Neurosurgery
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We conducted a retrospective analysis of the clinical features of angiographically diagnosed unruptured intracranial aneurysms that were treated conservatively and subsequently ruptured. ⋯ We conclude that small unruptured intracranial aneurysms measuring less than 5 mm are susceptible to the risk of rupture, so that radical treatment or careful follow-up examination should be considered.
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Historical Article
The Neurosurgical Clinic at the Ludwig-Maximilians University in Munich.
ThE NEUROSURGICAL CLINIC at the Ludwig-Maximilians University in Munich began as a small unit of the university's surgical clinic. Eduard Weber, who in 1952 became the first surgeon fully trained in the specialty of neurosurgery to join the surgical clinic's faculty, worked, until his death in 1962, to advance the new specialty. Neurosurgery became an independent department of the university in 1965, and the neurosurgical clinic moved to a new location at Beethovenplatz. ⋯ Annually, 2200 to 2300 procedures are performed in the neurosurgical clinic. The current philosophy in the department places heavy emphasis on subspecialization and academic training. Political and economic changes in Germany during recent years have affected the nation's public health system and pose major challenges to the department of neurosurgery.
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We have undertaken a retrospective analysis of 38 patients who were operated on for 40 meningiomas of the craniocervical junction between September 1977 and August 1995 to determine which factors influenced resectability, complications, and postoperative outcomes. ⋯ The relationship of the tumor to neighboring structures, i.e., the vertebral artery in particular, determines its resectability. We recommend using extreme caution with recurrent or en plaque meningiomas and tumors associated with extensive arachnoid scarring.