{"id":"W7117892322","doi":"10.3171/case25510","title":"Rapid surgical intervention for acute spinal subdural hematoma triggered by ruptured spinal dural arteriovenous fistula: illustrative case","year":2025,"lang":"en","type":"article","venue":"Journal of Neurosurgery Case Lessons","topic":"Spinal Hematomas and Complications","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"Western University; Windsor Regional Hospital","funders":"","keywords":"Occult; Decompression; Hematoma; Acute subdural hematoma; Surgical decompression; Arteriovenous fistula; Spinal trauma; Disconnection","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":[0.0003291806,0.001817588,0.001094392,0.002931407,0.00321241,0.001668229,0.001160756,0.004957141,0.002307531],"category_scores_gemma":[0.002653375,0.0008285247,0.001480641,0.00148579,0.001645601,0.00200919,0.001884334,0.003960215,0.0008269886],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.001567318,"about_ca_system_score_gemma":0.001165701,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.000912036,"about_ca_topic_score_gemma":0.001749856,"domain_scores_codex":[0.9993143,0.000086525,0.00009365439,0.0001286016,0.0001109186,0.0002659798],"domain_scores_gemma":[0.9987103,0.0002772817,0.0002609706,0.0001223067,0.00006663028,0.0005625426],"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":[0.00001772978,0.00002453773,0.001994563,0.00002895716,0.000007266931,0.9961372,0.00007517645,0.00006231788,0.0002455242,0.000145008,0.0002177233,0.001043928],"study_design_scores_gemma":[0.0000122629,0.00003205965,0.001350288,0.0000262781,0.000007712109,0.997232,0.0000978382,0.0002096102,0.0002125258,0.0003035794,0.0005067313,0.000009141297],"study_design_candidate":"case_report","study_design_consensus":"case_report","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9251301,0.02021773,0.0171111,0.01125146,0.001639913,0.0005228134,0.0005784621,0.0006283286,0.02292],"genre_scores_gemma":[0.9888615,0.002917197,0.003714525,0.001779975,0.001419573,0.00007974153,0.0001590644,0.0000323096,0.001036166],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.004957141,"threshold_uncertainty_score":0.01137173,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.03973748052096429,"score_gpt":0.3736886853562977,"score_spread":0.3339512048353335,"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."}}