Journal of neurosurgery. Case lessons最新文献_第9页

Recurrent basilar artery thrombectomy for pediatric vertebral dissection: illustrative case. 小儿椎体夹层复发性基底动脉血栓切除术：说明性病例。

Journal of neurosurgery. Case lessons Pub Date : 2025-08-18 DOI: 10.3171/CASE24523

Jaclyn Meyer, Stefanie Wood, Siddhant Arora, Souvik Sen

{"title":"Recurrent basilar artery thrombectomy for pediatric vertebral dissection: illustrative case.","authors":"Jaclyn Meyer, Stefanie Wood, Siddhant Arora, Souvik Sen","doi":"10.3171/CASE24523","DOIUrl":"10.3171/CASE24523","url":null,"abstract":"Background: Stroke is relatively uncommon in children, with a risk of recurrence ranging from 5% to 19%. Early diagnosis and treatment are critical for optimal recovery, but stroke in children is often identified later than in adults. While mechanical thrombectomy is a well-established standard treatment for acute ischemic strokes in adults, emerging data continue to show that this intervention can also benefit pediatric patients.Observations: This case report discusses the management of a 13-year-old male with recurrent basilar artery occlusions and an associated vertebral artery dissection. Initially presenting with acute ischemic stroke symptoms, the patient underwent a successful thrombectomy with significant improvement in neurological function. He experienced a second stroke due to another basilar artery occlusion, which was subsequently treated by a thrombectomy. Further investigation revealed a vertebral artery dissection with a pseudoaneurysm, likely contributing to the stroke recurrence. Treatment adjustments included transitioning from aspirin to clopidogrel when aspirin resistance concern was noted, and finally apixaban therapy when the dissection was discovered. The patient remained stable without stroke recurrence.Lessons: This case exemplifies the effectiveness of mechanical thrombectomy in pediatric stroke management and warrants further consideration for repeat procedures for recurrence due to insidious vertebral arterial dissections and those with aspirin resistance. https://thejns.org/doi/10.3171/CASE24523.","PeriodicalId":94098,"journal":{"name":"Journal of neurosurgery. Case lessons","volume":"10 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12362191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144984159","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

Intraoperative immediately venous reddening indicates cerebral hyperperfusion after superficial temporal artery-middle cerebral artery anastomosis in moyamoya disease: illustrative case. 烟雾病颞浅动脉-大脑中动脉吻合术中立即静脉变红提示大脑过度灌注：说明性病例。

Journal of neurosurgery. Case lessons Pub Date : 2025-08-18 DOI: 10.3171/CASE24600

Tianshu Tao, Wei Wei, Guiping Wan, Jincao Chen, Xiang Li, Jianjian Zhang

{"title":"Intraoperative immediately venous reddening indicates cerebral hyperperfusion after superficial temporal artery-middle cerebral artery anastomosis in moyamoya disease: illustrative case.","authors":"Tianshu Tao, Wei Wei, Guiping Wan, Jincao Chen, Xiang Li, Jianjian Zhang","doi":"10.3171/CASE24600","DOIUrl":"10.3171/CASE24600","url":null,"abstract":"Background: Cerebral hyperperfusion (CHP) is a serious complication after bypass surgery in moyamoya disease (MMD). Currently, the prediction or diagnosis of CHP relies on various blood flow monitoring devices, and there is a lack of direct signs to predict the occurrence of CHP.Observations: The authors report on the case of a patient with MMD in whom the cortical veins were immediately reddened during superficial temporal artery (STA)-middle cerebral artery (MCA) bypass. On declamping the proximal STA during the operation, the blue vein near the anastomosis was rapidly arterialized under the microscope. Indocyanine green videography showed filling of the vein in the arterial phase, with a notable rise in venous blood flow, monitored by intraoperative laser speckle contrast imaging, and postoperative SPECT imaging demonstrated hyperperfusion in the territory of the MCA.Lessons: The intraoperative venous reddening phenomenon indicated that the dramatic changes in venous blood flow may reflect CHP status after STA-MCA bypass surgery. https://thejns.org/doi/10.3171/CASE24600.","PeriodicalId":94098,"journal":{"name":"Journal of neurosurgery. Case lessons","volume":"10 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12362193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877653","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

Wrap technique for idiopathic trigeminal neuralgia: patient series. 包裹技术治疗特发性三叉神经痛：患者系列。

Journal of neurosurgery. Case lessons Pub Date : 2025-08-18 DOI: 10.3171/CASE25348

Sophie Jia Qian Koh, A Aravin Kumar, Peter Ying Khai Hwang

{"title":"Wrap technique for idiopathic trigeminal neuralgia: patient series.","authors":"Sophie Jia Qian Koh, A Aravin Kumar, Peter Ying Khai Hwang","doi":"10.3171/CASE25348","DOIUrl":"10.3171/CASE25348","url":null,"abstract":"Background: Idiopathic trigeminal neuralgia (TN) presents significant diagnostic and therapeutic challenges. While microvascular decompression (MVD) is well established for classic TN, its role in idiopathic cases remains controversial due to the absence of an identifiable neurovascular conflict and lack of clear anatomical target. New strategies are needed to address this challenging patient population.Observations: Six patients with idiopathic TN underwent MVD with a Teflon wrap placed around the trigeminal nerve. All had undergone high-resolution MRI (CISS or FIESTA sequence), and intraoperative exploration was negative for a neurovascular conflict. Intraoperative trigeminal-hypoglossal reflex (THR) monitoring was used as a functional marker of decompression. All patients exhibited intact THR at baseline and complete loss of THR after wrap placement, indicating adequate decompression. Preoperative Barrow Neurological Institute pain scores (BNI-PSs) ranged from III to V. Five patients achieved sustained pain relief (BNI-PS of 0 or I) by postoperative day 1. One patient experienced delayed improvement but progressed from BNI-PS IV to 0 by 6 months. All patients remained pain free at 18 months.Lessons: A Teflon wrap technique with intraoperative THR monitoring may represent a safe and effective surgical option for idiopathic TN. By addressing potential biomechanical or dynamic nerve dysfunction, this approach offers meaningful pain relief even in the absence of a visible vascular conflict. https://thejns.org/doi/10.3171/CASE25348.","PeriodicalId":94098,"journal":{"name":"Journal of neurosurgery. Case lessons","volume":"10 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12362195/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877657","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

Cranial bypass for occlusive carotid dissection in osteogenesis imperfecta: illustrative case. 成骨不全患者闭塞性颈动脉夹层的颅旁路治疗：说明性病例。

Journal of neurosurgery. Case lessons Pub Date : 2025-08-18 DOI: 10.3171/CASE25378

Eric A Grin, Jacob Baranoski, Caleb Rutledge, Daniel D Wiggan, Charlotte Chung, Eytan Raz, Vera Sharashidze, Maksim Shapiro, Howard A Riina, Cen Zhang, Erez Nossek

{"title":"Cranial bypass for occlusive carotid dissection in osteogenesis imperfecta: illustrative case.","authors":"Eric A Grin, Jacob Baranoski, Caleb Rutledge, Daniel D Wiggan, Charlotte Chung, Eytan Raz, Vera Sharashidze, Maksim Shapiro, Howard A Riina, Cen Zhang, Erez Nossek","doi":"10.3171/CASE25378","DOIUrl":"10.3171/CASE25378","url":null,"abstract":"Background: Osteogenesis imperfecta (OI) is a connective tissue disorder characterized by fragile bones and vascular fragility, increasing the risk of vessel dissection and potentially complicating endovascular intervention. The authors present the first case of cranial bypass in a patient with OI.Observations: A 38-year-old male with OI type I presented with a symptomatic left internal carotid artery (ICA) occlusive dissection managed with endovascular revascularization and stenting. Follow-up surveillance imaging identified an incidental right ICA dissection, also treated with stenting. Four years later, the patient experienced new right hemispheric symptoms. He was found to have progressive right ICA dissection on best medical management. Following an unsuccessful restenting attempt, he underwent a successful double-barrel superficial temporal artery-to-middle cerebral artery (STA-MCA) bypass to restore cerebral perfusion with no perioperative complications. Six-month follow-up DSA confirmed a patent bypass with robust flow, and the patient remained asymptomatic 1 year postoperatively.Lessons: STA-MCA bypass can serve as a viable and effective revascularization option in patients with OI, whose disease predisposes them to vascular dissection. In these high-risk patients, cranial bypass is a safe method for effective flow augmentation to hypoperfused brain regions when endovascular interventions fail. https://thejns.org/doi/10.3171/CASE25378.","PeriodicalId":94098,"journal":{"name":"Journal of neurosurgery. Case lessons","volume":"10 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12362187/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877649","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

Pseudomyogenic hemangioendothelioma in the thoracic spine treated with en bloc spondylectomy via staged anterior-lateral and posterior approach: illustrative case. 胸椎假肌源性血管内皮瘤经分期前后路整块椎体切除治疗：说明性病例。

Journal of neurosurgery. Case lessons Pub Date : 2025-08-18 DOI: 10.3171/CASE25256

Sophia Peng, Clairice Pearce, Morteza Sadeh, Tatiana Abou-Mrad, Martin Borhani, Ankit I Mehta

{"title":"Pseudomyogenic hemangioendothelioma in the thoracic spine treated with en bloc spondylectomy via staged anterior-lateral and posterior approach: illustrative case.","authors":"Sophia Peng, Clairice Pearce, Morteza Sadeh, Tatiana Abou-Mrad, Martin Borhani, Ankit I Mehta","doi":"10.3171/CASE25256","DOIUrl":"10.3171/CASE25256","url":null,"abstract":"Background: Pseudomyogenic hemangioendothelioma (PMHE) is a rare vascular tumor with intermediate malignant potential, most commonly affecting young males and typically involving the soft tissues of the lower extremities. Spinal involvement is exceedingly rare, particularly as an isolated bony lesion without soft tissue extension, posing challenges in establishing standardized treatment approaches.Observations: This report details a unique case of thoracic PMHE in a 60-year-old woman managed with a multistaged surgical approach, including preoperative embolization and en bloc spondylectomy. The authors describe the patient's clinical presentation, radiographic findings, surgical technique, and postoperative course, highlighting the role of en bloc resection in achieving tumor control.Lessons: This case underscores the feasibility of aggressive surgical management for spinal PMHE and emphasizes the need for further research to refine optimal treatment strategies. https://thejns.org/doi/10.3171/CASE25256.","PeriodicalId":94098,"journal":{"name":"Journal of neurosurgery. Case lessons","volume":"10 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12362186/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877655","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

Letter to the Editor Response. 致编辑的信

Journal of neurosurgery. Case lessons Pub Date : 2025-08-11 DOI: 10.3171/CASE25296

Anthony J Maxin, Tyler S Pistone, Mithun G Sattur, Nicholas Borg

引用次数: 0

Intracranial multiple myeloma masquerading as subdural hematoma: illustrative cases. 颅内多发性骨髓瘤伪装成硬膜下血肿：说明性病例。

Journal of neurosurgery. Case lessons Pub Date : 2025-08-11 DOI: 10.3171/CASE25347

Stephanie A Ihezie, Vishva Natarajan, George Zanazzi, Swaroopa PonnamReddy, Fredrick Lansigan, Linton T Evans, Jennifer Hong

{"title":"Intracranial multiple myeloma masquerading as subdural hematoma: illustrative cases.","authors":"Stephanie A Ihezie, Vishva Natarajan, George Zanazzi, Swaroopa PonnamReddy, Fredrick Lansigan, Linton T Evans, Jennifer Hong","doi":"10.3171/CASE25347","DOIUrl":"10.3171/CASE25347","url":null,"abstract":"Background: Intracranial involvement in multiple myeloma (MM) is a rare clinical presentation, often mimicking other conditions such as subdural hematoma (SDH) and resulting in poor prognosis.Observations: This case series highlights 2 older female patients, one with a prior diagnosis of MM, who developed subdural masses resembling SDH. Both cases were associated with significant cerebral edema and mass effect. Biopsies confirmed plasma cell neoplasms, and both patients underwent tailored treatment, including corticosteroids, radiation therapy, and systemic chemotherapy. The patients showed clinical and radiographic improvement posttreatment.Lessons: These cases underscore the importance of maintaining a broad differential in patients with subdural collections, particularly if associated with significant vasogenic edema or in those with a history of MM. Nonoperative management is effective, despite mass effect. https://thejns.org/doi/10.3171/CASE25347.","PeriodicalId":94098,"journal":{"name":"Journal of neurosurgery. Case lessons","volume":"10 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12337981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144823519","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

Meralgia paresthetica resulting from iatrogenic ligation of the lateral femoral cutaneous nerve: illustrative case. 医源性股外侧皮神经结扎引起的感觉异常痛：说明性病例。

Journal of neurosurgery. Case lessons Pub Date : 2025-08-11 DOI: 10.3171/CASE25436

Seare Halefom Kahsay, Dejen Tekiea Gebrewahd, Kidanemariam Abrha Teka, Hayelom Atsbha Gebremichael, Zeamanuel Berihu Teshome

{"title":"Meralgia paresthetica resulting from iatrogenic ligation of the lateral femoral cutaneous nerve: illustrative case.","authors":"Seare Halefom Kahsay, Dejen Tekiea Gebrewahd, Kidanemariam Abrha Teka, Hayelom Atsbha Gebremichael, Zeamanuel Berihu Teshome","doi":"10.3171/CASE25436","DOIUrl":"10.3171/CASE25436","url":null,"abstract":"Background: The lateral femoral cutaneous nerve (LFCN) is susceptible to entrapment arising from diverse pathological mechanisms, leading to the clinical condition termed meralgia paresthetica. Common etiologies include compression beneath the inguinal ligament, medical causes of mononeuropathy, and iatrogenic injury during surgical intervention.Observations: The authors present the case of a 27-year-old military veteran who presented with a 3-year history of right anterolateral thigh pain that he described as excruciating and exacerbated by minimal touch. Six months prior to the onset of symptoms, the patient sustained a blast injury to the groin during combat, and his wound was managed by a field surgeon. Surgical exploration revealed that the LFCN was tightly ligated by a nonabsorbable suture at the level of the inguinal ligament. Gentle incision of the suture facilitated nerve decompression. Examination of the nerve revealed circumferential indentations and localized atrophy at the site of constriction, although its continuity was maintained. The patient had a smooth recovery, with symptom resolution. He was followed for 1 year and showed no new symptoms.Lessons: Iatrogenic ligation of the LFCN by a nonabsorbable suture represents a unique cause. Thorough assessment and a high clinical suspicion are crucial for determining the necessity of surgical exploration and neural decompression. Excision of the suture results in adequate decompression. https://thejns.org/doi/10.3171/CASE25436.","PeriodicalId":94098,"journal":{"name":"Journal of neurosurgery. Case lessons","volume":"10 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12337980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144823524","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

Resection of multiple intramedullary spinal cord cavernous malformations in infancy: illustrative case. 婴儿期多发性脊髓髓内海绵状畸形的切除：说明性病例。

Journal of neurosurgery. Case lessons Pub Date : 2025-08-11 DOI: 10.3171/CASE2557

Luke Silveira, Natalie Limoges

{"title":"Resection of multiple intramedullary spinal cord cavernous malformations in infancy: illustrative case.","authors":"Luke Silveira, Natalie Limoges","doi":"10.3171/CASE2557","DOIUrl":"10.3171/CASE2557","url":null,"abstract":"Background: Cavernous malformations (CMs) are vascular malformations characterized by enlarged, thin-walled blood vessels composed of dysplastic endothelial cells and pericytes within a loose extracellular matrix. Endothelial cell dysplasia leads to increased permeability and portends an increased risk of hemorrhage within these malformations, and hemorrhage often manifests with acute-onset neurological deficits due to mass effect and irritation of surrounding neural tissue within the brain and spinal cord.Observations: A 5-month-old male presented with concern for possible tethered cord syndrome in the setting of forked gluteal cleft and lower extremity hyperreflexia. He was ultimately determined to have three intramedullary spinal CMs. These were resected with laminoplasty performed. Follow-up imaging demonstrated preservation of spinal alignment and no intraspinal lesion recurrence, with corresponding improvement in the patient's neurological strength examination despite some persistent motor developmental milestone delay.Lessons: Hemorrhage and rehemorrhage rates of intramedullary spinal CMs are higher in the pediatric population than in the adult population. Hence, early resection of these lesions, when feasible, reduces the risk of long-term neurological deficit. Resection in infancy can be augmented by laminoplasty to preserve the posterior tension band within the spinal column, promote bony regrowth, and significantly reduce the risk of delayed deformity. https://thejns.org/doi/10.3171/CASE2557.","PeriodicalId":94098,"journal":{"name":"Journal of neurosurgery. Case lessons","volume":"10 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12337979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144823526","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

Laryngo-pharyngeal-vertebral extirpation: a radical multidisciplinary surgical approach to managing complications from oropharyngeal squamous cell carcinoma treatment. Illustrative case. 喉咽椎体切除：一种根治性多学科外科方法来处理口咽鳞状细胞癌治疗的并发症。说明情况。

Journal of neurosurgery. Case lessons Pub Date : 2025-08-11 DOI: 10.3171/CASE25203

Wilson A M Fisher, Daniel Faraj, Deveney Franklin, Andrew C Prince, Jeffrey M Blumberg, Michael Galgano

{"title":"Laryngo-pharyngeal-vertebral extirpation: a radical multidisciplinary surgical approach to managing complications from oropharyngeal squamous cell carcinoma treatment. Illustrative case.","authors":"Wilson A M Fisher, Daniel Faraj, Deveney Franklin, Andrew C Prince, Jeffrey M Blumberg, Michael Galgano","doi":"10.3171/CASE25203","DOIUrl":"10.3171/CASE25203","url":null,"abstract":"Background: A 76-year-old female presented with rigid cervical sagittal plane deformity, myelopathy, chronic aspiration, and dysphonia. This was complicated by a past medical history of partial laryngectomy and neck irradiation for oropharyngeal squamous cell carcinoma. Severe rigid cervical kyphosis resulted in impaired horizontal gaze and progressive myelopathy. She had worsening chronic aspiration and dysphonia secondary to an esophageal fistula into the prevertebral space.Observations: The authors performed a two-stage, multidisciplinary surgery combining neurosurgical and otolaryngological expertise. Stage 1 involved anterior neck exposure, laryngopharyngectomy with pectoralis major myocutaneous conduit reconstruction, C3-6 corpectomy, anterior column reconstruction, and C2-7 anterior fixation and fusion. Stage 2 entailed posterior instrumented fusion from C1 to T3. Postoperatively, the patient experienced significant clinical improvement and symptom resolution. Follow-up imaging at 18 months confirmed maintenance of sagittal plane correction.Lessons: This case highlights the value gained from multidisciplinary collaboration in complex cervical deformity management. Despite the patient's \"rigid\" deformity on CT, intraoperative traction proved valuable to achieve sagittal plane correction, which optimized the anterior neck corridor for the ear, nose, and throat team. The authors also discuss key techniques that allowed them to overcome the challenges of this complex case, such as creating a parallel landing zone to prevent cage subsidence. https://thejns.org/doi/10.3171/CASE25203.","PeriodicalId":94098,"journal":{"name":"Journal of neurosurgery. Case lessons","volume":"10 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12337986/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144823521","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