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    4019 results match your criteria British Journal of Neurosurgery[Journal]

    1 OF 81

    Practicality of using the figure-of-eight bandage to prevent fatal wound dehiscence after spinal tumor surgery for upper thoracic metastasis.
    Br J Neurosurg 2017 Nov 10:1-7. Epub 2017 Nov 10.
    a Department of Neurological Surgery , Asan Medical Center, University of Ulsan College of Medicine , Seoul , Republic of Korea.
    Object: Serious postoperative wound problems can frequently develop after surgery with perioperative RT for upper thoracic metastatic lesions. The figure-of-eight bandage can restrict excessive shoulder motion, which could prevent wound dehiscence. The purpose of this study was to describe the efficacy of using the figure-of-eight bandage to prevent postoperative wound dehiscence. Read More

    Incidental ethmoidal dural arteriovenous fistula coexisting with a pituitary adenoma exacerbating post-transsphenoidal epistaxis.
    Br J Neurosurg 2017 Nov 9:1-3. Epub 2017 Nov 9.
    a Department of Neurosurgery , Shizuoka City Shimizu Hospital , Shimizu , Shizuoka , Japan.
    A 64 year-old man with pituitary adenoma developed massive epistaxis after an uneventful endoscopic transsphenoidal surgery. Angiography showed extravasation from the sphenopalatine artery, to which embolisation was performed. An incidentally coexisting ethmoidal dural arteriovenous fistula supplied by the ophthalmic artery aberrantly originated from the middle meningeal artery caused increased haemorrhage. Read More

    Arachnoiditis ossificans associated with syringomyelia: a case report.
    Br J Neurosurg 2017 Nov 2:1-3. Epub 2017 Nov 2.
    a Department of Spine Surgery , Affiliated Foshan TCM Hospital with Guangzhou University of Chinese Medicine , Foshan City , Guangdong Province , China.
    The association of arachnoiditis ossificans with syringomyelia is a rare pathological entity. We present an unusual case who presented with progressive myelopathy caused by arachnoidits ossificans and syringomyelia. The pathophysiology and treatment strategy of this rare entity are still controversial. Read More

    A single-center intervention to discontinue postoperative antibiotics after spinal fusion.
    Br J Neurosurg 2017 Nov 2:1-5. Epub 2017 Nov 2.
    b Department of Neurosurgery , NYU Langone Medical Center , New York , NY , USA.
    Introduction: Postoperative antibiotics (PA) are often administered to patients after instrumented spinal surgery until all drains are removed to prevent surgical site infections (SSI). This practice is discouraged by numerous medical society guidelines, so our institutional Neurosurgery Quality Improvement Committee decided to discontinue use of PA for this population.

    Methods: We retrospectively reviewed data for patients who had instrumented spinal surgery at our institution for seven months before and after this policy change and compared the frequency of SSI and development of antibiotic related complications in patients who received PA to those who did not (non-PA). Read More

    Secondary extradural spinal manifestation of esthesioneuroblastoma.
    Br J Neurosurg 2017 Oct 31:1-3. Epub 2017 Oct 31.
    a Neurosurgery , Hannover Medical School , Hannover , Germany.
    Secondary spinal manifestations of esthesioneuroblastoma are rare. A 67-year-old woman was presented with an extradural spinal manifestation at the vertebra Th7 within 8 weeks after resection of an esthesioneuroblastoma. Subtotal removal of the epidural tumour was achieved combined with dorsal transpedicular stabilization. Read More

    Multicentric high grade oligodendroglioma: a rare entity.
    Br J Neurosurg 2017 Oct 27:1-3. Epub 2017 Oct 27.
    b Neurosurgery , Jaslok Hospital & Research Centre , Mumbai , India.
    A 74 year old male presented with 1 month history of weakness in right upper limb and motor aphasia for 15 days. Magnetic resonance imaging (MRI) of the brain showed three discrete ring enhancing lesions. An image guided awake craniotomy and biopsy of a lesion was performed. Read More

    Posterior cerebral artery giant aneurysm associated with bilateral internal carotid artery occlusion in a Klippel-Trenaunay syndrome patient: a case report.
    Br J Neurosurg 2017 Oct 26:1-3. Epub 2017 Oct 26.
    a Department of Neurosurgery , Shizuoka City Shimizu Hospital , Shizuoka , Japan.
    We experienced an extremely rare case of a giant P1-P2 partially thrombosed aneurysm associated with bilateral ICA occlusion in a Klippel-Trenaunay syndrome patient. In our experience, direct surgical clipping via a pterional approach is generally favored for aneurysms located in the junction of the P1-P2 segments, even if they are giant. Read More

    Influence of plate fixation on cervical height and alignment after one- or two-level anterior cervical discectomy and fusion.
    Br J Neurosurg 2017 Oct 26:1-8. Epub 2017 Oct 26.
    b Department of Neurosurgery , Yonsei University College of Medicine , Seoul , Korea.
    Purpose: To evaluate the efficacy of plate fixation on cervical alignment after anterior cervical discectomy and fusion (ACDF) using a stand-alone cage (ACDF-CA), compared to ACDF performed using a cage and plate fixation (ACDF-CP) and ACDF using autologous iliac bone graft and plate fixation (ACDF-AP), for the treatment of one- or two-level cervical degenerative disease. A second objective was to assess the clinical and radiological outcomes between the groups.

    Methods: A total of 247 patients underwent ACDF and were divided into three groups: those who underwent ACDF-CA (n = 76), ACDF-CP (n = 82) or ACDF-AP (n = 89). Read More

    Lumbar intravertebral disc herniation secondary to idiopathic calcific discitis.
    Br J Neurosurg 2017 Oct 26:1-5. Epub 2017 Oct 26.
    d Department of Musculoskeletal Radiology , University Hospital Southampton NHS Foundation Trust , Southampton , UK.
    Calcific discitis is a well recognized entity in the paediatric population but more recently has been increasingly reported in adults. It typically involves the lower thoracic vertebrae and is of unknown aetiology. Herniation of the calcified fragment is rare but typically occurs out through the annulus fibrosus into the canal space. Read More

    Stereotactic biopsy of cerebellar lesions: straight versus oblique frame positioning.
    Br J Neurosurg 2017 Oct 26:1-4. Epub 2017 Oct 26.
    a Neurosurgical Clinic , Goethe-University Frankfurt , Frankfurt , Germany.
    Objective: Biospies of brain lesions with unknown entity are an everyday procedure among many neurosurgical departments. Biopsies can be performed frame-guided or frameless. However, cerebellar lesions are a special entity with a more complex approach. Read More

    'Bony' cubital tunnel syndrome caused by heterotopic ossification.
    Br J Neurosurg 2017 Oct 11:1-2. Epub 2017 Oct 11.
    a Department of orthopedics, First Affiliated Hospital of Dalian Medical University , Dalian , China.
    We reported a rare case of cubital tunnel syndrome caused by heterotopic ossification after burns. The ulnar nerve was encircled by bony tunnel structure which cause nerve compression, resulting in ulnar nerve lesion. Our case sheds light on possible etiological association which may help clinical management. Read More

    Can patients safely be admitted to a ward after craniotomy for resection of intra-axial brain tumors?
    Br J Neurosurg 2017 Oct 11:1-5. Epub 2017 Oct 11.
    a Department of Neurosurgery , University of Kentucky , Lexington , KY , USA.
    Objective: We reviewed the safety of our practice of admitting patients who have undergone a craniotomy for resection of an intra-axial brain tumor to a floor bed instead of an ICU. We also tried to quantify the risk that patients electively admitted to the ICU would develop a problem that could not have been effectively managed on the ward.

    Methods: A retrospective chart review was performed of both adult and pediatric patients who underwent craniotomy by the senior author for resection of an intra-axial brain tumor between January 2012 and December 2015. Read More

    Isolated cervical anterior spinal artery aneurysm: case report.
    Br J Neurosurg 2017 Oct 10:1-2. Epub 2017 Oct 10.
    a Department of Neurosurgery , Neuro Cardio and Multispeciality Hospital , Biratnagar , Nepal.
    Isolated cervical anterior spinal artery (CASA) aneurysms are extremely rare with most of them mostly associated with arteriovenous malformation. The underlying pathology is not known but some factors leading to the aneurysm are inflammatory, infection and connective tissue disorders. Trauma with formation of pseudoaneurysm has also been reported. Read More

    Apoplexy of a collision tumour composed of subependymoma and cavernous-like malformation in the lateral ventricle: a case report.
    Br J Neurosurg 2017 Oct 10:1-4. Epub 2017 Oct 10.
    a Division of Neurosurgery, Faculty of Medicine , King Abdulaziz University , Jeddah , Saudi Arabia.
    Subependymomas are rare benign tumours arising from subependymal glial precursors that usually remain asymptomatic or may present due to obstruction of cerebrospinal fluid pathways. We describe the first report of intraventricular haemorrhage from subependymoma and cavernous-like malformation collision tumour in a 74-year-old male presented with an impaired level of consciousness. Read More

    Vessel wall MRI revealing inflammation on brain aneurysm associated to chronic mucocutaneous candidiasis.
    Br J Neurosurg 2017 Oct 10:1-2. Epub 2017 Oct 10.
    c Division of Neurological Surgery , University of Sao Paulo, School of Medicine , Sao Paulo , Brazil.
    Some authors have reported the association between CMC and brain aneurysms. In this paper it is reported a fusiform brain aneurysm associated to CMC and the vessel wall MRI findings. Read More

    Neuroendoscopic and histopathological correlation in 13 cases of cystic fluid filled brain tumours.
    Br J Neurosurg 2017 Oct 9:1-3. Epub 2017 Oct 9.
    b Facultad de Químico-Farmacobiología , UMSNH , Morelia , México.
    Neuroendoscopical images of fluid-filled cavity walls within encephalic tumours in thirteen adult patients were correlated with histopathology results of samples harvested during surgery. Extensive vascular proliferation, with mesh-like formations in a 3D pattern, as well as onionskin appearance, were observed in malignant tumours, as opposed to normal or slightly increased vascular pattern, observed in benign neoplasms. Medical facilities lacking sufficient technical resources where limited pathologist experience is expected, and can be associated with intraoperative histological misdiagnosis. Read More

    Extravasation of contrast (Spot Sign) predicts in-hospital mortality in ruptured arteriovenous malformation.
    Br J Neurosurg 2017 Oct 9:1-7. Epub 2017 Oct 9.
    a Department of Neurosurgery, Sichuan University West China Medical Center , Chengdu , China.
    Background And Purpose: The spot sign is a highly specific and sensitive predictor of hematoma expansion in following primary intracerebral hemorrhage (ICH). Rare cases of the spot sign have been documented in patients with intracranial hemorrhage secondary to arteriovenous malformation (AVM). The purpose of this retrospective study is to assess the accuracy of spot sign in predicting clinical outcomes in patients with ruptured AVM. Read More

    An unusual pituitary adenoma coexistent with bilateral meningiomas: case report.
    Br J Neurosurg 2017 Sep 29:1-2. Epub 2017 Sep 29.
    a Department of Neurosurgery , Queen's Medical Centre , Nottingham , UK.
    The association of pituitary adenomas and meningioma is rare. We present the case of a 46 year old lady who initially presented with large bilateral meningiomas and acromegaly. Histology demonstrated mammosomatotroph cell adenoma co-expressing Growth Hormone. Read More

    IgG4-related disease presenting as intradural extramedullary lesion: a case report and review of the literature.
    Br J Neurosurg 2017 Sep 28:1-7. Epub 2017 Sep 28.
    a Department of Neurological Surgery , Oregon Health & Science University , Portland , OR , USA.
    Object: IgG4-related disease (IgG4-RD) is a fibro-inflammatory disorder affecting various anatomical sites, and only recently was identified to affect the dura of the spine. The authors present the second reported case of an intradural extramedullary lesion consistent with IgG4-related spinal disease.

    Methods: A literature review was performed that identified 15 other cases of spinal disease, and common features of all known reported spinal IgG4-RD are discussed. Read More

    A rare case of ventriculoperitoneal shunt malfunction due to scrotal migration of the peritoneal catheter.
    Br J Neurosurg 2017 Sep 26:1-8. Epub 2017 Sep 26.
    a Department of Neurosurgery , The Walton Centre NHS Foundation Trust , Liverpool , UK.
    The authors describe an unusual cause of ventriculoperitoneal shunt malfunction presenting as acute hydrocephalus. Read More

    Idiopathic intracranial hypertension VISION (venous intervention versus shunting in IIH for optic nerve disc swelling) trial: patient perspective questionnaire.
    Br J Neurosurg 2017 Sep 21:1-5. Epub 2017 Sep 21.
    c Neurosurgery , The Walton Centre NHS Foundation Trust , Liverpool , UK.
    Introduction: Headaches, visual problems and tinnitus are symptoms of Idiopathic Intracranial Hypertension (IIH) which resolve with reduction of CSF pressure. Impaired cranial venous outflow has been implicated in the pathogenesis and there is evidence of good treatment results in IIH using venous sinus stenting. We are currently initiating a multi-centre randomised controlled trial, the VISION study (Venous Intervention versus Shunting in IIH for Optic Disc Swelling) comparing radiological (venous sinus stenting) to surgical intervention (CSF shunting). Read More

    Giant vertebrobasilar aneurysm: a rare cause of central sleep apnoea.
    Br J Neurosurg 2017 Sep 21:1-3. Epub 2017 Sep 21.
    a South West Neurosurgery Centre , Plymouth Hospitals NHS Trust, Derriford Hospital , Plymouth , UK.
    We report a case of central sleep apnoea (CSA) due to a giant vertebrobasilar aneurysm with brainstem compression. A flow diverter stent was deployed with coil embolization of the right vertebral artery distal to the posterior inferior cerebellar artery (PICA) to occlude the aneurysm. The patient's symptoms improved following therapy. Read More

    A rare cause of sciatica discovered during digital rectal examination: case report of an intrapelvic sciatic notch schwannoma.
    Br J Neurosurg 2017 Sep 14:1-4. Epub 2017 Sep 14.
    a Department of Neurosurgery , Kwong Wah Hospital , Hong Kong , Hong Kong.
    Intrapelvic sciatic nerve schwannomas are rare causes for non-discogenic sciatica. We describe a 44-year-old female who had a palpable mass on digital rectal examination that exhibited a positive Tinel's sign. The schwannoma was excised by a posterior transgluteal approach. Read More

    Duret hemorrhage complicating a sinking skin flap syndrome.
    Br J Neurosurg 2017 Sep 8:1-2. Epub 2017 Sep 8.
    b Neurosurgery , Sainte Anne Military Hospital , Toulon , France.
    Duret hemorrhage has always been reported during an episode of increased intracranial pressure with transtentorial herniation. We reported a Duret hemorrhage occurring during an episode of intracranial hypotension resulted in sinking skin flap syndrome which was responsible for acute paradoxal descending transtentorial herniation and Duret hemorrhage, 10 days after large hemicraniectomy which could indicate early cranioplasty. Read More

    The anatomical variation of the circulus arteriosus cerebri in a cadaver cohort representing the population dynamics of the Western Cape.
    Br J Neurosurg 2017 Sep 5:1-7. Epub 2017 Sep 5.
    a Anatomy & Histology, Faculty of Medicine and Health Sciences , Stellenbosch University , Cape Town , South Africa.
    The literature revealed a connection between the variations of the Circulus arteriosus cerebri (CAC) and cerebrovascular disease, ischemia, stroke, aneurysms and atherosclerosis. The diameters of the vessels forming the CAC have been classified into 22 types by previous authors. The aim of this study was to assess the variation of the CAC (diameter, length and anomalies) in a cadaver cohort representing the population of the Western Cape. Read More

    Histological effects of fibrin glue and synthetic tissue glues on the spinal cord: are they safe to use?
    Br J Neurosurg 2017 Aug 28:1-6. Epub 2017 Aug 28.
    a Department of Neurosurgery , National Hospital for Neurology and Neurosurgery , London , UK.
    Introduction: Fibrin glues such as Tisseel(®) have been established in neurosurgery for over thirty years. They are recommended for extradural use but have intradural applications. Brachial plexus reimplantation after trauma requires intradural fibrin glue because reimplanted nerves cannot be sutured to the spinal cord. Read More

    Two-year experience of multi-disciplinary team (MDT) outcomes for brain metastases in a tertiary neuro-oncology centre.
    Br J Neurosurg 2017 Aug 24:1-8. Epub 2017 Aug 24.
    a Department of Neurosurgery , King's College Hospital , London , UK.
    Brain metastases (BMs) are the most common intracranial tumour in adults and form a significant proportion of the neuro-oncology workload. Their management has progressed significantly in the last few decades but a gold-standard evidence-based management strategy has not been defined to date and several guidelines based on available evidence exist to support clinical decision-making. This paper evaluates the decision-making process of the neuro-oncology multi-disciplinary team (MDT) in a tertiary neuro-oncology centre over a two-year period. Read More

    Ventriculoperitoneal shunts in neonates: a retrospective study of outcomes with antibiotic-impregnated catheters and a modified peri-operative antibiotic protocol.
    Br J Neurosurg 2017 Aug 24:1-5. Epub 2017 Aug 24.
    c Department of Neonatology, Princess Margaret Hospital for Children , Perth , WA , Australia.
    Background: CSF infection is a significant complication of ventriculoperitoneal (VP) shunts and results in prolonged hospital stay, developmental delay and decreased quality of life. To decrease the high rates of neonatal VP shunt infections, an updated clinical guideline that included the use of antibiotic-impregnated shunts and a revised peri-operative antibiotic protocol was introduced in our neonatal unit. In this study, we evaluated the efficacy of these new guidelines in reducing the CSF shunt infection rates. Read More

    Nuances to provide ideas for radiologic diagnosis in primary spinal paragangliomas: report of two cases.
    Br J Neurosurg 2017 Aug 23:1-3. Epub 2017 Aug 23.
    c Department of Pathology , Maltepe University Medical School , Istanbul , Turkey.
    Spinal paragangliomas are rarely-observed neuroendocrine benign tumors in the extra-adrenal paraganglionic system. Primary spinal involvement is even rarer. Radiologic differential diagnosis is not easy. Read More

    Evaluation of obliteration of arteriovenous malformations after stereotactic radiosurgery with arterial spin labeling MR imaging.
    Br J Neurosurg 2017 Aug 22:1-7. Epub 2017 Aug 22.
    a Department of Neurosurgery , Faculty of Medical Sciences, University of Fukui , Eiheiji , Fukui , Japan.
    Purpose: Complete obliteration of treated arteriovenous malformations (AVMs) can be diagnosed only by confirming the disappearance of arterio-venous (A-V) shunts with invasive catheter angiography. The authors evaluated whether non-invasive arterial spin labeling (ASL) magnetic resonance (MR) imaging can be used to diagnose the obliteration of AVMs facilitate the diagnosis of AVM obliteration after treatment with stereotactic radiosurgery (SRS).

    Material And Methods: Seven patients with a cerebral AVM treated by SRS were followed up with ASL images taken with a 3T-MR unit, and received digital subtraction angiography (DSA) after the AVM had disappeared on ASL images. Read More

    Urgent surgical management of congenital intracranial hemangiopericytoma in a preterm neonate.
    Br J Neurosurg 2017 Aug 22:1-3. Epub 2017 Aug 22.
    a Division of Neonatalogy , Istanbul Medipol University , Istanbul , Turkey.
    Hemangiopericytoma is a rare mesenchymal tumor originating from capillary pericytes, known as Zimmermann pericytes. The adult form is not uncommon and generally malignant but tumor is found rarely in children. Here we describe an intracranial hemangiopericytoma in a preterm newborn whose had the tumor resected successfully shortly after birth. Read More

    The debate on most ideal technique for managing recurrent lumbar disc herniation: a short review.
    Br J Neurosurg 2017 Aug 22:1-8. Epub 2017 Aug 22.
    b Department of Neurosurgery , Amrita Institute of Medical Sciences, Amrita University , Kochi , Kerala , India.
    Background: Though different techniques have been successfully employed in the treatment of recurrent lumbar disc herniation, the one which should be considered most ideal has remained a controversy, particularly since there are currently no generally accepted guidelines for surgical care.

    Objective: To review previous publications comparing the available operative options, with the aim of determining if any of the available interventions gives better outcomes compared to others.

    Methods: A systematic literature review of previous publications comparing various techniques employed in the surgical treatment of recurrent disc herniation. Read More

    Idiopathic giant cell granuloma in the saddle area recurring soon after subtotal resection: a case report.
    Br J Neurosurg 2017 Aug 9:1-4. Epub 2017 Aug 9.
    a Department of Neurosurgery, Huadong Hospital, Fudan University , Shanghai , China.
    Giant cell granuloma is non-neoplastic proliferation of multinucleated giant cells and rarely occurs in the intracranial space. Here we report a 40-year-old man presented with left ptosis and impaired vision. Magnetic resonance imaging revealed a mass extending from the intrasellar area to the third ventricular floor, left cavernous sinus, retrochiasmatic area, and the left interpeduncular cistern. Read More

    Outcome study of the pipeline embolization device for treatment of intracranial aneurysms at a single UK institution.
    Br J Neurosurg 2017 Jul 27:1-7. Epub 2017 Jul 27.
    c Department of Neuroradiology , King's College Hospital NHS Foundation Trust , London , UK.
    Background: The introduction of flow-diverting stents in the last decade provides an alternative endovascular treatment choice in selected intracranial aneurysms. This retrospective analysis of a UK centre's experience provides insight into clinical and radiographic outcomes.

    Methods: Electronic patient records, diagnostic and procedural images and written procedural records for patients treated with the PED between August 2009 and April 2014 were reviewed. Read More

    Anterior discectomy could still be an alternative to corpectomy in highly migrated cervical disc herniation.
    Br J Neurosurg 2017 Jul 26:1-5. Epub 2017 Jul 26.
    a Department of Spine Surgery , First Affiliated Hospital of Wenzhou Medical University , Wenzhou , PR China.
    Objective: For cases of cervical disc herniation, highly migrated cervical disc (HMCD) is clinically rare and usually treated with anterior cervical corpectomy and fusion (ACCF). This study aims to analyze the feasibility of anterior cervical discectomy and fusion (ACDF) for the patients with HMCD.

    Method: Clinical data of 32 patients with HMCD treated with ACDF or ACCF were retrospectively reviewed. Read More

    Primary pituitary tubercular abscess as a differential diagnosis for sellar suprasellar mass.
    Br J Neurosurg 2017 Jul 25:1-2. Epub 2017 Jul 25.
    a Neurosurgery and Spine , SevenHills Hospital , Visakhapatnam , Andhra Pradesh , India.
    Only four cases of primary pituitary tubercular abscess have been reported. A 20-year-old ladypresented to us with headache and pituitary dysfunction. Radiology showedsellar tubercular abscess with suprasellar extension. Read More

    Pre-operative obesity does not predict poorer symptom control and quality of life after lumbar disc surgery.
    Br J Neurosurg 2017 Jul 19:1-6. Epub 2017 Jul 19.
    b Department of Neurosurgery , Aberdeen Royal Infirmary , Aberdeen , UK.
    Purpose: We aimed to determine whether there was a difference in post-operative symptomatic control and quality of life (QoL) between patients who were obese (BMI >30) and non-obese (BMI <30) pre-operatively. This information may inform the decision making of Physicians and patients whether to proceed to surgery for management of symptomatic lumbar disc prolapse.

    Methods: We conducted a prospective questionnaire-based study of QoL and symptom control in 120 patients with postal follow-up at 3 and 12 months after lumbar disc surgery. Read More

    Lumbar idiopathic intervertebral disc calcification associated with ossification of the ligamentum flavum in adult: a case report.
    Br J Neurosurg 2017 Jul 13:1-3. Epub 2017 Jul 13.
    a Department of Orthopaedics , Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College , Hangzhou , Zhejiang , China.
    A 23 year-old female was diagnosed with lumbar idiopathic intervertebral disc calcification associated with ossification of OLF. The patient underwent posterior decompression and posterolateral fusion with pedicle screw fixation, which achieved excellent clinical improvement. Surgical intervention of a posterior approach for decompression and instrumented fusion is indicated in cases that the spinal cord compression with neurologic deficits was involved. Read More

    Launching an SBNS-accredited neurosurgical skills workshop for medical students and foundation trainees.
    Br J Neurosurg 2017 Jul 12:1-3. Epub 2017 Jul 12.
    a Nottingham University Hospitals NHS Foundation Trust , Nottingham , UK.
    The Neurology and Neurosurgery Interest Group (NANSIG), the student arm of the Society of British Neurological Surgeons (SBNS), organised a neurosurgical skills workshop in January 2017 following evidence of high demand among medical students and foundation trainees. The workshop involved ten delegates and five neurosurgical trainees with one senior consultant. Modules covering head positioning, burr holes, ventricular access, and flaps were included. Read More

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