World Neurosurg
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There is uncertainty about the optimal method for measuring the decompressive craniectomy (DC) surface area and how large the DC should be. ⋯ The ideal surface area for "large" square bone flaps should result in an MLS of <5 mm. Enlargement of the craniectomy edges should be considered for patients in whom MLS ≥5 mm persists according to early postoperative computed tomography scans.
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The paradigm of evidence-based medicine dictates that clinical practice should reflect the shifting landscape of the peer-reviewed literature. Here, we examined the extent to which this premise is fulfilled as it pertains to the surgical resection of high-grade gliomas (HGGs). ⋯ Our results indicate that clinical practice patterns mirror publication patterns for HGG resection, suggesting that neurosurgical oncology is a field in which clinical practice is informed by the peer-reviewed literature.
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Surgical treatment of small, unruptured intracranial aneurysms remains a controversial topic. Recently, some authors have doubted the validity of the low rupture rates of small aneurysms reported in the literature and advocate aggressive surgical treatment of small unruptured aneurysms; however, some theoretical elucidation is necessary to determine whether such aggressive treatment is appropriate. ⋯ These results suggest that we should be prudent in providing surgical treatment to small unruptured intracranial aneurysms.