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Immersive Neurosurgical Anatomy Using Photogrammetry: Technical Note and Scoping Review.
[INTRODUCTION] Photogrammetry holds promise for expanding the domains of microsurgical education. The authors present a technical note and scoping review that explore the use of photogrammetry in neurosurgical anatomy, existing technical gu…
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Single frontotemporal approach for microsurgical clipping of bilateral ophthalmic artery aneurysms: a case report.
Bilateral ophthalmic aneurysms represent a distinct niche of brain aneurysms located in a complex skull base region. When considering surgical treatment, a single-stage approach is often advantageous to minimize operative time, tissue manip…
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Microsurgical Techniques for Paraclinoid Aneurysms: A Single-Center Series.
[BACKGROUND] Microsurgery for paraclinoid aneurysms remains the first line of treatment in resource-constrained settings. The authors describe their institutional experience and evaluate functional outcomes after microsurgical treatment of …
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Fostering evidence building for brainstem cavernous malformations: a critical appraisal of available evidence's quality through a systematic review and BSCM Reporting Guideline proposal.
Brainstem cavernous malformations (BSCMs) are clusters of dilated, thin-walled, sinusoidal vessels prone to hemorrhage, often leading to life-threatening neurological deficits. Despite their rarity, prompt intervention is frequently require…
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Microsurgery for brain aneurysms in an accessory A2 and basilar arteries: a rare case presentation and surgical video.
We present the case of a 58-year-old male with a 3-day history of sudden onset headache, loss of consciousness, and uncontrolled vomiting. The patient had 3/5 quadriparesis and a Glasgow coma scale (GCS) score of 8, which merited neurocriti…
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First-generation bypass surgery for a giant fusiform aneurysm of the middle cerebral artery: an illustrative case and surgical video.
Giant fusiform aneurysms of the middle cerebral artery (MCA) are complex and rare vascular lesions with a poor natural history and challenging treatment decision-making. We report the case of a 46-year-old male with a history of chronic hyp…
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The Art of Cerebral Revascularization: An Illustrative Case Series of Bypass Techniques for Complex Intracranial Aneurysms.
[BACKGROUND] Complex intracranial aneurysms (CIAs) comprise a subset of lesions with defiant vascular architecture, difficult access, and prior treatment. Surgical management of CIAs is often challenging and demands an assessment on a case-…
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When microsurgery becomes the only lifesaving resource: An institutional experience treating patients from low-income backgrounds affected by posterior circulation brain aneurysms.
[BACKGROUND AND OBJECTIVE] Aneurysms of the posterior cerebral circulation constitute a burdensome condition with high mortality and morbidity. In the modern era, there has been a trend toward favoring an endovascular approach over microsur…
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Microsurgical Clipping of a Ruptured Basilar Apex Aneurysm: Contending with a Formidable Clinical Scenario.
Basilar apex aneurysms (BAAs) represent 5%-8% of cerebral aneurysms. Treating BAAs is long established in neurosurgery. The morbid and lethal characteristics of aneurysmal subarachnoid hemorrhage coupled with potential medical complications…
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Awake microsurgical management of brain aneurysms: a comprehensive systematic review and meta-analysis on rationale, safety and clinical outcomes.
[INTRODUCTION] Awake microsurgery for brain aneurysm treatment has emerged as a tool for real-time intraoperative monitoring, opportune detection of ischemic complications, and reduction of surgical morbidity. Herein, we aimed to explore th…
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Microsurgery for basilar apex aneurysms: a case series.
Although endovascular management has been increasingly adopted for basilar apex aneurysms (BAAs), microsurgery still represents an amenable treatment option. In this case series, six female patients (median age: 46 years) with six saccular …
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Clipping of Bilateral Ophthalmic Artery Aneurysms Through a Single Craniotomy.
Bilateral ophthalmic aneurysms are rare and involve two aneurysms in the ophthalmic arteries, one on each, leading to potential symptoms such as vision loss and headaches. The treatment options for aneurysms, ranging from surgery and endova…