Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia最新文献_第4页

Multiple Medullary Schwannoma Associated with Lumbar Disc Herniation and Cauda Equina Syndrome: Case Report 多发性髓鞘瘤伴腰椎间盘突出和马尾综合征:病例报告

Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia Pub Date : 2023-10-10 DOI: 10.1055/s-0042-1744111

Anibal Rodrigues Neto, Bianca Bicalho, Giovanna Maria Varandas, Adriano Torres Antonucci, Gabriel Gomes Freitas de Castro, Shiro Manoel Shimoakoishi de Arruda, Marcel Schiavini, Lutero Cleuler Moraes dos Santos, Márcio Francisco Lehmann, Francisco Spessatto Pesente

引用次数: 0

Minimally Invasive Microsurgery for Cerebral Contusions 脑挫伤的微创显微外科治疗

Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia Pub Date : 2023-10-10 DOI: 10.1055/s-0042-1744115

Rodrigo Moreira Faleiro, Vítor Vieira de Souza Moraes, João Tiago Alves Belo, Thales Francisco Ribeiro, Chiara Menezes Greco, Vitor Bernardes Rossi

{"title":"Minimally Invasive Microsurgery for Cerebral Contusions","authors":"Rodrigo Moreira Faleiro, Vítor Vieira de Souza Moraes, João Tiago Alves Belo, Thales Francisco Ribeiro, Chiara Menezes Greco, Vitor Bernardes Rossi","doi":"10.1055/s-0042-1744115","DOIUrl":"https://doi.org/10.1055/s-0042-1744115","url":null,"abstract":"Abstract Introduction Traumatic brain injury (TBI) is among the main causes of death and neurological sequelae worldwide. Injuries are classified as diffuse (diffuse axonal injury and brain swelling) or focal (cerebral contusion [CCo], epidural hematoma, and acute subdural hematoma). Among all TBIs, CCos are the most frequent focal lesion, and treatment modalities are many. Hematoma evacuation using large craniotomies has been well described in the literature. The main goal of the present study is to discuss the advantages of minimally invasive approaches for the treatment of CCos, regarding operative time, blood loss, and postoperative tomographic results. Methods An integrative literature review was conducted on the SciELO, LILACS, and PubMed databases. Seven case reports were included in the present study. Retrospective data collection was performed, analyzing gender, age, Glasgow coma scale score on hospital admission, surgical approach, and postoperative (tomographic) results. Results The minimally invasive keyhole approach was used in seven patients with CCos. The supraorbital approach (n = 5) was performed for frontal lobe contusions, and the minipterional approach (n = 2) was performed for temporal lobe contusions. All cases had adequate hematoma evacuation, confirmed by postoperative computed tomography scans. Conclusion The minimally invasive approaches were effective for hematoma evacuation, with adequate clinical and radiological postoperative results.","PeriodicalId":42205,"journal":{"name":"Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136292355","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

Micro-Surgical Treatment of Fetal Myelomeningocele 胎儿脊髓脊膜膨出的显微外科治疗

Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia Pub Date : 2023-10-10 DOI: 10.1055/s-0042-1749349

Gabriel Mufarrej, Gonzalo Castillo, Maria Anna Brandão, João Ricardo Penteado, Jair Braga, Paulo Niemeyer Filho

{"title":"Micro-Surgical Treatment of Fetal Myelomeningocele","authors":"Gabriel Mufarrej, Gonzalo Castillo, Maria Anna Brandão, João Ricardo Penteado, Jair Braga, Paulo Niemeyer Filho","doi":"10.1055/s-0042-1749349","DOIUrl":"https://doi.org/10.1055/s-0042-1749349","url":null,"abstract":"Abstract Introduction Myelomeningocele (MMC) is the most common malformation of the central nervous system compatible with life. We will report the results obtained with the prenatal closure of MMC at the Instituto Estadual do Cérebro Paulo Niemeyer (IECPN). Objectives Clinical outcome of fetuses undergoing intrauterine MMC repair by the Peralta mini-hysterotomy. Monitor the reduction of Arnold-Chiari II secondary to MMC, reduction of hydrocephalus and also motor development in these children. Methods Descriptive study of 26 cases with intrauterine MMC repair by mini-hysterotomy, or Peralta technique, performed at the IECPN from December 2017 to February 2020. Results Between December 2017 and February 2020, 26 pregnant women with children with MMC were operated on using Peralta technique. Fetuses were born at an average gestational age of 34.2 weeks and 8% were born before 30 weeks of gestation. The average birth weight was 2096g. It was possible to observe a significant reduction in the occurrence of Arnold-Chiari II in these patients, as well as an evident improvement in motor function in the neurological examination of these babies at the end of the first month of life, where 20 of 23 babies had active movement in the lower limbs. Discussion This study demonstrates the correction of fetal MMC through a mini-hysterotomy of 2.5 to 3.5 cm, developed in order to reduce maternal and fetal mortality. This mini-hysterotomy technique is not a minimally invasive procedure, as it is based on open surgery for the treatment of fetal MMC, as recommended by the Management of Myelomeningocele Study (MOMS).","PeriodicalId":42205,"journal":{"name":"Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136294351","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

Aggressive Osteoblastoma of Temporal Bone Causing Facial Palsy in a 9-year-old Child: A Case Report Based on 2020 WHO Classification of Bone Tumors 9岁儿童颞骨侵袭性成骨细胞瘤致面瘫1例:基于2020年WHO骨肿瘤分类的病例报告

Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia Pub Date : 2023-10-10 DOI: 10.1055/s-0042-1746195

Eduardo Cambruzzi, Roque Domingos Furian, Luiza Gomes Botega, Nilo Devigli, Eron Rodrigues Cunha Lopes

{"title":"Aggressive Osteoblastoma of Temporal Bone Causing Facial Palsy in a 9-year-old Child: A Case Report Based on 2020 WHO Classification of Bone Tumors","authors":"Eduardo Cambruzzi, Roque Domingos Furian, Luiza Gomes Botega, Nilo Devigli, Eron Rodrigues Cunha Lopes","doi":"10.1055/s-0042-1746195","DOIUrl":"https://doi.org/10.1055/s-0042-1746195","url":null,"abstract":"Abstract Aggressive osteoblastoma (AO) is an uncommon bone tumor that represents a borderline lesion between osteoblastoma and osteosarcoma. The vertebral column, the sacrum, the pelvis, and jaw/craniofacial bones are primarily affected. Aggressive osteoblastoma does not metastasize and is treated by surgical resection. The authors report a case of AO in a 9-year-old female patient presenting with 5th and 7th cranial nerve palsy. Prior pathological history included resection of an expansile nodule in the left temporal bone. Conventional radiological examination and computed tomography (CT) of the skull revealed an osteoblastic lesion arising in the petrous portion of the left temporal bone, measuring 5.2 cm in the largest dimension. The patient was subjected to partial surgical resection of the process. Microscopy revealed a primary neoplastic bone composed of numerous epithelioid round osteoblasts disposed in solid sheets and with mild atypia, large eosinophilic cytoplasm, and an eccentric, ovoid nucleus. The process exhibited loose stroma, low mitotic index, osteoid formation, and a few osteoclast-like multinucleated giant cells. The diagnosis of AO was thus established. After 5 months of clinical follow-up, the patient is asymptomatic, without evidence of tumoral growth on CT scans.","PeriodicalId":42205,"journal":{"name":"Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia","volume":"427 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136294350","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

The Role of Sodium and Glucose in the Prognosis of Patients with Aneurysmal Subarachnoid Hemorrhage: A Literature Review of New Evidence 钠和葡萄糖在动脉瘤性蛛网膜下腔出血患者预后中的作用:新证据的文献综述

Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia Pub Date : 2023-10-10 DOI: 10.1055/s-0043-1774749

Zeferino Campos Dell'Orto, Isadora Valério da Silveira, Larissa da Silva Torres França, Murillo Sampaio Ferreira Medeiros, Talita Cardoso Gomes, Bruno Alves Pinto, Daniel Gonçalves de Oliveira, Gabryell Thiengo Lopes, Ivan Magalhães Viana

{"title":"The Role of Sodium and Glucose in the Prognosis of Patients with Aneurysmal Subarachnoid Hemorrhage: A Literature Review of New Evidence","authors":"Zeferino Campos Dell'Orto, Isadora Valério da Silveira, Larissa da Silva Torres França, Murillo Sampaio Ferreira Medeiros, Talita Cardoso Gomes, Bruno Alves Pinto, Daniel Gonçalves de Oliveira, Gabryell Thiengo Lopes, Ivan Magalhães Viana","doi":"10.1055/s-0043-1774749","DOIUrl":"https://doi.org/10.1055/s-0043-1774749","url":null,"abstract":"Abstract The present study aims to review the influence of glycemia and natremia on the propensity to develop complications, worse prognosis, and mortality risk in patients with aneurysmal subarachnoid hemorrhage (aSAH). This is an integrative literature review guided by the guiding question: “Do changes in blood glucose levels or plasma sodium concentration influence in-hospital morbidity and mortality in patients with aneurysmal subarachnoid hemorrhage?”. The search for articles was performed on the PubMed platform, limiting the selection to works published in English in the period from 2017 to 2022. The results found demonstrate that the role of sodium ions in changes in the prognosis of patients is complex, with hypernatremia being the main factor described to worse outcomes. In contrast, the part of hyponatremia is controversial and may not have prognostic value, and serum sodium concentration is increasingly an important item to be evaluated in patients with aSAH. As for glucose, the variability of this substrate, both hyperglycemia and hypoglycemia, may be correlated with in-hospital and long-term mortality in patients with aSAH. Thus, the present study concludes that changes in blood glucose values and plasma sodium concentration influence the in-hospital morbidity and mortality of patients with aSAH. However, it is emphasized that the analysis of the independent influence of each of the related predictors must be done with caution due to the heterogeneity of the results found.","PeriodicalId":42205,"journal":{"name":"Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136294352","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

What a Neurosurgeon Should Know About the Endolymphatic Sac: Part 1–Anatomy and Physiology 神经外科医生应该了解的内淋巴囊:第一部分-解剖和生理

Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia Pub Date : 2023-10-09 DOI: 10.1055/s-0042-1760210

Marco Antônio Schlindwein Vaz, Jander Monteiro, Francisco Luiz Souza Braga, Joel Lavinsky, Giuseppe Casella Santis, Lia Grub Becker, Marcelo Assis Moro da Rocha Filho, Carmen Austrália Paredes Marcondes Ribas, Ricardo Marques Lopes de Araújo, Eberval Gadelha Figueiredo, Gustavo Rassier Isolan

{"title":"What a Neurosurgeon Should Know About the Endolymphatic Sac: Part 1–Anatomy and Physiology","authors":"Marco Antônio Schlindwein Vaz, Jander Monteiro, Francisco Luiz Souza Braga, Joel Lavinsky, Giuseppe Casella Santis, Lia Grub Becker, Marcelo Assis Moro da Rocha Filho, Carmen Austrália Paredes Marcondes Ribas, Ricardo Marques Lopes de Araújo, Eberval Gadelha Figueiredo, Gustavo Rassier Isolan","doi":"10.1055/s-0042-1760210","DOIUrl":"https://doi.org/10.1055/s-0042-1760210","url":null,"abstract":"Abstract Objective To describe the microsurgical anatomy and the physiology of the endolymphatic sac (ES) that a neurosurgeon should know. Methods Review of previous studies from 1927 to 2021, from basic and translational research using human and animal ES tissue or cells, as well as previous reviews about the subject. The present article is divided into three parts. In this first part, we review the microsurgical anatomy and physiology of the ES. Results The ES is a structure situated in the inner ear, together with the cochlea, the vestibular system, and other structures. Differently from its adjacent structures, the ES does not have a specialized epithelium; instead, it has mitochondria-rich cells and ribosomal-rich cells, which are responsible for ionic transportation and secretory activity. Apart from these functions, the ES is also responsible for homeostasis regulation of the inner ear, endolymphatic fluid volume control, immune response, elimination of inner ear cellular debris and floating otoconia, regulation of membranous labyrinth pressure, acid/basic transport, and secretion of substances. Its anatomy is not very variable, since in most studies no more than 20mm separates the location of the ES in the samples, in any direction. Conclusion The human ES has vital functions in the inner ear, and its anatomy is rarely variable. Knowing that, and the importance of this area for neurosurgery, the present study elucidates the exact location of the ES and the lost functions that a lesion in this structure must cause.","PeriodicalId":42205,"journal":{"name":"Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135044459","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

Educational Status of Minimally Invasive Spine Surgery 微创脊柱外科教育现状

Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia Pub Date : 2023-10-06 DOI: 10.1055/s-0042-1756208

Bernardo de Andrada Pereira, Kanwaljeet Garg, James Mamaril-Davis, Bipin Chaurasia, Alfredo Guiroy, Jahangir Asghar, Jay D. Turner, R. John Hurlbert

{"title":"Educational Status of Minimally Invasive Spine Surgery","authors":"Bernardo de Andrada Pereira, Kanwaljeet Garg, James Mamaril-Davis, Bipin Chaurasia, Alfredo Guiroy, Jahangir Asghar, Jay D. Turner, R. John Hurlbert","doi":"10.1055/s-0042-1756208","DOIUrl":"https://doi.org/10.1055/s-0042-1756208","url":null,"abstract":"Abstract Background The objective of this study was to understand how spine surgeons learn minimally invasive spine surgery (MISS) and how the COVID-19 pandemic impacted the educational experience of MISS. Potential solutions for increasing the spine surgeon's access to MISS educational resources were also discussed. Methods An internet survey was distributed to neurosurgical and orthopedic spine surgeons across multiple online platforms from April to June 2021, asking specific questions about education and training for MISS. Online survey tools were used to contact spine surgeons in the five geographical continents. Results A total of 303 spine surgeons responded to the survey: 272 (89.7%) neurosurgeons and 31 (10.3%) orthopedic surgeons. The six countries with the greatest number of participants were: Argentina (n = 70; 23.1%), India (n = 47; 15.5%), Brazil (n = 34; 11.2%), Pakistan (n = 10; 3.3%), Mexico (n = 9; 3.0%), and Chile (n = 8; 2.6%). Conclusion Most spine surgeons were able to attend virtual learning events during the pandemic, but cadaveric study was still considered the gold standard for learning MISS. Multidisciplinary effort is needed to develop structured curriculums for teaching MISS that include a variety of educational tools such as cadaver laboratory, guidance from experienced surgeons, and virtual demonstrations.","PeriodicalId":42205,"journal":{"name":"Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135304409","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

Modified 30-Degree Head-Up Tilt Park Bench Position in Semielective Posterior Fossa Surgery in a Patient with Pheochromocytoma 改良的30度仰卧位在嗜铬细胞瘤患者半选择性后颅窝手术中的应用

Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia Pub Date : 2023-09-01 DOI: 10.1055/s-0043-1775555

Sevtap Hekimoglu Sahin, Osman Simsek, Tolgay Akinci, Zafer Cakici

引用次数: 0

Rare Presentation of Morganella morganii Microorganism as Epidural and Subdural Empyema 罕见的莫氏摩根菌表现为硬膜外和硬膜下脓胸

Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia Pub Date : 2023-09-01 DOI: 10.1055/s-0042-1758211

Suleiman S. Daoud, Sultan Jarrar, Obada E. Ababneh, Omar F. Jbarah

{"title":"Rare Presentation of Morganella morganii Microorganism as Epidural and Subdural Empyema","authors":"Suleiman S. Daoud, Sultan Jarrar, Obada E. Ababneh, Omar F. Jbarah","doi":"10.1055/s-0042-1758211","DOIUrl":"https://doi.org/10.1055/s-0042-1758211","url":null,"abstract":"Abstract Background Morganella morganii is a gram-negative bacterium that rarely infects the central nervous system (CNS). Few reports described such an infection in the CNS. We present a case of extremely invasive M. morganii infection in the CNS. In addition, we performed a literature review of M. morganii infection in the CNS. Case report A 53-year-old male was admitted to the hospital due to fever, general weakness, and left-sided facial muscle twitching. He had a history of diabetes mellitus, hypertension, brain tumor, and epilepsy. Multiple left frontal scalp ulcers were revealed. In addition, a computed tomography (CT) scan and magnetic resonance imaging (MRI) revealed a left side epidural abscess and subdural empyema. Moreover, the patient had left frontal bone osteomyelitis. The next day, the patient underwent craniectomy, was transferred to the intensive care unit and started an empirical antibiotic course. Morganella morganii was identified from the infected scalp ulcers. On the 13th day, the patient passed away due to uncontrolled status epilepticus. Conclusion M. morganii can cause isolated or multiple types of CNS infections, including brain abscess, meningitis, and subdural empyema. The mortality rate may differ according to age and to the use of surgical evacuation.","PeriodicalId":42205,"journal":{"name":"Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135588526","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

Accuracy Comparison between Frameless Biopsy and Frame-Based Biopsy: A Retrospective Study of a Case Series 无框架活检和基于框架活检的准确性比较:一个病例系列的回顾性研究

Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia Pub Date : 2023-09-01 DOI: 10.1055/s-0043-1775556

Henrique Moura Braga, Marcos Antônio Dellaretti, Marcello Penholate Faria, Júlio Cezar de Almeida, Leyzeane Marques do Nascimento

{"title":"Accuracy Comparison between Frameless Biopsy and Frame-Based Biopsy: A Retrospective Study of a Case Series","authors":"Henrique Moura Braga, Marcos Antônio Dellaretti, Marcello Penholate Faria, Júlio Cezar de Almeida, Leyzeane Marques do Nascimento","doi":"10.1055/s-0043-1775556","DOIUrl":"https://doi.org/10.1055/s-0043-1775556","url":null,"abstract":"Abstract Objective To compare the efficacy and safety of frameless and frame-based techniques for biopsies of intracranial lesions in an exclusive assistance service at a public health center in Brazil (SUS). Method A review of 65 medical records of patients with brain lesions who underwent a frame-based or frameless biopsy from September 2017 to July 2019 was performed. Results Among the 65 patients who underwent biopsy, 42 were male, and 23 were female. The mean age was 53.1 years. Most patients (49; 75.4%) presented hemispheric lesions, and, of these, 27 were in the frontal lobe (41,5%). The diagnostic rate was 78.5% (51 of 65 patients), and glial neoplasia was the most common diagnosis. In addition to glial neoplasia, a wide range of pathologies were diagnosed, such as toxoplasmosis, metastasis, lymphoma, inflammatory lesions, and abscesses. Among the 14 patients (21.5%) with inconclusive results, 8 had gliosis without neoplasia (12.3%), 4 had necrosis (6.1%), and 2 had insufficient samples (3%). The morbidity rate was 9.2%, with 4 cases of hemorrhage, 1 case of infection, and 1 case of worsening of neurological deficits. The mortality rate was 6.1% and occurred in all cases with hemorrhage. There were no significant differences in the diagnosis or complication (morbidity and mortality) rates between the frame-based and frameless groups. Conclusion The frame-based and frameless techniques for stereotactic biopsy present similar efficacy and safety.","PeriodicalId":42205,"journal":{"name":"Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135588527","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