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Management and outcomes for thoracic anterior spinal artery aneurysms: illustrative case.
[BACKGROUND] Anterior spinal artery (ASA) aneurysms are uncommon and difficult to diagnose due to their variable presentation and limited visibility with traditional imaging. They often present with severe back pain from rupture and spinal …
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Comparative meta-analysis of microsurgery versus endovascular therapy and bypass versus nonbypass techniques for blister-like aneurysms: enigmas of the supraclinoid internal carotid artery.
[OBJECTIVE] Blister aneurysms of the internal carotid artery (ICA) have high associated mortality rates and are challenging due to their friable wall and poorly defined neck. Microsurgical and endovascular treatment options have been sugges…
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Extended Retrosigmoid Craniotomy for Resection of a Cochlear Schwannoma.
Cochlear schwannomas are a rare subset of schwannomas arising from the cochlear nerve within the cochlea or internal auditory canal. These tumors can present with posterior displacement of the facial nerve, making facial nerve preservation …
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Microsurgery and endovascular therapy serve instrumental roles in multimodal management of giant cerebral aneurysms: a systematic review.
[INTRODUCTION] Giant intracranial aneurysms are rare vascular lesions consisting of cerebral aneurysms measuring ≥25 mm in diameter. Their formation is the result of multiple factors including their association with a unique genomic landsca…
- Clip Reconstruction of a Ruptured Thoracic Anterior Spinal Artery Aneurysm Utilizing a Costotransversectomy Approach: 2-Dimensional Operative Video.
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Minimally invasive keyhole craniotomies for microsurgical clipping of cerebral aneurysms: comparative meta-analysis of the mini-pterional and supraorbital keyhole approaches.
[OBJECTIVE] Axel Perneczky is responsible for conceptualizing the "keyhole" philosophy as a new paradigm of minimal invasiveness within cranial neurosurgery. Keyhole neurosurgery aims to limit approach-related traumatization and minimize br…
- Perspectives on Brain Arteriovenous Malformations From the Surgical Battlefield.
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The Times They Are a-Changin': Increasing Complexity of Aneurysmal Subarachnoid Hemorrhages in Patients Treated from 2004 to 2018.
[BACKGROUND] Nationwide study results have suggested varying trends in the incidence of aneurysmal subarachnoid hemorrhage (aSAH) over time. Herein, trends over time for aSAH treated at a quaternary care center are compared with low-volume …
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Noncurative microsurgery for cerebral aneurysms: a systematic review and meta-analysis of wrapping, residual, and recurrence rates.
[OBJECTIVE] Microsurgery for cerebral aneurysms is called definitive, yet some patients undergo a craniotomy that results in noncurative treatment. Furthermore, the overall rate of noncurative microsurgery for cerebral aneurysms is unclear.…
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Saccular aneurysms in the post-Barrow Ruptured Aneurysm Trial era.
[OBJECTIVE] The Barrow Ruptured Aneurysm Trial (BRAT) was a single-center trial that compared endovascular coiling to microsurgical clipping in patients treated for aneurysmal subarachnoid hemorrhage (aSAH). However, because patients in the…
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Cost Comparison of Microsurgery vs Endovascular Treatment for Ruptured Intracranial Aneurysms: A Propensity-Adjusted Analysis.
[BACKGROUND] In specialized neurosurgical centers, open microsurgery is routinely performed for aneurysmal subarachnoid hemorrhage (aSAH). [OBJECTIVE] To compare the cost of endovascular vs microsurgical treatment for aSAH at a single quat…
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Treatment of octogenarians and nonagenarians with aneurysmal subarachnoid hemorrhage: a 17-year institutional analysis.
[BACKGROUND] Outcomes for octogenarians and nonagenarians after an aneurysmal subarachnoid hemorrhage (aSAH) are particularly ominous, with mortality rates well above 50%. The present analysis examines the neurologic outcomes of patients ≥ …