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Role and Efficacy of Direct Surgery in the Management of Intracranial Dural Arteriovenous Fistulas.
[PURPOSE] Although endovascular treatment (EVT) is often the treatment of choice for intracranial dural arteriovenous fistula (dAVF), direct surgery is an efficient option for many types of dAVFs. Herein, we present a relatively large case …
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Artificial Intelligence for Patient Safety and Surgical Education in Neurosurgery.
Neurosurgery has evolved alongside technological innovations; however, these advances have also introduced greater complexity into clinical practice. Neurosurgery remains a demanding and high-risk field that requires a broad range of skills…
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Modeling the Microsurgical Learning Curve Using a Poisson-Based Statistical Approach for Skill Assessment.
[OBJECTIVE] The learning curve (LC), a multifaceted concept, plays a pivotal role in evaluating surgical training. This study aimed to define critical inflection points in the microsurgical learning curve, develop a reliable index for skil…
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Analyzing Procedural Time and Its Relationship to Performance in Microsurgical Training: A Pilot Study.
Introduction Objective measures and precise variable selection are cornerstones of skill assessment. While the quantity and quality of movements in microsurgery are evaluated using advanced technology and innovative methods, it remains a ch…
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Education and training in microsurgery: a current global overview.
[OBJECTIVE] Microsurgical skills are challenging to acquire and maintain, also presenting significant educational differences among practitioners. By exploring the current state of microsurgical training from the surgeon's perspective (incl…
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Spontaneous Superior Ophthalmic Vein Thrombosis Resulted in Posterior Fossa Venous Congestion in a Case of Cavernous Sinus Dural Arteriovenous Fistula: Successful Treatment with Direct Interruption Surgery.
Cavernous sinus dural arteriovenous fistulas are generally considered to have a benign clinical course, as spontaneous thrombosis of the fistula or draining veins can result in regression of the lesion. However, we encountered a rare case i…
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[Microsurgery for Vertebral and Posterior Inferior Cerebellar Artery Aneurysms via Lateral Suboccipital Craniotomy].
Among ruptured intracranial aneurysms, aneurysms of the vertebral artery(VA) and posterior inferior cerebellar artery(PICA) are relatively rare, and they exhibit distinct characteristics. These include: 1) a high frequency of diverse aneury…
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Current Concepts and Perspectives on Brain Arteriovenous Malformations: A Review of Pathogenesis and Multidisciplinary Treatment.
Brain arteriovenous malformations (bAVMs) are unusual vascular pathologies characterized by the abnormal aggregation of dilated arteries and veins in the brain parenchyma and for which the absence of a normal vascular structure and capillar…
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Complication rate, cure rate, and long-term outcomes of microsurgery for intracranial dural arteriovenous fistulae: a multicenter series and systematic review.
Although microsurgery is an established treatment modality for intracranial dural arteriovenous fistula (dAVF), data regarding the perioperative complication rate, cure rate, and long-term outcomes remain scarce. The aims of this study were…
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Immersive 3-Dimensional Virtual Reality Modeling for Case-Specific Presurgical Discussions in Cerebrovascular Neurosurgery.
[BACKGROUND] Adequate surgical planning includes a precise understanding of patient-specific anatomy and is a necessity for neurosurgeons. Although the use of virtual reality (VR) technology is emerging in surgical planning and education, f…
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Microsurgical Findings of Pial Arterial Feeders in Intracranial Dural Arteriovenous Fistulae: A Case Series.
[BACKGROUND] Pial arterial feeders in an intracranial dural arteriovenous fistula (dAVF) are risk factors for both ischemic and hemorrhagic complications during endovascular embolization. Microsurgery in dAVF with pial arterial feeders has …