World Neurosurg
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Review Meta Analysis Comparative Study
Comparison of Flow Diversion and Coiling for the Treatment of Unruptured Intracranial Aneurysms.
To systematically assess the efficacy and safety between flow diversion and coiling for patients with unruptured intracranial aneurysms. ⋯ The use of flow diversion for the treatment of unruptured intracranial aneurysms may reduce total cost per case, fluoroscopy time per case, retreatment rates, and increases immediate completed occlusion and follow-up completed occlusion rates without affecting the results of mRS and intraoperative complication.
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The optimal treatment of brain metastases recurring after radiosurgery (BMRS) remains an area of active investigation. Stereotactic laser ablation (SLA, also known as laser interstitial thermal therapy) has recently emerged as a potential treatment option. ⋯ Our analysis provides support for continued development of SLA as a treatment of BMRS. Standardization of periprocedural management will be needed.
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Review Case Reports
Spinal accessory nerve meningioma at the foramen magnum with medullar compression: a case report and literature review.
Meningiomas that arise from the cranial nerve are rare. We present a case with an intradural extramedullary tumor at the foramen magnum originating from the spinal accessory nerve. ⋯ To our knowledge, this is the first report of an accessory nerve meningioma at the foramen magnum in which the spinal accessory nerve palsy appeared before operation and improved after tumor resection.
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Clinical utility of endovascular adjunct for tumor resection is well established, but its role in acute subarachnoid hemorrhage secondary to neoplastic pseudoaneurysm rupture has not been reported. ⋯ A combined targeted endovascular embolization with microsurgical resection to spare the calcarine artery was used to avoid disruption to the optic radiation fiber pathway.