Pub Date : 2017-04-22DOI: 10.4172/2325-9701.1000261
Z. Kadaňka, K. Maca, E. Kadaňková, J. Bednařík
Cervical spondylotic myelopathy (CSM) is a degenerative disease of the spine, the most common cause of spinal cord dysfunction worldwide . Usually encountered in older patients, it may lead to myelopathic and/or radiculopathic syndromes, especially in men.
{"title":"Cervical Spondylotic Myelopathy in Later Pregnancy: A Case Report","authors":"Z. Kadaňka, K. Maca, E. Kadaňková, J. Bednařík","doi":"10.4172/2325-9701.1000261","DOIUrl":"https://doi.org/10.4172/2325-9701.1000261","url":null,"abstract":"Cervical spondylotic myelopathy (CSM) is a degenerative disease \u0000of the spine, the most common cause of spinal cord dysfunction \u0000worldwide . Usually encountered in older patients, it may lead \u0000to myelopathic and/or radiculopathic syndromes, especially in men.","PeriodicalId":90240,"journal":{"name":"Journal of spine & neurosurgery","volume":" ","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2017-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43328407","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}
Pub Date : 2017-04-22DOI: 10.4172/2325-9701.1000260
M. Velagapudi, Felicia Ratnaraj, Mridula Krishnan, Nagarjuna R Gujjula, G. Gorby, P. Foral, Bendi Vs, Vivekan, R. An
Temporal lobe abscess is a rare, life threatening complication of inflammation of the middle ear. Signs of intracranial tension or focal neurological deficits at the time of presentation in patients with chronic or acute otitis media should raise concerns for temporal lobe abscess. Immediate surgical intervention along with antibiotics is necessary for good outcome.
{"title":"Otogenic Temporal Lobe Abscess: A Mini-review","authors":"M. Velagapudi, Felicia Ratnaraj, Mridula Krishnan, Nagarjuna R Gujjula, G. Gorby, P. Foral, Bendi Vs, Vivekan, R. An","doi":"10.4172/2325-9701.1000260","DOIUrl":"https://doi.org/10.4172/2325-9701.1000260","url":null,"abstract":"Temporal lobe abscess is a rare, life threatening complication of \u0000inflammation of the middle ear. Signs of intracranial tension or \u0000focal neurological deficits at the time of presentation in patients with \u0000chronic or acute otitis media should raise concerns for temporal lobe \u0000abscess. Immediate surgical intervention along with antibiotics \u0000is necessary for good outcome.","PeriodicalId":90240,"journal":{"name":"Journal of spine & neurosurgery","volume":" ","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2017-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49325822","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}
Pub Date : 2017-04-19DOI: 10.4172/2325-9701.1000258
ON Cu, Menon Sk
Background: Though different techniques have been previously employed in the treatment of recurrent lumbar disc herniation, the one which is most ideal has remained a controversial issue, particularly with no current generally accepted guidelines for surgical care. Objectives: We review previous publications comparing the available operative options, with the aim of determining if any of the available interventions gives better outcomes compared to others. Method: A systematic literature review of previous publications on the various techniques employed in the surgical treatment of recurrent disc herniation. Results: All publications investigated in this review clearly demonstrate quite comparable outcomes, and none of the studies shows any superiority of one method over the other. In spite of less time, less cost, faster recovery and early return to work commonly associated with the minimally invasive techniques, their overall results and outcomes still remain quite comparable to the older conventional techniques and they appear to have no overall advantage over the older techniques. We suggest that where the expertise is available, revision by minimally invasive techniques should be preferred to the conventional open surgical approaches. If otherwise, the choice of operative technique should simply be based on the experience of the surgeon, the armamentarium of available facilities and equipment. Fusion should not be undertaken in all recurrences or for subsequent herniations but should only be considered as an option for revision when spinal instability, spinal deformity or associated radiculopathy is present.
{"title":"The Debate on Most Ideal Technique for Managing Recurrent Lumbar Disc Herniation: Where are we?","authors":"ON Cu, Menon Sk","doi":"10.4172/2325-9701.1000258","DOIUrl":"https://doi.org/10.4172/2325-9701.1000258","url":null,"abstract":"Background: Though different techniques have been previously \u0000employed in the treatment of recurrent lumbar disc herniation, \u0000the one which is most ideal has remained a controversial issue, \u0000particularly with no current generally accepted guidelines for \u0000surgical care. \u0000Objectives: We review previous publications comparing the \u0000available operative options, with the aim of determining if any of the \u0000available interventions gives better outcomes compared to others. \u0000Method: A systematic literature review of previous publications \u0000on the various techniques employed in the surgical treatment of \u0000recurrent disc herniation. \u0000Results: All publications investigated in this review clearly \u0000demonstrate quite comparable outcomes, and none of the studies \u0000shows any superiority of one method over the other. In spite \u0000of less time, less cost, faster recovery and early return to work \u0000commonly associated with the minimally invasive techniques, their \u0000overall results and outcomes still remain quite comparable to the \u0000older conventional techniques and they appear to have no overall \u0000advantage over the older techniques. We suggest that where the \u0000expertise is available, revision by minimally invasive techniques \u0000should be preferred to the conventional open surgical approaches. \u0000If otherwise, the choice of operative technique should simply be \u0000based on the experience of the surgeon, the armamentarium of \u0000available facilities and equipment. Fusion should not be undertaken \u0000in all recurrences or for subsequent herniations but should only be \u0000considered as an option for revision when spinal instability, spinal \u0000deformity or associated radiculopathy is present.","PeriodicalId":90240,"journal":{"name":"Journal of spine & neurosurgery","volume":"2017 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2017-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44523815","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}
Pub Date : 2017-04-19DOI: 10.4172/2325-9701.1000262
Mustovich A, Shaw Ka, Griffith Ms, D. Jg, Gloystein Dm
The authors report the case of a 64-year-old female renal transplant patient who presented with acute onset of right lower extremity weakness and urinary retention. Her imaging studies confirmed a T11-12 paracentral disc herniation with spinal cord deformation and myelomalacia with concomitant degenerative spondylolisthesis at L4-5 resulting in epidural compression syndrome. Following appropriate surgical intervention, she regained the ability urinate at 4 months following surgery, independent ambulation at 6 months, and return to pre-injury activities one year following surgery.
{"title":"Thoracic Disc Herniation with Concomitant Lumbar Spinal Stenosis Resulting in Epidural Compression Syndrome in a Renal Transplant Patient","authors":"Mustovich A, Shaw Ka, Griffith Ms, D. Jg, Gloystein Dm","doi":"10.4172/2325-9701.1000262","DOIUrl":"https://doi.org/10.4172/2325-9701.1000262","url":null,"abstract":"The authors report the case of a 64-year-old female renal transplant \u0000patient who presented with acute onset of right lower extremity \u0000weakness and urinary retention. Her imaging studies confirmed \u0000a T11-12 paracentral disc herniation with spinal cord deformation \u0000and myelomalacia with concomitant degenerative spondylolisthesis \u0000at L4-5 resulting in epidural compression syndrome. Following \u0000appropriate surgical intervention, she regained the ability urinate at \u00004 months following surgery, independent ambulation at 6 months, \u0000and return to pre-injury activities one year following surgery.","PeriodicalId":90240,"journal":{"name":"Journal of spine & neurosurgery","volume":" ","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2017-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45552024","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}
Pub Date : 2017-04-19DOI: 10.4172/2325-9701.1000264
DiGiorgio Am, Conger Ar, Fannin Es, Steck Jc
Percutaneous vertebroplasty and kyphoplasty are commonly performed procedures with a relatively low complication rate. The reported complication rate is around 1%. Typical events are secondary to cement migration with resultant compromise of neighboring neurologic structures or embolic events. Additionally, the procedure can result in vertebral body fractures, rib fractures and pneumothorax. We present a case of a hemothorax secondary to a kyphoplasty.
{"title":"Hemothorax after Kyphoplasty: A Case Report","authors":"DiGiorgio Am, Conger Ar, Fannin Es, Steck Jc","doi":"10.4172/2325-9701.1000264","DOIUrl":"https://doi.org/10.4172/2325-9701.1000264","url":null,"abstract":"Percutaneous vertebroplasty and kyphoplasty are commonly \u0000performed procedures with a relatively low complication rate. The \u0000reported complication rate is around 1%. Typical events are secondary \u0000to cement migration with resultant compromise of neighboring \u0000neurologic structures or embolic events. Additionally, the procedure \u0000can result in vertebral body fractures, rib fractures and pneumothorax. \u0000We present a case of a hemothorax secondary to a kyphoplasty.","PeriodicalId":90240,"journal":{"name":"Journal of spine & neurosurgery","volume":" ","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2017-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42307942","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}
Pub Date : 2017-04-19DOI: 10.4172/2325-9701.1000259
Moisi, C. Fisahn, K. Hoang, P. Buchanan, D. Klinger, Tubbs Rs, Jeni Page, C. Cobbs, D. Backous, J. Delashaw
With the entrance of the video microscope over the recent few years into the microsurgery optical field, a third modality has emerged alongside the endoscope and operating microscope to accomplish some of the microsurgical procedures. One such approach that could potentially utilize any of the three is the transnasal transsphenoidal (TNTS) approach that provides access to the anterior brainstem, the anterior skull base, and of course the sellar region. Here, we provide a descriptive comparison of the three modalities on cadaveric specimens with joint ENT and neurosurgery teams performing the approach. Each provides unique advantages and disadvantages as part of the surgeon’s optical armamentarium. As more optical devices become available to surgeons, selection of the optimal device can present a challenge best compared by head-to-head comparison. The aim of this paper is to compare these modalities for the TNTS approach.
{"title":"Advancement of Surgical Visualization Methods: A Comparison Study between Traditional Microscopic Surgery, the Endoscope and a Novel Robotic OptoelectronicVisualization Tool for them Transnasal Transsphenoidal Approach to the Sellar Region","authors":"Moisi, C. Fisahn, K. Hoang, P. Buchanan, D. Klinger, Tubbs Rs, Jeni Page, C. Cobbs, D. Backous, J. Delashaw","doi":"10.4172/2325-9701.1000259","DOIUrl":"https://doi.org/10.4172/2325-9701.1000259","url":null,"abstract":"With the entrance of the video microscope over the recent few years \u0000into the microsurgery optical field, a third modality has emerged \u0000alongside the endoscope and operating microscope to accomplish \u0000some of the microsurgical procedures. One such approach \u0000that could potentially utilize any of the three is the transnasal \u0000transsphenoidal (TNTS) approach that provides access to the \u0000anterior brainstem, the anterior skull base, and of course the sellar \u0000region. Here, we provide a descriptive comparison of the three \u0000modalities on cadaveric specimens with joint ENT and neurosurgery \u0000teams performing the approach. Each provides unique advantages \u0000and disadvantages as part of the surgeon’s optical armamentarium. \u0000As more optical devices become available to surgeons, selection \u0000of the optimal device can present a challenge best compared by \u0000head-to-head comparison. The aim of this paper is to compare \u0000these modalities for the TNTS approach.","PeriodicalId":90240,"journal":{"name":"Journal of spine & neurosurgery","volume":"2017 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2017-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42023944","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}
Pub Date : 2017-04-19DOI: 10.4172/2325-9701.1000263
Lakshman I. Kongwad, R. Nair, B. Nayal, A. Nagaraj
Abstract Background: Solitary plasmacytoma of the spine accounts for 5% of plasmacytomas and is a rare entity [1]. More than 25- 60% of these lesions are localized in the dorsal spine and cause myelopathy in 42-71% of the patients. Diagnosis and treatment protocols have been established, however the final decision of whether to stabilize and irradiate locally versus direct irradiation is controversial. Many centers advocate different treatment protocols based on their institutional experience and patient outcomes. Clinical presentation: We present, herewith, our experience with a 63 year-old patient with upper dorsal solitary lesion, who presented with upper back pain and was diagnosed to have a D3-4 solitary plasmacytoma and another 44 year old patient who presented with spastic quadriparesis progressing to quadriplegia over the last 6 months, who had a C2 lytic lesion with instability. Conclusion: In the presence of solitary spinal lesions, despite the location, solitary plasmacytoma of the bone should be considered as one of the differential diagnosis. Abnormal proteinemia or proteinuria may often be absent, yet this entity is commonly encountered in clinical practice. Patients show clinical and neurological improvement with surgical decompression with/ without stabilization. Postoperatively, radiotherapy is advocated since it reduces the recurrence rates. Often confused with spinal tuberculosis, starting ATT can be detrimental to the patient since it delays the standard line of treatment.
{"title":"Solitary Plasmacytoma of the Axial Spine and Dorsal Spine: Treatment Dilemmas andReview of Literature","authors":"Lakshman I. Kongwad, R. Nair, B. Nayal, A. Nagaraj","doi":"10.4172/2325-9701.1000263","DOIUrl":"https://doi.org/10.4172/2325-9701.1000263","url":null,"abstract":"Abstract \u0000Background: Solitary plasmacytoma of the spine accounts \u0000for 5% of plasmacytomas and is a rare entity [1]. More than 25- \u000060% of these lesions are localized in the dorsal spine and cause \u0000myelopathy in 42-71% of the patients. Diagnosis and treatment \u0000protocols have been established, however the final decision of \u0000whether to stabilize and irradiate locally versus direct irradiation is \u0000controversial. Many centers advocate different treatment protocols \u0000based on their institutional experience and patient outcomes. \u0000Clinical presentation: We present, herewith, our experience with a \u000063 year-old patient with upper dorsal solitary lesion, who presented \u0000with upper back pain and was diagnosed to have a D3-4 solitary \u0000plasmacytoma and another 44 year old patient who presented with \u0000spastic quadriparesis progressing to quadriplegia over the last 6 \u0000months, who had a C2 lytic lesion with instability. \u0000Conclusion: In the presence of solitary spinal lesions, despite \u0000the location, solitary plasmacytoma of the bone should be \u0000considered as one of the differential diagnosis. Abnormal \u0000proteinemia or proteinuria may often be absent, yet this entity is \u0000commonly encountered in clinical practice. Patients show clinical \u0000and neurological improvement with surgical decompression with/ \u0000without stabilization. Postoperatively, radiotherapy is advocated \u0000since it reduces the recurrence rates. Often confused with spinal \u0000tuberculosis, starting ATT can be detrimental to the patient since it \u0000delays the standard line of treatment.","PeriodicalId":90240,"journal":{"name":"Journal of spine & neurosurgery","volume":" ","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2017-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44035265","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}
Pub Date : 2017-03-13DOI: 10.4172/2325-9701.1000255
L. Savastano, Todd C. Hollon, S. Gebarski, Amanda O. Fisher-Hubbard, Arts Ha, Thompson Bg
Cavernous angiomas within the cerebellopontine angle (CPA) and internal auditory canal (IAC) are uncommon vascular lesions. To date, fewer than 70 histologically proven cases are reported in the literature. The majority of these lesions are believed to arise from the dural vascular plexus. A small subset of cavernous angiomas originates from the vascular plexus of the vestibulocochlear nerve and, less commonly, the facial nerve. In this report, we present the case of a pathology-proven cavernous angioma likely arising from the cisternal segment of the facial nerve causing vestibulocochlear nerve dysfunction. We then review reports in the literature of cavernous angiomas within the CPA and IAC.
{"title":"Cavernous Angioma of the Cerebellopontine Angle","authors":"L. Savastano, Todd C. Hollon, S. Gebarski, Amanda O. Fisher-Hubbard, Arts Ha, Thompson Bg","doi":"10.4172/2325-9701.1000255","DOIUrl":"https://doi.org/10.4172/2325-9701.1000255","url":null,"abstract":"Cavernous angiomas within the cerebellopontine angle (CPA) and internal auditory canal (IAC) are uncommon vascular lesions. To date, fewer than 70 histologically proven cases are reported in the literature. The majority of these lesions are believed to arise from the dural vascular plexus. A small subset of cavernous angiomas originates from the vascular plexus of the vestibulocochlear nerve and, less commonly, the facial nerve. In this report, we present the case of a pathology-proven cavernous angioma likely arising from the cisternal segment of the facial nerve causing vestibulocochlear nerve dysfunction. We then review reports in the literature of cavernous angiomas within the CPA and IAC.","PeriodicalId":90240,"journal":{"name":"Journal of spine & neurosurgery","volume":"2017 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2017-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45081754","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}
Pub Date : 2017-03-13DOI: 10.4172/2325-9701.1000253
A. Ameri, M. Velagapudi, Cherry O. Onaiwu, L. Sarsam, Jennifer Anthone, S. Gk, Chamczuk Aj, Vivekan, R. An
Approximately 15% of U.S. citizens develop CNS symptoms due to Taenia solium infection, however, it is now increasingly diagnosed in non-endemic countries. 221 fatal cases of NCC was reported in United States from 1990 to 2002 and the highest incidence was in California. Greater than 2300 hospitalizations per year in United States and it is estimated average hospital cost to be approximately $50, 976 per patient
{"title":"A Neglected Parasitic Infection: Neurocysticersosis: A Case Report with Literature Review of Medical and Surgical Management","authors":"A. Ameri, M. Velagapudi, Cherry O. Onaiwu, L. Sarsam, Jennifer Anthone, S. Gk, Chamczuk Aj, Vivekan, R. An","doi":"10.4172/2325-9701.1000253","DOIUrl":"https://doi.org/10.4172/2325-9701.1000253","url":null,"abstract":"Approximately 15% of U.S. citizens develop CNS symptoms due to Taenia solium infection, however, it is now increasingly diagnosed in non-endemic countries. 221 fatal cases of NCC was reported in United States from 1990 to 2002 and the highest incidence was in California. Greater than 2300 hospitalizations per year in United States and it is estimated average hospital cost to be approximately $50, 976 per patient","PeriodicalId":90240,"journal":{"name":"Journal of spine & neurosurgery","volume":" ","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2017-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42448495","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}
Pub Date : 2017-03-13DOI: 10.4172/2325-9701.1000254
I. Mahmoud, M. Sahli, A. BenTekaya, Maha Mahmoud, R. Tekaya, O. Saidane, L. Abdelmoula
A 59 year-old man presented with a 2 months history of dorsal spinal pain and a right intercostal neuralgia. These symptoms were associated to asthenia, anorexia and loss of weight. The patient had no disease history including no concept of TB contagion or raw milk consumption. He had neither history of taking immunosuppressors nor of any disease indicative of immunodeficiency.
{"title":"Costo-Vertebral Joint as a Rare Localization of Staphylococcus aureus Sepsis","authors":"I. Mahmoud, M. Sahli, A. BenTekaya, Maha Mahmoud, R. Tekaya, O. Saidane, L. Abdelmoula","doi":"10.4172/2325-9701.1000254","DOIUrl":"https://doi.org/10.4172/2325-9701.1000254","url":null,"abstract":"A 59 year-old man presented with a 2 months history of dorsal spinal pain and a right intercostal neuralgia. These symptoms were associated to asthenia, anorexia and loss of weight. The patient had no disease history including no concept of TB contagion or raw milk consumption. He had neither history of taking immunosuppressors nor of any disease indicative of immunodeficiency.","PeriodicalId":90240,"journal":{"name":"Journal of spine & neurosurgery","volume":" ","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2017-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42578950","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}
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