Neurosurgery
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Comparative Study
Exposure of midline cranial base without a facial incision through a combined craniofacial-transfacial procedure.
A single-stage combined craniofacial-transfacial approach that exposes the midline cranial base without visible facial incisions is described. ⋯ Large anterior cranial base lesions can be resected and excellent cosmetic outcomes can be achieved with a single-stage combined transfacial-craniofacial approach that exposes the entire midline cranial base and requires no facial incisions.
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To describe techniques of reconstruction for unclippable and uncoilable middle cerebral artery aneurysms. ⋯ Techniques for middle cerebral artery reconstruction may remain important and useful in the age of endovascular aneurysm treatment.
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More survivors of traumatic atlanto-occipital dislocation (AOD) in adults have recently been reported. Surgical management options are therefore of increasing interest. We present a new technique of posterior C0-C1-C2 fixation. ⋯ The surgical technique described was thought to be safe to perform and resulted in immediate stability without external immobilization. Solid fusion was achieved 6 months after surgery.
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Traumatic spondylolisthesis of the axis may be treated by external immobilization or surgical fixation. ⋯ Although this technique has been reported previously, it is more commonly used in multilevel cervical fusions than for stand-alone repair of C2. Management options, anatomy, and technical considerations for the treatment of traumatic spondylolisthesis are reviewed.
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Case Reports
Microsurgical removal of intraventricular lesions using endoscopic visualization and stereotactic guidance.
To demonstrate the technique of stereotactic microsurgical endoscopic removal of intraventricular tumors or colloid cysts assisted by intraoperative computed tomography. ⋯ The combination of intraoperative computed tomography-guided stereotactic technique and rigid endoscopy facilitated an accurate, minimally invasive, microsurgical removal of these intraventricular masses. This approach minimized retraction and provided satisfactory visualization.