World Neurosurg
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Safe and complete surgical excision of carotid plaque in carotid endarterectomy (CEA) is essential for preventing postoperative embolic stroke and restenosis. We considered the dissection plane for the plaque according to pathological findings of carotid atherosclerosis. We report our experiences with inner-intimal dissection in CEA. ⋯ Microsurgical interintimal dissection could accomplish good surgical outcome, including absence of significant early restenosis.
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To present indications, surgical techniques, and outcomes of extracranial-intracranial (EC-IC) graft bypass. ⋯ Universal EC-IC graft bypass is a safe and effective method for treating large or giant ICA aneurysms.
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To present a unique case of a brainstem Curvularia fungal infection and review the diagnosis and management of this rare phenomenon. ⋯ This is the first reported case of a brainstem Curvularia infection. This case highlights the importance of an aggressive surgical and antibiotic therapy in the treatment of central nervous system Curvularia infections. There appears to be a strong relationship between heavy marijuana use and Curvularia infection, producing lung granulomas that may extend to other organs such as the central nervous system of immunocompetent patients.