{"id":"W4377564277","doi":"10.3171/case23119","title":"Missed pituitary microadenoma during endoscopic transsphenoidal surgery for short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing with symptom relief: illustrative case","year":2023,"lang":"en","type":"article","venue":"Journal of Neurosurgery Case Lessons","topic":"Pituitary Gland Disorders and Treatments","field":"Medicine","cited_by":2,"is_retracted":false,"has_abstract":true,"ca_institutions":"University of Calgary","funders":"","keywords":"Medicine; Surgery; Pituitary tumors; Trigeminal nerve; Headaches; Magnetic resonance imaging; Pituitary adenoma; Microvascular decompression; Lesion; Radiology; Adenoma; Trigeminal neuralgia","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.0003018867,0.001964622,0.001245011,0.002094147,0.003275004,0.001548828,0.001418711,0.005721508,0.002810677],"category_scores_gemma":[0.002597878,0.001319237,0.001468148,0.001463561,0.001868543,0.002349872,0.001590752,0.003431414,0.0007763755],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.002217897,"about_ca_system_score_gemma":0.001213755,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.00302374,"about_ca_topic_score_gemma":0.005738359,"domain_scores_codex":[0.9993095,0.00005821742,0.0000736926,0.0001542371,0.0001206566,0.000283628],"domain_scores_gemma":[0.9983084,0.0003908201,0.0003859604,0.0001677558,0.00007982003,0.0006671927],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"case_report","study_design_gemma":"case_report","study_design_scores_codex":[0.00001670322,0.0000136374,0.001510895,0.00001600208,0.000004584498,0.9976715,0.00006671261,0.00002604515,0.0001445058,0.00004969196,0.00009602906,0.0003836985],"study_design_scores_gemma":[0.000009969122,0.00002566011,0.001793151,0.000009662165,0.000007122497,0.997573,0.00007592608,0.00009726683,0.0001099395,0.000092959,0.0001990449,0.000006437611],"study_design_candidate":"case_report","study_design_consensus":"case_report","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9639296,0.01064105,0.003469966,0.007203271,0.0007464474,0.0002192579,0.0002872127,0.000242354,0.01326082],"genre_scores_gemma":[0.9942784,0.001555847,0.001084133,0.0008754344,0.001161293,0.00002811646,0.00007104654,0.00002195165,0.0009237131],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.005721508,"threshold_uncertainty_score":0.01609212,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.04544148413746418,"score_gpt":0.2845282354515945,"score_spread":0.2390867513141303,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}