Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia最新文献_第10页

Thermocoagulation Treatment of a Patient with Obsessive Compulsive Disorder and Substance Use Disorder: Case Report 热凝治疗强迫症和物质使用障碍1例报告

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Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia Pub Date : 2022-01-24 DOI: 10.1055/s-0041-1740166

Natalia Guisolphi, Isabela Garcia Bessa, L. Silva

{"title":"Thermocoagulation Treatment of a Patient with Obsessive Compulsive Disorder and Substance Use Disorder: Case Report","authors":"Natalia Guisolphi, Isabela Garcia Bessa, L. Silva","doi":"10.1055/s-0041-1740166","DOIUrl":"https://doi.org/10.1055/s-0041-1740166","url":null,"abstract":"Obsessive compulsive disorder (OCD) is a possible cause associated with substance use disorder (SUD), a set of physical, psychological, behavioral, and cognitive phenomena related to the use of one or more chemical substances as a priority in a person's life that compromises quality of life. Since they can share the same neuronal network, this serves as a basis for neurosurgical procedures in cases refractory to conventional therapies. A 31-year-old male patient with a history of OCD and SUD refractory to conventional therapies underwent bilateral ablative stereotactic neurosurgery of the anterior limb of the internal capsule, the subgenual cingulate region, the nucleus accumbens, and the cingulate gyrus. Up to 33 months after the the procedure, the patient showed an absolute improvement in OCD and SUD and reported lack of withdrawal signs or symptoms and/or need to use drugs. In recent years, ablative neurosurgery has proven to be an alternative to OCD refractoriness, with long-term benefits. In the case analyzed, ablative stereotactic neurosurgery was effective in controlling both the signs and symptoms triggered by OCD, as well as those of anxiety and stress.","PeriodicalId":42205,"journal":{"name":"Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia","volume":"29 1 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83542187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pilocytic Astrocytoma of the Cerebellopontine Angle with cerebrospinal fluid Spread in an Adult: A Case Report 成人桥小脑角毛细胞星形细胞瘤伴脑脊液扩散1例报告

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Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia Pub Date : 2022-01-22 DOI: 10.1055/s-0042-1749374

Erhan Bıyıklı, Meltem Kurşun, T. Oguzsoy, S. Bozkurt, F. Bayraklı

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Differential Diagnoses of Diseases Involving the Extrinsic Ocular Musculature – A Pictorial Essay 累及眼外肌肉组织疾病的鉴别诊断-一篇图片文章

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Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia Pub Date : 2022-01-14 DOI: 10.1055/s-0041-1740175

L. M. Santana, L. A. Martins, Marcos Rosa-Júnior

{"title":"Differential Diagnoses of Diseases Involving the Extrinsic Ocular Musculature – A Pictorial Essay","authors":"L. M. Santana, L. A. Martins, Marcos Rosa-Júnior","doi":"10.1055/s-0041-1740175","DOIUrl":"https://doi.org/10.1055/s-0041-1740175","url":null,"abstract":"Abstract Introduction There are some inflammatory, infectious, and neoplastic diseases affecting the extrinsic orbital musculature (EOM) that present with pain, decreased visual acuity, and proptosis. Imaging is fundamental to the differential diagnoses of these diseases with similar clinical presentations. The present case series report has as main objective to illustrate and discuss the main pathologies that affect the orbit. Material and methods The present series of cases discusses the main pathologies that can affect the extraocular musculature that can be characterized by computed tomography (CT) or magnetic resonance imaging (MRI) using cases from our institution. Results and Discussion The present study compiled several cases of ophthalmopathy from our institution to illustrate and address some of these pathologies, such as orbital lymphoma, Grave disease, metastases, periorbital cellulitis, and idiopathic orbital inflammatory syndrome. The diseases are discussed according to the presentation of clinical cases with emphasis on the main imaging findings of each pathology. Conclusion Computed tomography and MRI can help in the diagnosis and follow-up of the diseases that affect the EOM. We must be conversant with the main characteristics of the pathologies presented in the present case series report, since such findings together with clinical data can confirm the diagnosis of these diseases or at least help to narrow the differential diagnoses.","PeriodicalId":42205,"journal":{"name":"Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia","volume":"7 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81766542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Chemical Angioplasty with Nitroglycerin for Vasospasm after Subarachnoid Hemorrhage: Case Series and Review 硝酸甘油化学血管成形术治疗蛛网膜下腔出血后血管痉挛:病例系列与回顾

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Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia Pub Date : 2022-01-13 DOI: 10.1055/s-0041-1740196

L. Gatto, B. Gallo, G. Koppe, Zeferino Demartini

{"title":"Chemical Angioplasty with Nitroglycerin for Vasospasm after Subarachnoid Hemorrhage: Case Series and Review","authors":"L. Gatto, B. Gallo, G. Koppe, Zeferino Demartini","doi":"10.1055/s-0041-1740196","DOIUrl":"https://doi.org/10.1055/s-0041-1740196","url":null,"abstract":"Abstract Introduction Vasospasm is a common and potentially devastating complication in patients with subarachnoid hemorrhage, causing high morbidity and mortality. There is no effective and consistent way to prevent or treat cerebral vasospasm capable of altering the morbidity and mortality of this complication. Animal and human studies have attempted to show improvement in aneurysmal vasospasm. Some sought their prevention; others, the treatment of already installed vasospasm. Some achieved only angiographic improvement without clinical correlation, others achieved both, but with ephemeral duration or at the expense of very harmful associated effects. Endovascular techniques allow immediate and aggressive treatment of cerebral vasospasm and include methods such as mechanical and chemical angioplasty. These methods have risks and benefits. Objectives To analyze the results of chemical angioplasty using nitroglycerin (GTN). In addition, to perform a comprehensive review and analysis of aneurysmal vasospasm. Methods We describe our series of 77 patients treated for 8 years with angioplasty for vasospasm, either mechanical (with balloon), chemical (with GTN) or both. Results Eleven patients received only balloon; 37 received only GTN; 29 received both. Forty-four patients (70.1%) evolved with delayed cerebral ischemia and 19 died (mortality of 24.7%). Two deaths were causally related to the rupture of the vessel by the balloon. The only predictors of poor outcome were the need for external ventricular drainage in the first hours of admission, and isolated mechanical angioplasty. Conclusions Balloon angioplasty has excellent results, but it is restricted to proximal vessels and is not without complications. Chemical angioplasty using nitroglycerin has reasonable but short-lived results and further research is needed about it. It is restricted to vasospasm angioplasties only in hospitals, like ours, where better and more potent vasodilator agents are not available.","PeriodicalId":42205,"journal":{"name":"Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia","volume":"88 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80201393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Oncotic (Myxomatous) Aneurysms: A Review of Management 瘤性(黏液瘤性)动脉瘤:治疗综述

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Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia Pub Date : 2022-01-13 DOI: 10.1055/s-0041-1734013

C. Peres, Alyce Castro de Brito, Carlos Henrique Mesquita Peres, Alfredo Coimbra Reichl, Laila Patricia Fidelis Dutra

{"title":"Oncotic (Myxomatous) Aneurysms: A Review of Management","authors":"C. Peres, Alyce Castro de Brito, Carlos Henrique Mesquita Peres, Alfredo Coimbra Reichl, Laila Patricia Fidelis Dutra","doi":"10.1055/s-0041-1734013","DOIUrl":"https://doi.org/10.1055/s-0041-1734013","url":null,"abstract":"Atrial myxomas are the most common primary cardiac tumors and may manifest with neurological symptoms in ∼ 30% of cases. Cerebral ischemia, aneurysmal formation, and extravascular metastases are mechanisms that lead to these neurological manifestations. Perilesional changes on computed tomography (CT) and magnetic resonance imaging (MRI) may help in the diagnosis of myxomatous aneurysms, which are usually located in the distal middle cerebral artery (MCA) and in the posterior cerebral artery (PCA) circulation territories. Careful resection of the cardiac lesion is essential for preventing embolism. However, treatment of myxomatous aneurysms is controversial due to the limited understanding of the natural history of this condition. Treatment may include clinical observation in asymptomatic patients, surgical resection, endovascular approaches, adjuvant chemotherapy, and low-dose radiation therapy. We present one case of a female patient with myxomatous aneurysm secondary to an atrial myxoma who presented with neurological symptoms and another case of a female patient who developed neurological symptoms after initial surgical treatment of the primary lesion. Lesion growth rate, topography, morphology, and the patient's clinical condition must be considered when choosing a therapeutical method. Further clinical studies are needed to achieve a better understanding and treatment of this disease.","PeriodicalId":42205,"journal":{"name":"Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia","volume":"8 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81907328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Nasosinusal Endoscopic Anatomy and Physiology 鼻鼻内镜解剖与生理学

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Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia Pub Date : 2022-01-10 DOI: 10.1055/s-0041-1740195

Lívia Miotta Simoncello, Gabriel Farias Antonio, B. Pereira, Estevan Martin Portela Júnior, M. N. Silva

引用次数: 0

Nasal mucoepidermoid carcinoma after radiotherapy: Case report 鼻黏膜表皮样癌放疗后1例

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Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia Pub Date : 2022-01-10 DOI: 10.1055/s-0041-1739269

B. Nery, Victor Ribeiro Xavier Costa, Glaudir Donato Pinto, Andrey Maia Silva Diniz, Lucas Ribeiro de Moraes Freitas, Davi Coutinho Marcelino Guerra Leone, José Alencar de Sousa Segundo, Mariana Junqueira Reis Enout, E. Quaggio, Renan Lopez Rivero

{"title":"Nasal mucoepidermoid carcinoma after radiotherapy: Case report","authors":"B. Nery, Victor Ribeiro Xavier Costa, Glaudir Donato Pinto, Andrey Maia Silva Diniz, Lucas Ribeiro de Moraes Freitas, Davi Coutinho Marcelino Guerra Leone, José Alencar de Sousa Segundo, Mariana Junqueira Reis Enout, E. Quaggio, Renan Lopez Rivero","doi":"10.1055/s-0041-1739269","DOIUrl":"https://doi.org/10.1055/s-0041-1739269","url":null,"abstract":"Abstract Introduction Mucoepidermoid carcinoma (MEC) is a tumor originated from the epithelium of the glandular excretory ducts and has highly variable biological potential. It is the most prevalent cancer of the salivary glands. The present report aims to describe a case of nasal mucoepidermoid carcinoma that developed after adjuvant radiotherapy (RT) treatment of a recurrent pituitary macroadenoma. Case Report Male patient, 62 years old, presented with recurrent nasal epistaxis on the right, associated with intense pulsatile headache, visual analogical scale (VAS) 10/10, with improvement only with the use of opioids and morphine. After undergoing oncological screening and study by imaging exams, the presence of an expansive seal lesion with suprasellar extension was seen, involving the medial wall of the cavernous segment of the right carotid artery and the anterior cerebral artery, as well as the presence of a new expansive lesion in the right nasal cavity, with ethmoid bone invasion superiorly and medial orbit wall invasion laterally, compressing the ipsilateral optic nerve canal. Discussion Sinonasal neoplasms represent a small portion of all malignancies of the upper aerodigestive tract, accounting for < 5% of these neoplasms. The development of MEC involves risk factors such as occupational issues, history of trauma and surgery involving the nasal area, and radiation exposure, as in previous RT. Conclusion Mucoepidermoid carcinoma is an uncommon neoplasia and can be associated with RT treatment, as used in cases of recurrent pituitary macroadenoma. In general, surgical resection to obtain free margins of neoplastic tissue is the aimed treatment, seeking better prognosis.","PeriodicalId":42205,"journal":{"name":"Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia","volume":"8 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89012050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Spontaneous Anal Extrusion of Ventriculoperitoneal Shunt Catheter: Case Report 自发性肛门挤压脑室腹腔分流管1例

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Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia Pub Date : 2022-01-08 DOI: 10.1055/s-0042-1748848

Lívio Pereira de Macêdo, A. U. Netto, K. Franke, Pierre Vansant Oliveira Eugenio, Lucas Ribeiro de Moraes Freitas, Victor Ribeiro Xavier Costa, E. V. D. Carvalho Júnior, I. Faquini, N. S. Almeida, H. Azevedo-Filho

{"title":"Spontaneous Anal Extrusion of Ventriculoperitoneal Shunt Catheter: Case Report","authors":"Lívio Pereira de Macêdo, A. U. Netto, K. Franke, Pierre Vansant Oliveira Eugenio, Lucas Ribeiro de Moraes Freitas, Victor Ribeiro Xavier Costa, E. V. D. Carvalho Júnior, I. Faquini, N. S. Almeida, H. Azevedo-Filho","doi":"10.1055/s-0042-1748848","DOIUrl":"https://doi.org/10.1055/s-0042-1748848","url":null,"abstract":"Abstract Background Ventriculoperitoneal shunt (VPS) has become the standard treatment for congenital hydrocephalus. In the neurosurgical practice, it is a common procedure which usually results in low rates of complication. However, some serious complications can occur, including infections, intestinal perforation, and even death. Case Description A 19-year-old, female, asymptomatic patient, with a history of appendectomy and revision of the VPS 6 years before, presented spontaneous transanal extrusion of the catheter. Abdominal radiographs and tomography scans showed perforation of the descending colon without peritonitis, with expulsion of the distal tip of the catheter through the anus. The patient underwent removal of the proximal part of the VPS and installation of an external ventricular drain (EVD). On the second postoperative day, there was spontaneous elimination of the distal portion of the catheter, dispensing any additional surgical procedures. With antimicrobial prophylaxis and the contralateral VPS performed, the patient evolved without further complications until discharge. Diverging from cases reported in the literature, the patient in question did not present any abdominal manifestations. Conclusion Intestinal perforation by VPS may be asymptomatic until anal extrusion occurs. However, the early approach should avoid infections, which are associated with increased mortality. Removing only the proximal catheter, together with antimicrobial prophylaxis, can be an effective, safe and less invasive alternative to manage this complication of VPS.","PeriodicalId":42205,"journal":{"name":"Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia","volume":"1302 1","pages":"e382 - e385"},"PeriodicalIF":0.1,"publicationDate":"2022-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86486783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Marginal Zone B-cell Lymphoma of the Gasserian Ganglion: Case Report and Review of the Literature Gasserian神经节边缘带b细胞淋巴瘤:1例报告及文献复习

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Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia Pub Date : 2022-01-07 DOI: 10.1055/s-0041-1731064

A. Hegazy, Hieder Al-Shami, Biswas Arundhatai, Mohammed A. Fathy, A. Salah, H. Aboul-Ela, M. F. Alsawy, A. Elkatatny

{"title":"Marginal Zone B-cell Lymphoma of the Gasserian Ganglion: Case Report and Review of the Literature","authors":"A. Hegazy, Hieder Al-Shami, Biswas Arundhatai, Mohammed A. Fathy, A. Salah, H. Aboul-Ela, M. F. Alsawy, A. Elkatatny","doi":"10.1055/s-0041-1731064","DOIUrl":"https://doi.org/10.1055/s-0041-1731064","url":null,"abstract":"Abstract Primary central nervous system lymphoma (PCNSL) is a rare subtype of extranodal non-Hodgkin's lymphoma that accounts for 4% of newly diagnosed central nervous system (CNS) tumors. Most primary lymphomas of the central nervous system are of the subtype of diffuse large B-cell lymphomas, which have highly aggressive behavior and may involve the brain, leptomeninges, eyes or spinal cord without evidence of systemic disease. Primary CNS lymphomas are very rare in immunocompetent patients, but their rates are increasing. So far, only 11 primary Gasser ganglion lymphomas have been reported, with an incidence of 2.5 cases per 30,000,000 inhabitants. However, B cell lymphomas of the marginal zone of the Gasserian ganglion have been very rarely reported. We report here a clinical presentation characteristic of B cell lymphoma of the marginal zone of the Gasser ganglion in an immunocompetent patient who was treated with surgery and radiotherapy, evolving with improvement of symptoms and without recurrence in 3 months of follow-up.","PeriodicalId":42205,"journal":{"name":"Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia","volume":"22 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77035634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Surgical Treatment for Refractory Aggression after Bacterial Meningitis Complicated by Stroke: Case Report 细菌性脑膜炎合并脑卒中后顽固性攻击的手术治疗1例

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Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia Pub Date : 2022-01-07 DOI: 10.1055/s-0041-1740619

P. A. Vaccario, Alícia Carolina Rodrigues Rocha, L. Silva

{"title":"Surgical Treatment for Refractory Aggression after Bacterial Meningitis Complicated by Stroke: Case Report","authors":"P. A. Vaccario, Alícia Carolina Rodrigues Rocha, L. Silva","doi":"10.1055/s-0041-1740619","DOIUrl":"https://doi.org/10.1055/s-0041-1740619","url":null,"abstract":"Abstract Bacterial meningitis remains a public health problem. One of the complications of this group of diseases is cerebral ischemia, an important indicator of severity and an independent predictor of poor prognosis. It is already known that, in many cases, pathological aggressiveness is the result of brain abnormalities in individuals with mental illnesses. The indication of neurosurgeries for psychiatric disorders (NPDs) relies on numerous studies based on scientific evidence that correlate psychiatric illnesses with the limbic system and the pathophysiology of emotions. The development of sophisticated stereotactic target localization techniques, brain atlases, and imaging methods made stereotaxis possible, a procedure that increased the precision of neurosurgery and reduced brain damage. Nowadays, multiple targets can be treated during NPD, according to the particular characteristics of the patient. Moreover, the combination of lesions leads to more significant improvements compared with isolated procedures. The present study aimed to report the rare case of a patient with a history of bacterial meningitis who developed stroke and chronic pathological aggressiveness refractory to clinical treatment and underwent ablation using the multitarget stereotactic technique.","PeriodicalId":42205,"journal":{"name":"Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia","volume":"66 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78661716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0