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Staged microsurgical resection of supra-/parasellar meningioma with cavernous sinus exenteration and carotid-to-middle cerebral artery bypass.
Atypical skull base meningiomas are characterized by aggressive growth and neurovascular invasion, which complicate resection and predispose to high recurrence rates. Lesions encasing major vessels and cranial nerves or refractory to surger…
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Comparative outcomes of microsurgical and endovascular treatment for ruptured and unruptured anterior communicating artery aneurysms.
Anterior communicating artery (AComA) aneurysms remain challenging because of their complex anatomy, rupture risk, and proximity to vital structures. This study compared the long-term durability, retreatment rates, complications, and outcom…
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Anterolateral, lateral, and posterior corridors to complex skull base lesions in sphenocavernous and petroclival regions: microsurgical anatomy with three-dimensional reconstructions and illustrative cases.
[OBJECTIVE] Access to complex lesions in the sphenocavernous and petroclival regions are challenging due to their deep location and proximity to critical neurovascular structures. This study aims to re-evaluate the microsurgical anatomy of …
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Spetzler-martin grade IV cerebral arteriovenous malformations in adult patients: a propensity-score matched analysis of resection and stereotactic radiosurgery.
Spetzler-Martin Grade IV arteriovenous malformations (AVMs) are challenging due to high risks associated with both treatment and natural progression. This study compares the outcomes of microsurgical resection and stereotactic radiosurgery …
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Efficacy and safety of preoperative embolization in surgical treatment of brain arteriovenous malformations: a multicentre study with propensity score matching.
[BACKGROUND] Brain arteriovenous malformations (AVMs) are abnormal connections between feeding arteries and draining veins, associated with significant risks of haemorrhage, seizures and other neurological deficits. Preoperative embolizatio…
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Safety and efficacy of preoperative embolization in the treatment of brain arteriovenous malformations with perinidal aneurysms and single draining vein: a multicenter study with propensity score-weighting.
[BACKGROUND AND OBJECTIVES] Arteriovenous malformations (AVMs) with perinidal aneurysms and single draining vein are associated with an elevated risk of rupture and increased procedural complexity. The role of preoperative embolization in t…
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Madison Objective Self-Assessment Tool: A Reliable and User-Friendly Approach for Objective Self-Assessment in Microvascular Anastomosis Training.
[BACKGROUND AND OBJECTIVES] Thorough and objective assessment is of utmost importance for any microsurgical laboratory training, allowing trainees to identify areas needing further improvement. The ideal assessment tool should be objective,…
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Techniques and outcomes for microsurgical treatment of large and giant cerebral aneurysms in the endovascular era.
[OBJECTIVE] Large and giant intracranial aneurysms (LGIA) pose significant surgical challenges due to their complex anatomy, high risk of rupture, and severe morbidity and mortality rates. The aim of this study was to evaluate microsurgical…
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A Novel Approach for Free, Affordable, and Sustainable Microsurgery Laboratory Training for Low- and Middle-Income Countries: University of Wisconsin-Madison Microneurosurgery Laboratory Experience.
[BACKGROUND AND OBJECTIVES] In low- and middle-income countries (LMICs), approximately 5 million essential neurosurgical operations per year remain unaddressed. When compared with high-income countries, one of the reasons for this disparity…
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Establishing Microsurgery Skills Laboratories in Low- and Middle-income Countries with Integrated Remote Teaching: A Novel Approach.
Microneurosurgical techniques remain crucial for managing neurosurgical diseases, especially in low- and middle-income countries (LMICs) where other advanced treatment modalities are not available. The global distribution of these technique…
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Safety and efficacy of microsurgery for complex cranial pathologies in the ultra-geriatric population.
[OBJECTIVE] The global increase in the "ultra-geriatric" population (aged 80 years and older) has led to higher demand for neurosurgical procedures in this vulnerable population. The objective was to evaluate the safety and efficacy of adva…
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Prepubertal unilateral gynecomastia: report of 2 cases.
Prepubertal unilateral gynecomastia is an extremely rare condition. At present, its etiology and management strategy are not well known. Two unrelated prepubertal boys of ages 8 and 9 who presented with complaints of unilateral enlargement …
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Improving quality of life with a team approach: a case report.
An adolescent female who presented amelogenesis imperfecta with severe anterior open bite, long face, facial asymmetry, high angle, and Class III skeletal pattern was treated with an interdisciplinary (orthodontics, orthognathic surgery, an…