Surgical neurology international最新文献

{"title":"Intradural extramedullary eosinophilic granuloma of the spine with emergency presentation: A case report.","authors":"Wamedh Esam Matti, Hussain J Kadhum, Ibtisam Hussein Al Obaidi, Maher Khashea Mustafa, Ahmed Maan Taha Mustafa, Rasha Alaa Alshakarchy, Mustafa Ismail","doi":"10.25259/SNI_581_2024","DOIUrl":"https://doi.org/10.25259/SNI_581_2024","url":null,"abstract":"<p><strong>Background: </strong>Intradural extramedullary spinal eosinophilic granuloma is a very unusual manifestation of Langerhans Cell Histiocytosis (LCH) that is typically misdiagnosed due to its nonspecific clinical and radiological features.</p><p><strong>Case description: </strong>We report a case of a 22-year-old female patient who presented with acute onset paraplegia. The magnetic resonance imaging was initially suggestive of tuberculoma, which is prevalent in tuberculosis-endemic regions. Intraoperative findings and histopathology, however, established the diagnosis of LCH. The lesion was intradural, and CD1a and S-100 protein staining demonstrated classic Langerhans cells.</p><p><strong>Conclusion: </strong>The paper stresses the need for a multidisciplinary team in the proper diagnosis and handling of spinal LCH. Further research is needed to develop optimal management protocols for this rare condition.</p>","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":"16 ","pages":"94"},"PeriodicalIF":0.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11980720/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060782","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}

{"title":"Augmented reality for external ventricular drain placement: Model alignment and integration software.","authors":"Anton Nikolaevich Konovalov, Dmitry Nikolaevich Okishev, Yuri Viktorovich Pilipenko, Shalva Shalvovich Eliava, Anton Alekseevich Artemyev, Timur Yurevich Abzalov, Alexander Viktorovich Knyazev, Vladimir Mikhailovich Ivanov, Anton Yurevich Smirnov, Sergey Vasilyevich Strelkov","doi":"10.25259/SNI_1066_2024","DOIUrl":"https://doi.org/10.25259/SNI_1066_2024","url":null,"abstract":"<p><strong>Background: </strong>External ventricular drainage (EVD) is a critical neurosurgical procedure for managing conditions. Despite its widespread use, EVD placement is associated with specific risks, as improper catheter positioning can lead to severe complications. Recent advancements in augmented reality (AR) technology present new opportunities to improve the precision and safety of surgical interventions.</p><p><strong>Methods: </strong>This study presents a new AR-assisted approach for EVD placement, utilizing the Microsoft HoloLens 2 and the Medgital software. We conducted a clinical trial involving three patients requiring EVD due to acute hydrocephalus or subarachnoid hemorrhage. The study adhered to ethical standards and was approved by an Ethics Committee, with informed consent obtained from all participants. Two alignment methods were employed: cranial landmark-based and QR code-based alignment. Preoperative imaging facilitated the creation of patient-specific 3D models, which were aligned with the patient's anatomy during surgery.</p><p><strong>Results: </strong>The results suggest that AR navigation may improve the accuracy of catheter placement. In the first case, EVD was placed with a deviation of 2.3 mm from the planned trajectory, while the second and third cases achieved deviations of 1.5 mm and 0.5 mm, respectively. These results indicate the potential effectiveness of the AR system. Importantly, no postoperative complications were observed, suggesting the safety of the AR-guided approach.</p><p><strong>Conclusion: </strong>This study suggests the viability of AR-assisted navigation in neurosurgical practice, particularly for EVD placement. The promising results support further exploration and integration of AR technologies in surgical settings, aiming to improve patient outcomes and procedural efficiency in neurosurgery.</p>","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":"16 ","pages":"93"},"PeriodicalIF":0.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11980733/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046650","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}

{"title":"Let's talk about complications.","authors":"Gilles Reuter, Michaël Bruneau, Eric Suero Molina","doi":"10.25259/SNI_1075_2024","DOIUrl":"https://doi.org/10.25259/SNI_1075_2024","url":null,"abstract":"","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":"16 ","pages":"97"},"PeriodicalIF":0.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11980715/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059369","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}

{"title":"In the right patient, likely fewer risks with posterior versus anterior cervical spine surgery: Perspective/short review.","authors":"Nancy E Epstein, Marc A Agulnick","doi":"10.25259/SNI_154_2025","DOIUrl":"https://doi.org/10.25259/SNI_154_2025","url":null,"abstract":"<p><strong>Background: </strong>Can we document that posterior cervical surgery (i.e., Laminoforaminotomy (LF) and Laminectomy (L) with Posterior Fusion (PF)) exposes patients to fewer adverse events (i.e., including negligence, multiple risks, negligence, errors, and mistakes) vs. anterior cervical surgery (i.e., Anterior Cervical Diskectomy/Fusion (ACDF) or Anterior Corpectomy/Fusion (ACF))?</p><p><strong>Methods: </strong>Posterior cervical surgery avoids many of the adverse events uniquely attributed to anterior cervical operations. These include; avoiding fusions with LF vs. ACDF for disc herniations, a lower rate of pseudarthrosis, the avoidance of direct laceration/indirect traction-related carotid/jugular vascular and/or dysphagia/esophageal injuries, fewer neural/cord injuries, vertebral artery injuries, and cerebrospinal fluid (CSF) leaks/dural tears (i.e., particularly with Ossification of the Posterior Longitudinal Ligament (OPLL)).</p><p><strong>Results: </strong>Posterior cervical surgery also poses no direct risks to the following anteriorly-located nerves: recurrent laryngeal nerve (i.e., vocal cord paralysis), phrenic nerve (i.e., diaphragmatic paralysis), the Vagus nerve (i.e., hypotension, reflux, arrhythmias), and sympathetic trunk (i.e., Horner's Syndrome). However, posterior cervical surgery is generally associated with a higher risk of infection (i.e., 2-10%) vs. anterior surgery (i.e., > 1%), more posterior muscle pain, and a higher risk of kyphosis.</p><p><strong>Conclusions: </strong>Posterior cervical surgery exposes patients to many fewer adverse events vs. anterior cervical surgery. We therefore recommend that in appropriately chosen patients, posterior cervical surgical approaches should be chosen over anterior surgery.</p>","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":"16 ","pages":"92"},"PeriodicalIF":0.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11980729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050882","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}

{"title":"Multiport combined endoscopic endonasal and transorbital approach to orbital schwannoma.","authors":"Masahiro Tanji, Noritaka Sano, Jun Hashimoto, Masahiro Kikuchi, Mami Matsunaga, Yuji Kitada, Maki Yamamoba, Yasuhide Takeuchi, Yasuhide Makino, Etsuko Yamamoto Hattori, Yukinori Terada, Yohei Mineharu, Yoshiki Arakawa","doi":"10.25259/SNI_246_2024","DOIUrl":"https://doi.org/10.25259/SNI_246_2024","url":null,"abstract":"<p><strong>Background: </strong>We present a case report describing the use of combined endoscopic endonasal and transorbital approach (EETOA) for intraorbital schwannoma that grew rapidly during pregnancy.</p><p><strong>Case description: </strong>A 27-year-old woman who presented with headache was incidentally diagnosed with a tumor mass 1 cm in diameter near the right superior orbital fissure. Treatment of the tumor was deferred to follow-up. One month later, the patient became pregnant, and in the last trimester, she developed right abducens palsy and mildly dilated pupil. Magnetic resonance imaging (MRI) showed that the tumor mass had grown rapidly with a maximal diameter of 5 cm and had extended into the orbit through the superior orbital fissure. After spontaneous vaginal delivery, EETOA was planned to remove both the intraorbital region and cavernous sinus compartment to avoid craniotomy. Surgical resection began with an endoscopic endonasal approach. Orbital decompression was performed by removing the lamina papyracea, and the tumor was resected in the lateral cavernous sinus compartment. An eyebrow incision was made, and endoscopic transorbital surgery was performed to remove the intraorbital region. Multi-perspective views during EETOA enabled gross total resection of the tumor and confirmed by intraoperative MRI. The pathological diagnosis was schwannoma. The patient's abducens nerve palsy improved after surgery.</p><p><strong>Conclusion: </strong>EETOA can offer maximal exposure and resection for tumors extending from the cavernous sinus to the orbit without craniotomy in selected cases.</p>","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":"16 ","pages":"98"},"PeriodicalIF":0.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11980739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059372","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}

{"title":"Cervical wart-like cutaneous appendage with a contiguous stalk of limited dorsal myeloschisis treated with untethering after long-term follow-up.","authors":"Keishi Makino, Seiji Tajiri, Ryosuke Mori, Akira Takada, Yasuyuki Hitoshi, Akitake Mukasa","doi":"10.25259/SNI_1094_2024","DOIUrl":"https://doi.org/10.25259/SNI_1094_2024","url":null,"abstract":"<p><strong>Background: </strong>Limited dorsal myeloschisis (LDM) is a condition in which the separation of the neuroectoderm from the cutaneous ectoderm during primary neural tube formation results in localized disjuncture, causing a continuous cord-like connection and spinal cord tethering. We reported a case of cervical LDM with a wart-like cutaneous appendage that was treated with excision after long-term follow-up.</p><p><strong>Case description: </strong>The patient was an 18-year-old girl. A wart-like cutaneous appendage was noted over the nape of the neck since birth. Computed tomography showed spina bifida in the cervical and thoracic spines, and spinal magnetic resonance imaging (MRI) showed a cervical skin lesion and an enlarged dural sac in the dorsal thoracic spinal cord. At 18 years of age, the patient occasionally experienced numbness in her left hand and was referred to our outpatient clinic due to a new high signal intensity in the dorsal cervical spinal cord on a T2-weighted MRI. The MRI showed that a cord-like object was continuous intradural and dorsal to the spinal cord from a cutaneous lesion in the median cervical region, with a high signal in the same region. Symptomatic cervical spinal cord tethering due to a cord-like material was diagnosed, and the patient underwent resection. During surgery, the tract was removed from the cutaneous lesion into the dura mater as a single mass and untethered in the dorsal spinal cord. The histological diagnosis was a pseudo-dermal sinus tract with no luminal structures or neural tissue present, as the cord-like substance was connective tissue containing small blood vessels. Based on the neuroimaging and pathological findings, the patient was diagnosed with cervical LDM. Neurological symptoms improved postoperatively.</p><p><strong>Conclusion: </strong>Herein, we reported a case of cervical LDM that was treated after long-term follow-up. The patient's symptoms improved immediately after surgery. Cervical LDMs are rare, and the timing of surgery for LDM should be considered according to the patient's condition.</p>","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":"16 ","pages":"87"},"PeriodicalIF":0.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11980717/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004384","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}

{"title":"Middle meningeal artery embolization: A scoping review of trends and outcomes by embolization material.","authors":"Tiffany Chu, Ryan Sindewald, Lauren E Stone, Arvin R Wali, David Santiago-Dieppa","doi":"10.25259/SNI_1003_2024","DOIUrl":"https://doi.org/10.25259/SNI_1003_2024","url":null,"abstract":"<p><strong>Background: </strong>Chronic subdural hematomas (cSDHs), blood collections under the dural layer of the brain, are common in the elderly and frequently linked to trauma and anticoagulation. As the global elderly population increases, the incidence of cSDH is expected to rise, straining healthcare systems. Middle meningeal artery embolization is a minimally invasive alternative to surgery, which could prove especially beneficial for elderly patients with multiple comorbidities or contraindications to surgery. However, the efficacy and patient-related outcomes associated with different embolization materials remain unknown.</p><p><strong>Methods: </strong>The authors conducted a scoping review of manuscripts published through August 2023 to assess outcomes associated with various embolization materials used in middle meningeal artery embolization for cSDH. Recurrence rates after embolization and complications were the primary outcomes.</p><p><strong>Results: </strong>The authors analyzed a total of 25 studies, reporting 1579 embolizations in 1362 patients. Embolic materials included particles (35.7%), liquid embolisates (31.5%), coils (3.2%), and combinations of the aforementioned materials (29.6%). Recurrence rates were low (5.1%), and the most common complications were seizures and strokes. The overall mortality was 1.4%, with three procedure-related deaths.</p><p><strong>Conclusion: </strong>With low recurrence and complication rates, middle meningeal artery embolization is a safe and effective treatment for cSDH. However, due to limitations in data availability, we were not able to link hematoma recurrence or complication rates with the type of embolization material used. To better understand the safety profiles of different materials, further large-scale studies are warranted.</p>","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":"16 ","pages":"88"},"PeriodicalIF":0.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11980736/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034363","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}

{"title":"Refining pineal gland tumor resection with bilateral occipital transtentorial approach: Technical insights.","authors":"Muhammad Fakhri Raiyan Pratama, Wisnu Baskoro, Gabriel Jason Ganadhi, Azriel Farrel Kresna Aditya","doi":"10.25259/SNI_568_2024","DOIUrl":"https://doi.org/10.25259/SNI_568_2024","url":null,"abstract":"<p><strong>Background: </strong>Pineal gland tumors are infrequent malignancies that predominantly manifest in children, comprising a mere 3-11% of all pediatric brain cancers and <1% of adult brain tumors. Pineal resection can be accessed through various approaches, most commonly the supracerebral infratentorial approach and the occipital transtentorial (OT) approach. Bilateral OT approach (BiOTA) on pineal gland complete resection allowed exposure and, therefore safer complete resection of the contralateral lesion, though the use is rarely reported before this case report.</p><p><strong>Methods: </strong>The patient was positioned in a prone/Concorde position, with the operator alternating between the right and left sides. A lumbar cerebrospinal fluid drain was installed between the L3 and L4 vertebrae to induce brain relaxation. A linear midline incision was made, followed by occipital craniectomy using multiple burr holes to create a kite shape, and then, the bone flap was removed, and the dura mater was opened. The BiOTA was performed by first addressing the right side and then the left, completing the procedure by closing both sides of the tentorium.</p><p><strong>Results: </strong>Using BiOTA, we successfully achieved total removal of the tumor without postoperative visual disturbance, a common issue frequently reported with the use of the OT approach.</p><p><strong>Conclusion: </strong>The BiOTA is suitable for large pineal tumors with disturbed complete visualization of the tumors by cerebral falx that needed total resection.</p>","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":"16 ","pages":"86"},"PeriodicalIF":0.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11980757/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004386","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}

{"title":"Treatment of tentorial dural arteriovenous fistula with preservation of the vein of Galen using a combination of transarterial and transvenous embolization.","authors":"Hiroyasu Shose, Atsushi Fujita, Tatsuo Hori, Daiki Tanabe, Mitsuru Ikeda, Takashi Sasayama","doi":"10.25259/SNI_1091_2024","DOIUrl":"https://doi.org/10.25259/SNI_1091_2024","url":null,"abstract":"<p><strong>Background: </strong>Dural arteriovenous fistulas (DAVFs) are abnormal connections between the dural arteries and dural venous sinuses or subarachnoid veins. A rare subtype of DAVF is tentorial DAVF (TDAVF), which is highly aggressive and often exhibits direct retrograde leptomeningeal drainage, increasing the risks of hemorrhage and venous ischemia. Transarterial embolization (TAE) using Onyx has become the preferred treatment method. In Onyx-based TAE, a long embolic material segment should be established within the draining vein past the shunt point. Here, we report a case of a patient with TDAVF who was successfully managed with preservation of the normal deep venous system through a combination of transarterial and transvenous embolization (TVE).</p><p><strong>Case description: </strong>A 56-year-old man was referred to our hospital following an abnormal brain imaging finding during a routine checkup. Angiography identified a TDAVF draining into the vein of Galen, categorized as Cognard type III. During Onyx injections, excessive penetration of the draining vein may lead to deep venous system occlusion, potentially causing severe complications. To mitigate this risk, we performed transarterial Onyx injection with TVE using coils, achieving complete occlusion without inducing deep venous infarction.</p><p><strong>Conclusion: </strong>The combination of TVE using coils and Onyx TAE is an effective approach for managing TDAVF, particularly in cases where the distance from the shunt point to the normal venous return is brief, the shunt flow is high, or crucial veins, such as deep cerebral veins, are involved.</p>","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":"16 ","pages":"89"},"PeriodicalIF":0.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11980730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056173","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}

{"title":"The impact of sociodemographic factors and surgical modalities on deep brain stimulation for Parkinson's disease.","authors":"David Shin, Miguel Angel Lopez-Gonzalez","doi":"10.25259/SNI_968_2024","DOIUrl":"https://doi.org/10.25259/SNI_968_2024","url":null,"abstract":"<p><strong>Background: </strong>This study evaluated the impact of sociodemographic factors, surgical modalities, and commercially available options of electrodes on deep brain stimulation (DBS) outcomes in Parkinson's disease.</p><p><strong>Methods: </strong>We retrospectively analyzed 59 elective DBS surgeries performed at a single institution from 2016 to 2023. Hoehn and Yahr (HY) scale scores and levodopa equivalent daily dosages (LEDD) were assessed at baseline, 3 months, and 6 months postoperatively. Collected variables included length of stay (LOS), age, sex, race/ethnicity, language, body mass index, insurance status, marital status, religion, type of anesthesia, concurrent pulse generator implantation, location of the implant, and conventional or directional lead. DBS systems included Medtronic, Boston Scientific, and Abbott (also known as St. Jude Medical).</p><p><strong>Results: </strong>The mean LOS was 2.36 days. Mean HY scores improved from baseline (3.17) to 3 months (2.83) and 6 months (2.85), and LEDD significantly decreased at both 3 and 6 months postoperatively. Divorced patients showcased a significantly larger improvement in HY scores at 3 months compared to other marital groups. Abbott leads were associated with a significantly longer LOS compared to Boston Scientific (+1.85 days) and Medtronic (+2 days). No other variables significantly affected DBS outcomes.</p><p><strong>Conclusion: </strong>This study investigated the impact of sociodemographic factors and surgical modalities of DBS in PD patients, showcasing how DBS improved motor function and reduced medication usage at 3 and 6 months postoperative. Marital status and lead manufacturer significantly influenced DBS outcomes, highlighting the importance of personalized considerations in DBS management.</p>","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":"16 ","pages":"91"},"PeriodicalIF":0.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11980761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050892","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}