title":"A narrative review of u-HA\/PLLA, a bioactive resorbable reconstruction material: applications in oral and maxillofacial surgery","volume":"15","author":"Ngo","year":"2021","unstructured":"Ngo HXBai YSha JA narrative review of u-HA\/PLLA, a bioactive resorbable reconstruction material: applications in oral and maxillofacial surgery. Materials (Basel). 2021;15(1):150."},{"issue":"7","key":"bib19","series-title":"J Plast Reconstr Aesthet Surg","first-page":"1069","article-title":"Immediate and long-term results of unsintered hydroxyapatite and poly L-lactide composite sheets for orbital wall fracture reconstruction","volume":"71","author":"Kohyama","year":"2018","unstructured":"Kohyama KMorishima YArisawa KArisawa YKato H.Immediate and long-term results of unsintered hydroxyapatite and poly L-lactide composite sheets for orbital wall fracture reconstruction. J Plast Reconstr Aesthet Surg. 2018;71(7):1069-1075."},{"issue":"2","key":"bib20","series-title":"Clin Orthop Surg","first-page":"253","article-title":"Unsintered hydroxyapatite and poly-L-lactide composite screws\/plates for stabilizing \u03b2-tricalcium phosphate bone implants","volume":"10","author":"Sakamoto","year":"2018","unstructured":"Sakamoto AOkamoto TMatsuda S.Unsintered hydroxyapatite and poly-L-lactide composite screws\/plates for stabilizing \u03b2-tricalcium phosphate bone implants. Clin Orthop Surg. 2018;10(2):253-259."},{"issue":"6","key":"bib1","series-title":"Neurosurg Focus","first-page":"E3","article-title":"Brief history of endoscopic transsphenoidal surgery\u2014from Philipp Bozzini to the First World Congress of Endoscopic Skull Base Surgery","volume":"19","author":"Doglietto","year":"2005","unstructured":"Doglietto FPrevedello DMJane JAHan JLaws ER.Brief history of endoscopic transsphenoidal surgery\u2014from Philipp Bozzini to the First World Congress of Endoscopic Skull Base Surgery. Neurosurg Focus. 2005;19(6):E3."},{"issue":"7","key":"bib2","series-title":"J Sur Anesth Res","first-page":"1","article-title":"Visual impairment due to optic chiasm herniation following endoscopic transsphenoidal surgery: a collection of case studies","volume":"5","author":"Ngai","year":"2024","unstructured":"Ngai CH.Visual impairment due to optic chiasm herniation following endoscopic transsphenoidal surgery: a collection of case studies. J Sur Anesth Res. 2024;5(7):1-5."},{"key":"bib3","series-title":"Front Oncol","first-page":"1614","article-title":"Methods of skull base repair following endoscopic endonasal tumor resection: a review","volume":"10","author":"Hannan","year":"2020","unstructured":"Hannan CJKelleher EJavadpour M.Methods of skull base repair following endoscopic endonasal tumor resection: a review. Front Oncol. 2020;10:1614."},{"issue":"6","key":"bib4","series-title":"World Neurosurg","first-page":"1887","article-title":"Cranial base repair using suturing technique combined with a mucosal flap for cerebrospinal fluid leakage during endoscopic endonasal surgery","volume":"84","author":"Hara","year":"2015","unstructured":"Hara TAkutsu HYamamoto TCranial base repair using suturing technique combined with a mucosal flap for cerebrospinal fluid leakage during endoscopic endonasal surgery. World Neurosurg. 2015;84(6):1887-1893."},{"issue":"suppl 17","key":"bib5","series-title":"B-ENT","first-page":"41","article-title":"Endoscopic skull base reconstruction after endoscopic endonasal approach","volume":"7","author":"Van Zele","year":"2011","unstructured":"Van Zele TBachert C.Endoscopic skull base reconstruction after endoscopic endonasal approach. B-ENT. 2011;7(suppl 17):41-46."},{"key":"bib6","series-title":"World Neurosurg","first-page":"439","article-title":"The 3F (fat, flap, and flash) technique for skull base reconstruction after endoscopic endonasal suprasellar approach","volume":"126","author":"Cavallo","year":"2019","unstructured":"Cavallo LMSolari DSomma TCappabianca P.The 3F (fat, flap, and flash) technique for skull base reconstruction after endoscopic endonasal suprasellar approach. World Neurosurg. 2019;126:439-446."},{"issue":"3","key":"bib7","series-title":"Neurosurg Rev","first-page":"419","article-title":"A new multilayer reconstruction using nasal septal flap combined with fascia graft dural suturing for high-flow cerebrospinal fluid leak after endoscopic endonasal surgery","volume":"39","author":"Horiguchi","year":"2016","unstructured":"Horiguchi KNishioka HFukuhara NYamaguchi-Okada MYamada S.A new multilayer reconstruction using nasal septal flap combined with fascia graft dural suturing for high-flow cerebrospinal fluid leak after endoscopic endonasal surgery. Neurosurg Rev. 2016;39(3):419-427."},{"issue":"1","key":"bib8","series-title":"J Craniofac Surg","first-page":"193","article-title":"A stratified algorithm for skull base reconstruction with endoscopic endonasal approach","volume":"29","author":"Li","year":"2018","unstructured":"Li ZJi THuang GDGuo JYang JHLi WP.A stratified algorithm for skull base reconstruction with endoscopic endonasal approach. J Craniofac Surg. 2018;29(1):193-198."},{"issue":"2","key":"bib9","series-title":"J Rhinol","first-page":"69","article-title":"Reconstruction strategy after endoscopic skull-base surgery","volume":"29","author":"Hong","year":"2022","unstructured":"Hong SD.Reconstruction strategy after endoscopic skull-base surgery. J Rhinol. 2022;29(2):69-75."},{"issue":"4","key":"bib10","series-title":"Oper Neurosurg","first-page":"295","article-title":"Graded repair of cranial base defects and cerebrospinal fluid leaks in transsphenoidal surgery","volume":"60","author":"Esposito","year":"2007","unstructured":"Esposito FDusick JRFatemi NKelly DF.Graded repair of cranial base defects and cerebrospinal fluid leaks in transsphenoidal surgery. Oper Neurosurg. 2007;60(4)(suppl 2):295-303."},{"issue":"12PINS Suppl","key":"bib11","series-title":"Pak J Med Sci","first-page":"S20","article-title":"Incidence of postoperative cerebrospinal fluid leaks in endoscopic endonasal transsphenoidal surgery for pituitary adenomas without sellar floor reconstruction: a retrospective observational study from a low-middle-income country","volume":"40","author":"Kiran","year":"2024","unstructured":"Kiran SIkram SKhizar AIncidence of postoperative cerebrospinal fluid leaks in endoscopic endonasal transsphenoidal surgery for pituitary adenomas without sellar floor reconstruction: a retrospective observational study from a low-middle-income country. Pak J Med Sci. 2024;40(12PINS Suppl): S20-S24."},{"issue":"1","key":"bib12","series-title":"J Neurosurg","first-page":"47","article-title":"Risk factors for cerebrospinal fluid leak after extended endoscopic endonasal surgery for adult patients with craniopharyngiomas: a multivariate analysis of 364 cases","volume":"140","author":"Qiao","year":"2024","unstructured":"Qiao NLi CLiu FRisk factors for cerebrospinal fluid leak after extended endoscopic endonasal surgery for adult patients with craniopharyngiomas: a multivariate analysis of 364 cases. J Neurosurg. 2024;140(1):47-58."},{"key":"bib13","series-title":"World Neurosurg","first-page":"e736","article-title":"Endoscopic endonasal reconstruction of intraoperative cerebrospinal fluid leak in different skull base regions: outcomes, meningitis, and risk factors","volume":"189","author":"Wei","year":"2024","unstructured":"Wei WYan BZhang QEndoscopic endonasal reconstruction of intraoperative cerebrospinal fluid leak in different skull base regions: outcomes, meningitis, and risk factors. World Neurosurg. 2024;189:e736-e744."},{"key":"bib14","series-title":"World Neurosurg","first-page":"144","article-title":"Osaka sliding knot seals dural defect simply in extended endoscopic endonasal approach","volume":"155","author":"Shimohonji","year":"2021","unstructured":"Shimohonji WMorisako HOhata HValenzuela JCSakaeyama YGoto T.Osaka sliding knot seals dural defect simply in extended endoscopic endonasal approach. World Neurosurg. 2021;155:144-149."},{"issue":"1","key":"bib15","series-title":"Am J Otolaryngol","first-page":"102750","article-title":"Endoscopic extrasellar skull base reconstruction using bioabsorbable plates","volume":"42","author":"Seaman","year":"2021","unstructured":"Seaman SCMoline MJGraham SMGreenlee JD.Endoscopic extrasellar skull base reconstruction using bioabsorbable plates. Am J Otolaryngol. 2021;42(1):102750."},{"issue":"13","key":"bib16","series-title":"J Surg","article-title":"Rigid autologous bone reconstruction after endoscopic endonasal olfactory neuroblastoma resection","volume":"8","author":"Chuang","year":"2023","unstructured":"Chuang WChang KLee CRigid autologous bone reconstruction after endoscopic endonasal olfactory neuroblastoma resection. J Surg. 2023;8(13)."},{"issue":"2","key":"bib17","series-title":"Am J Rhinol Allergy","first-page":"122","article-title":"The use of polydioxanone plates for endoscopic skull base repair","volume":"31","author":"Al-Asousi","year":"2017","unstructured":"Al-Asousi FOkpaleke CDadgostar AJaver A.The use of polydioxanone plates for endoscopic skull base repair. Am J Rhinol Allergy. 2017;31(2):122-126."},{"issue":"1","key":"bib18","series-title":"Materials (Basel)","first-page":"150","article-title":"A narrative review of u-HA\/PLLA, a bioactive resorbable reconstruction material: applications in oral and maxillofacial surgery","volume":"15","author":"Ngo","year":"2021","unstructured":"Ngo HXBai YSha JA narrative review of u-HA\/PLLA, a bioactive resorbable reconstruction material: applications in oral and maxillofacial surgery. Materials (Basel). 2021;15(1):150."},{"issue":"7","key":"bib19","series-title":"J Plast Reconstr Aesthet Surg","first-page":"1069","article-title":"Immediate and long-term results of unsintered hydroxyapatite and poly L-lactide composite sheets for orbital wall fracture reconstruction","volume":"71","author":"Kohyama","year":"2018","unstructured":"Kohyama KMorishima YArisawa KArisawa YKato H.Immediate and long-term results of unsintered hydroxyapatite and poly L-lactide composite sheets for orbital wall fracture reconstruction. J Plast Reconstr Aesthet Surg. 2018;71(7):1069-1075."},{"issue":"2","key":"bib20","series-title":"Clin Orthop Surg","first-page":"253","article-title":"Unsintered hydroxyapatite and poly-L-lactide composite screws\/plates for stabilizing \u03b2-tricalcium phosphate bone implants","volume":"10","author":"Sakamoto","year":"2018","unstructured":"Sakamoto AOkamoto TMatsuda S.Unsintered hydroxyapatite and poly-L-lactide composite screws\/plates for stabilizing \u03b2-tricalcium phosphate bone implants. Clin Orthop Surg. 2018;10(2):253-259."}],"container-title":["Journal of Neurosurgery: Case Lessons"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/10\/14\/article-CASE25544.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/10\/14\/article-CASE25544.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/10\/14\/article-CASE25544.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T11:13:05Z","timestamp":1769685185000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/10\/14\/article-CASE25544.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,6]]},"references-count":40,"journal-issue":{"issue":"14"},"URL":"https:\/\/doi.org\/10.3171\/case25544","relation":{},"ISSN":["2694-1902"],"issn-type":[{"value":"2694-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,6]]}}}