World Neurosurg
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Bifrontal craniotomy is one of the most common surgical approaches for dealing with anterior skull base lesions. However, this procedure occasionally present complications like anosmia, cerebrospinal fluid (CSF) leakage, infection, and cosmetic problems. Although previous reports suggested various solutions, there remains a need to further refine the procedure to ensure better outcomes. In this paper, we introduce our revised method and examine the clinical results. ⋯ Through diligent practices and attention to minute details, such as gentle manipulations to preserve the olfactory nerve, reliable procedures for frontal sinus closure, and maximum attention to esthetic results, surgical techniques can be refined and developed to the level of highly skilled expertise with low rate of complications.
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Radiographic evaluation of the presumed lowest instrumented vertebrae (LIV) is crucial for determining the optimal fusion level for adolescent idiopathic scoliosis (AIS) with main thoracolumbar/lumbar curves. However, few studies have examined its variations intraoperatively. This study aims to investigate the radiographic variations of the presumed LIV during fluoroscopic positioning to aid surgeons in decision-making. ⋯ This study firstly reports the radiographic variations of the presumed LIV using intraoperative positioning fluoroscopy for Lenke 5/6 AIS and establishes the correlation with baseline measurements. This information may assist surgeons in selecting the optimal LIV, but long-term follow-up is needed to evaluate its outcomes.
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Middle meningeal artery embolization (MMAE) is an established treatment option for chronic subdural hematoma (cSDH). The aim of this systematic review and meta-analysis was to establish estimates of the pooled incidence for complications following MMAE. ⋯ The published literature suggests that MMAE is a generally well-tolerated procedure with a low risk of significant complications.
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Tubulin-related cortical dysgenesis or tubulinopathies include a wide range of brain cortical malformations which result from defects in genes responsible for the tubulin protein. Tubulin is an integral part of the cell cytoskeleton, and the development of the central nervous system depends on it. Here, we presented a case with characteristic imaging features that suggested tubulinopathy.
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To assess radiological characteristics that may support the clinical diagnosis of trigeminal neuralgia caused by pure venous conflict. ⋯ Identification of shorter and/or thicker CN V on the affected side in patients with trigeminal neuralgia without an obvious offending vessel on magnetic resonance imaging may suggest the presence of pure venous conflict and help with decision making about microvascular decompression.