Journal of neurosurgery. Case lessons最新文献_第5页

Managing malignant middle cerebral artery infarction with open scalp incision and partial hemispherectomy: illustrative case. 头皮切开加半脑部分切除术治疗恶性大脑中动脉梗死：一例说明性病例。

Journal of neurosurgery. Case lessons Pub Date : 2025-09-15 DOI: 10.3171/CASE2523

Katherine L Olivares, Arun Sherma, Chiu Yuen To, Syeda Maria Muzammil

{"title":"Managing malignant middle cerebral artery infarction with open scalp incision and partial hemispherectomy: illustrative case.","authors":"Katherine L Olivares, Arun Sherma, Chiu Yuen To, Syeda Maria Muzammil","doi":"10.3171/CASE2523","DOIUrl":"10.3171/CASE2523","url":null,"abstract":"Background: Malignant middle cerebral artery (MCA) infarctions result in cerebral edema that can lead to brain herniation and death. Standard management includes decompressive hemicraniectomy (DHC) and comprehensive neurocritical care. Some patients may continue to decline despite these measures. Reopening of the scalp incision may allow for additional decompression and provide mortality benefit.Observations: A 47-year-old man developed malignant right MCA territory infarction following intravenous thrombolysis and unsuccessful mechanical thrombectomy. Despite aggressive hyperosmolar therapy and a large DHC, the patient continued to exhibit clinical decline and radiological progression of cerebral edema. In response, the scalp incision was reopened to facilitate maximal external cerebral herniation, a strategy the authors believe was critical in managing the brain swelling. The patient was maintained on prophylactic antibiotics during this period, given the increased infection risk associated with exposed brain surface and potential CSF leakage. Following the resolution of cerebral swelling, a right partial hemispherectomy was performed to excise the infarcted hemisphere. Notably, the patient achieved significant functional recovery following the intervention and an extended period of rehabilitation.Lessons: This case highlights the complexities encountered in the surgical management of malignant cerebral infarction, particularly when standard decompressive measures fail. https://thejns.org/doi/10.3171/CASE2523.","PeriodicalId":94098,"journal":{"name":"Journal of neurosurgery. Case lessons","volume":"10 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12435381/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sacral hydatid cyst: illustrative case. 骶骨包虫囊肿：说明性病例。

Journal of neurosurgery. Case lessons Pub Date : 2025-09-15 DOI: 10.3171/CASE25109

Lana Maraqa, Ruba Najib, Majd Mohsen, Ismail Abudaya, Basel Zaben

{"title":"Sacral hydatid cyst: illustrative case.","authors":"Lana Maraqa, Ruba Najib, Majd Mohsen, Ismail Abudaya, Basel Zaben","doi":"10.3171/CASE25109","DOIUrl":"10.3171/CASE25109","url":null,"abstract":"Background: Echinococcus species causes hydatid cyst (HC) disease, primarily affecting the liver and lungs. Bone involvement is rare (0.5%-2% of cases), with half occurring in the vertebral system. Sacral spine involvement is particularly uncommon and poses diagnostic challenges.Observations: A 17-year-old male with a history of HC disease presented with low back pain radiating to both lower limbs, claudication, and chronic constipation for 5 years. Imaging revealed a large, multiloculated sacral cyst extending retrorectally and presacrally from S3 to S5, involving the spinal canal, compressing the rectum, and causing sacral erosion. A diagnosis of sacral hydatidosis was made, and the patient was started on albendazole, with surgical excision planned.Lessons: HC disease should be considered in the differential diagnosis of low back pain and constipation, especially in endemic regions. Because of its invasive nature and high recurrence rate, early diagnosis, antiparasitic therapy, and surgical intervention are essential. Proper follow-up is necessary to prevent complications, particularly in atypical presentations. https://thejns.org/doi/10.3171/CASE25109.","PeriodicalId":94098,"journal":{"name":"Journal of neurosurgery. Case lessons","volume":"10 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12435382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Metal artifact reduction leading to appearance of fractures in pedicle screws: illustrative case. 金属假影复位导致椎弓根螺钉出现骨折：说明性病例。

Journal of neurosurgery. Case lessons Pub Date : 2025-09-15 DOI: 10.3171/CASE25358

Trevor Leon, Witty Kwok, Justin Lindsay, Marcelo Costa, Brittany Staarmann

{"title":"Metal artifact reduction leading to appearance of fractures in pedicle screws: illustrative case.","authors":"Trevor Leon, Witty Kwok, Justin Lindsay, Marcelo Costa, Brittany Staarmann","doi":"10.3171/CASE25358","DOIUrl":"10.3171/CASE25358","url":null,"abstract":"Background: Metallic implants can cause imaging artifacts on CT and MRI. Although metal artifact reduction (MAR) techniques have enhanced imaging clarity, they can also lead to distortions that may resemble complications such as hardware fractures. The false appearance of fractured hardware, or \"pseudofractures,\" can distort imaging interpretation and result in unnecessary revision surgery.Observations: A 65-year-old male sustained a T12-L1 fracture extending through the disc space with ligamentous interruption after a bicycle accident. The patient underwent T11-L2 posterior fusion with pedicle screws and was discharged in a thoracolumbar sacral orthosis brace after an uncomplicated postoperative course. Concerns about brace compliance prompted imaging, which demonstrated screw fractures and led to discussion of revision procedure. Repeat imaging revealed that these were artifacts, not hardware failure. No revision was needed and the patient continued to recover.Lessons: This case emphasizes the importance of understanding imaging techniques that may impact interpretation and implications for surgical decision-making. Imaging artifacts should be considered when hardware fractures exist at multiple levels without suggestive history of new symptoms. Obtaining plain radiographs or images without MAR may assist in diagnostic uncertainty. Discussing MAR use with the radiology department at imaging acquisition may improve both imaging interpretations and resource utilization. https://thejns.org/doi/10.3171/CASE25358.","PeriodicalId":94098,"journal":{"name":"Journal of neurosurgery. Case lessons","volume":"10 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12435379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Targeted decompression to address long-standing anatomical distortion in a case of extensive, bilateral en plaque meningiomas: illustrative case. 有针对性的减压以解决广泛的双侧斑块脑膜瘤的长期解剖扭曲：说明性病例。

Journal of neurosurgery. Case lessons Pub Date : 2025-09-08 DOI: 10.3171/CASE25382

Stefanie Bauer, Karina Hofmann, Miriam Weiss, Christian Musahl, Lukas Andereggen, Gerrit A Schubert

{"title":"Targeted decompression to address long-standing anatomical distortion in a case of extensive, bilateral en plaque meningiomas: illustrative case.","authors":"Stefanie Bauer, Karina Hofmann, Miriam Weiss, Christian Musahl, Lukas Andereggen, Gerrit A Schubert","doi":"10.3171/CASE25382","DOIUrl":"10.3171/CASE25382","url":null,"abstract":"Background: Meningioma en plaque (MEP) is a rare subtype of meningioma with a carpet-like growth pattern, often causing hyperostosis. Even rarer is the presentation of bilateral MEP posing diagnostic and therapeutic challenges. Management of MEP usually entails early complete resection. Follow-up may be considered for asymptomatic and slow-growing tumors.Observations: The authors present the case of a 52-year-old patient with progressive optic neuropathy due to bilateral hyperostotic frontotemporal MEP. Long-standing intracranial hypertension caused by mass effect had led to formation of a suprachiasmatic cyst deflecting the optic chiasm. The authors aimed to lower the intracranial pressure indirectly by performing a targeted, right-sided craniectomy with tumor removal and mesh cranioplasty. Postoperatively, reconstitution of brain anatomy and stabilization of the optic neuropathy were observed.Lessons: To the authors' knowledge, this is the first case report addressing targeted decompression for severe, long-standing anatomical distortion due to bilateral hyperostotic MEP. Complete resection as recommended for MEPs would have been associated with a high risk of perioperative morbidity in this case. In case of neurological deterioration due to decompensated intracranial hypertension, indirect decompression can effectively address chronic distortion of anatomy. This case report highlights the need for individualized management strategies for extensive MEPs. https://thejns.org/doi/10.3171/CASE25382.","PeriodicalId":94098,"journal":{"name":"Journal of neurosurgery. Case lessons","volume":"10 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12416326/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145025098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Significant pain reduction in refractory post-mastectomy pain syndrome with closed-loop spinal cord stimulation: illustrative cases. 采用闭环脊髓刺激治疗难治性乳房切除术后疼痛综合征的显著疼痛减轻：说明性病例。

Journal of neurosurgery. Case lessons Pub Date : 2025-09-08 DOI: 10.3171/CASE25218

Brooke Elberson, Lauren Banko, Jonathan Bauer, Erika Petersen, Gregory Lawson Smith

{"title":"Significant pain reduction in refractory post-mastectomy pain syndrome with closed-loop spinal cord stimulation: illustrative cases.","authors":"Brooke Elberson, Lauren Banko, Jonathan Bauer, Erika Petersen, Gregory Lawson Smith","doi":"10.3171/CASE25218","DOIUrl":"10.3171/CASE25218","url":null,"abstract":"Background: Breast cancer is one of the most common malignancies worldwide and is often treated with surgery. Post-mastectomy pain syndrome (PMPS) can have disabling consequences. The incidence of PMPS ranges from 20% to 68%. Undertreated PMPS results in 10% of opioid-naive patients continuing to use opioids 90 day after surgery. Management has been centered around medications, psychological support, and peripheral nerve blocks. Case reports and series have been published describing dorsal root ganglion stimulation and spinal cord stimulation (SCS), but overall literature is lacking for this complex problem and no studies used closed-loop SCS.Observations: Two patients experienced ≥ 80% relief of pain with SCS for refractory post-mastectomy pain. In both cases, percutaneous cylindrical leads were positioned over the cervicothoracic junction and utilized an evoked compound action potential-controlled closed-loop pulse generator (Evoke).Lessons: Closed-loop SCS is an effective option for refractory PMPS and should be considered when conservative options fail. https://thejns.org/doi/10.3171/CASE25218.","PeriodicalId":94098,"journal":{"name":"Journal of neurosurgery. Case lessons","volume":"10 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12416327/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145025101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Journal of neurosurgery. Case lessons Pub Date : 2025-09-08 DOI: 10.3171/CASE25332

Sara Smeets, Thomas Daenekindt, Frank Weyns, Christophe Oosterbos

{"title":"CPPD-related basilar impression with vertebral artery dissection and subsequent subarachnoid hemorrhage: illustrative case.","authors":"Sara Smeets, Thomas Daenekindt, Frank Weyns, Christophe Oosterbos","doi":"10.3171/CASE25332","DOIUrl":"10.3171/CASE25332","url":null,"abstract":"Background: Calcium pyrophosphate dihydrate (CPPD) deposition disease at the craniocervical junction (CCJ) typically presents with a retro-odontoid pseudotumor. Here, the authors report a case of CPPD-induced basilar impression, causing vertebral artery (VA) dissection and hemorrhage.Observations: A 65-year-old male presented with worsening chronic cervicalgia, occipital headaches, and unstable tandem gait. CT revealed basilar impression with severe atlantoaxial erosion and instability, absent on imaging 8 months prior. MRI showed high-grade CCJ stenosis without myelopathy, due to CPPD. Before treatment could be initiated, the patient was suddenly found unresponsive. CT showed posterior fossa hemorrhage due to VA dissection, with secondary obstructive hydrocephalus. An external ventricular drain was placed, followed by coil VA embolization. After halo vest placement, CCJ alignment was restored and the patient underwent occipitocervical fusion. Following prolonged rehabilitation, he regained independent living without significant neurological sequelae.Lessons: This is the first reported case of VA dissection with posterior fossa hemorrhage secondary to basilar impression due to CPPD. Inflammatory arthritides of the CCJ may cause rapidly progressive atlantoaxial erosion, predisposing one to unstable basilar impression and VA dissection. Awareness of this risk is crucial in the surgical management of inflammatory basilar impression, where preoperative vascular imaging may be warranted in selected cases. https://thejns.org/doi/10.3171/CASE25332.","PeriodicalId":94098,"journal":{"name":"Journal of neurosurgery. Case lessons","volume":"10 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12416330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145025077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Anaplastic lymphoma kinase-positive primary CNS anaplastic large cell lymphoma in a pediatric patient: illustrative case. 间变性淋巴瘤激酶阳性原发性中枢神经系统间变性大细胞淋巴瘤1例：说明性病例。

Journal of neurosurgery. Case lessons Pub Date : 2025-09-08 DOI: 10.3171/CASE25522

Duygu Dolen Burak, Cafer Ikbal Gulsever, Alperen Poyraz, Gokcen Unverengil, Gulcin Yegen, Gulcan Erbas, Tugrul Cem Unal, Altay Sencer

{"title":"Anaplastic lymphoma kinase-positive primary CNS anaplastic large cell lymphoma in a pediatric patient: illustrative case.","authors":"Duygu Dolen Burak, Cafer Ikbal Gulsever, Alperen Poyraz, Gokcen Unverengil, Gulcin Yegen, Gulcan Erbas, Tugrul Cem Unal, Altay Sencer","doi":"10.3171/CASE25522","DOIUrl":"10.3171/CASE25522","url":null,"abstract":"Background: Anaplastic lymphoma kinase (ALK)-positive primary CNS anaplastic large cell lymphoma (ALCL) is an extremely rare pediatric malignancy. Its radiological appearance often mimics infectious or glial lesions, complicating diagnosis and delaying treatment.Observations: The authors report the case of a 10-year-old immunocompetent female who presented with absence seizures and vomiting. Brain MRI revealed a left frontal lesion with peripheral contrast enhancement and diffusion restriction, suggestive of a cerebral abscess. She was started on antibiotics and underwent resection. Histopathology confirmed ALK-positive primary CNS ALCL. The patient was treated with NHL-BFM (non-Hodgkin lymphoma-Berlin-Frankfurt-Münster) chemotherapy, the ALK inhibitor lorlatinib, and focal cranial radiotherapy (18 Gy/22 fractions). She remains in complete remission at 18 months. A systematic review of 15 pediatric ALK-positive CNS ALCL cases revealed male predominance, supratentorial location, and inconsistent treatment protocols. Methotrexate-based chemotherapy was most common treatment; the role of radiotherapy and surgery varied.Lessons: ALK-positive primary CNS ALCL should be considered in the differential diagnosis of pediatric intracranial masses with atypical imaging. Early histological confirmation is essential. While chemotherapy remains central to treatment, targeted therapies and radiation-sparing approaches require further investigation to improve outcomes and reduce long-term morbidity in children. https://thejns.org/doi/10.3171/CASE25522.","PeriodicalId":94098,"journal":{"name":"Journal of neurosurgery. Case lessons","volume":"10 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12416325/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145025082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Myxoid spindle cell neoplasm with FET::CREB fusion mimicking meningioma: illustrative case. 黏液样梭形细胞肿瘤伴FET::CREB融合模拟脑膜瘤：说明性病例。

Journal of neurosurgery. Case lessons Pub Date : 2025-09-08 DOI: 10.3171/CASE25497

Ganesh Phayal, Pragya Rijal, Prisma Rijal, Amrit K Chiluwal

引用次数: 0

Epidural blood patch for cerebrospinal fluid leak-induced subdural hematoma in a pediatric patient: illustrative case. 硬膜外血贴片治疗小儿脑脊液漏致硬膜下血肿：说明性病例。

Journal of neurosurgery. Case lessons Pub Date : 2025-09-08 DOI: 10.3171/CASE25254

Ryan S Chung, Lacin Koro, Benjamin Best, Virendra R Desai

{"title":"Epidural blood patch for cerebrospinal fluid leak-induced subdural hematoma in a pediatric patient: illustrative case.","authors":"Ryan S Chung, Lacin Koro, Benjamin Best, Virendra R Desai","doi":"10.3171/CASE25254","DOIUrl":"10.3171/CASE25254","url":null,"abstract":"Background: Intracranial hypotension (IH) is a secondary headache syndrome that can result from spontaneous or iatrogenic CSF leaks. Subdural hematomas (SDHs) are a particularly dangerous sequela of IH. Although epidural blood patch (EBP) is a recognized treatment for IH, its use in pediatric patients with SDH as a solitary intervention has not been reported.Observations: An 11-year-old male with newly diagnosed acute myeloid leukemia developed persistent, postural headaches following a lumbar puncture performed for diagnostic and therapeutic purposes. Initial imaging revealed a moderate left-sided SDH with midline shift, yet MRI of the lumbar spine failed to demonstrate an obvious CSF leak. Conservative management did not alleviate symptoms. Given the clinical picture of low CSF pressure, an EBP was administered, resulting in immediate headache improvement and subsequent radiographic evidence of SDH resolution.Lessons: This case underscores the importance of maintaining a high index of suspicion for IH in pediatric patients with postural headaches after lumbar puncture, even when imaging is inconclusive. EBP can be a safe and effective intervention, potentially preventing further complications and clinical deterioration in this vulnerable population. https://thejns.org/doi/10.3171/CASE25254.","PeriodicalId":94098,"journal":{"name":"Journal of neurosurgery. Case lessons","volume":"10 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12416323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145025027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Camera-assisted and navigated single-position prone transpsoas lateral lumbar interbody fusion: illustrative case. 相机辅助和导航单位俯卧腰肌外侧腰椎椎体间融合术：说明性病例。

Journal of neurosurgery. Case lessons Pub Date : 2025-09-08 DOI: 10.3171/CASE25418

Rouzbeh Motiei-Langroudi

{"title":"Camera-assisted and navigated single-position prone transpsoas lateral lumbar interbody fusion: illustrative case.","authors":"Rouzbeh Motiei-Langroudi","doi":"10.3171/CASE25418","DOIUrl":"10.3171/CASE25418","url":null,"abstract":"Background: Single-position prone transpsoas lateral lumbar interbody fusion (PTP-LLIF) is an evolving minimally invasive surgery technique that merges the biomechanical and anatomical advantages of prone positioning with the LLIF approach. While PTP-LLIF enhances lumbar lordosis restoration and operative efficiency by eliminating patient repositioning, it presents unique ergonomic and visualization challenges for surgeons. This technical report describes a novel modification of the technique using the Teligen camera to improve intraoperative visualization and reduce surgeon fatigue.Observations: The approach follows standard PTP-LLIF workflow with modifications allowing the use of retractor-mounted optical cameras and integrated navigation. The system enables real-time visualization of disc preparation and cage placement while minimizing reliance on repeated fluoroscopic imaging.Lessons: Integration of the Teligen system improves ergonomic posture for the surgeon, reduces the frequency of radiation exposure, and provides continuous visual access for both the lead surgeon and the operative team. Enhanced intraoperative efficiency and teaching opportunities are also noted. The Teligen camera-assisted technique offers a promising enhancement to PTP-LLIF by improving surgeon ergonomics and visualization without compromising procedural effectiveness. Early clinical experience suggests potential reductions in radiation exposure and operative time. Future comparative studies are warranted to validate these findings and establish long-term outcomes. https://thejns.org/doi/10.3171/CASE25418.","PeriodicalId":94098,"journal":{"name":"Journal of neurosurgery. Case lessons","volume":"10 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12416324/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145025071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0