Pub Date : 2025-01-06DOI: 10.1227/ons.0000000000001485
Matthew K McIntyre, Miner Ross, Jamila Godil, Christina Gerges, Erin A Yamamoto, Dominic Siler, Josiah Orina, James Wright
Background and objectives: Decompressive hemicraniectomy is a common emergent surgery for patients with stroke, hemorrhage, or trauma. The typical incision is a reverse question mark (RQM); however, a retroauricular (RA) incision has been proposed as an alternative. The widespread adoption ofthe RA incision has been slowed by lack of familiarity and concerns over decompression efficacy. Our goal is to compare the RA vs RQM incisions regarding decompression safety and to examine skill acquisition among resident neurosurgeons.
Methods: Six cadaveric heads were randomized to first receive either RQM or RA decompressive hemicraniectomy, which was followed by use of the other incision on the contralateral side. Primary endpoints were decompression circumference and time to bone flap removal. Resident neurosurgeon (postgraduate year 3 through 7) confidence and operative times were compared.
Results: All craniectomies yielded decompression diameters >13 cm (RQM: 13.5-15.5 cm; RA: 13.0-16.5 cm) and residual temporal bone heights <1.5 cm (RQM: 0.5-1.3 cm; RA: 0.5-1.5 cm). There were no differences between the RA and RQM groups in decompression circumference (P = .6605), residual temporal bone height (P = .7121), or time from incision until bone flap removal (P = .8452). There was a nonsignificant trend toward a shorter incision length with RA (RQM: 37.7 ± 0.7 cm vs RA: 35.1 ± 0.9; P = .0729). Regardless of which incision was performed first, operative time significantly improved from the first craniectomy to the second (-174.6 seconds, P = .0186). Surgeon confidence improved more with the RA incision, and there was a linear association with experience and time to bone flap removal in the RQM (P = .04) but not the RA (P = .95) groups.
Conclusion: The RA incision may provide adequate operative exposure without significant changes in operative time. Cadaveric labs improve skill acquisition and should be considered during implementation of novel surgical approaches into practice.
{"title":"A Comparison of Decompression Size and Craniectomy Speed of Reverse Question Mark Versus Retroauricular Incisions for Decompressive Hemicraniectomy: A Cadaver Study.","authors":"Matthew K McIntyre, Miner Ross, Jamila Godil, Christina Gerges, Erin A Yamamoto, Dominic Siler, Josiah Orina, James Wright","doi":"10.1227/ons.0000000000001485","DOIUrl":"https://doi.org/10.1227/ons.0000000000001485","url":null,"abstract":"<p><strong>Background and objectives: </strong>Decompressive hemicraniectomy is a common emergent surgery for patients with stroke, hemorrhage, or trauma. The typical incision is a reverse question mark (RQM); however, a retroauricular (RA) incision has been proposed as an alternative. The widespread adoption ofthe RA incision has been slowed by lack of familiarity and concerns over decompression efficacy. Our goal is to compare the RA vs RQM incisions regarding decompression safety and to examine skill acquisition among resident neurosurgeons.</p><p><strong>Methods: </strong>Six cadaveric heads were randomized to first receive either RQM or RA decompressive hemicraniectomy, which was followed by use of the other incision on the contralateral side. Primary endpoints were decompression circumference and time to bone flap removal. Resident neurosurgeon (postgraduate year 3 through 7) confidence and operative times were compared.</p><p><strong>Results: </strong>All craniectomies yielded decompression diameters >13 cm (RQM: 13.5-15.5 cm; RA: 13.0-16.5 cm) and residual temporal bone heights <1.5 cm (RQM: 0.5-1.3 cm; RA: 0.5-1.5 cm). There were no differences between the RA and RQM groups in decompression circumference (P = .6605), residual temporal bone height (P = .7121), or time from incision until bone flap removal (P = .8452). There was a nonsignificant trend toward a shorter incision length with RA (RQM: 37.7 ± 0.7 cm vs RA: 35.1 ± 0.9; P = .0729). Regardless of which incision was performed first, operative time significantly improved from the first craniectomy to the second (-174.6 seconds, P = .0186). Surgeon confidence improved more with the RA incision, and there was a linear association with experience and time to bone flap removal in the RQM (P = .04) but not the RA (P = .95) groups.</p><p><strong>Conclusion: </strong>The RA incision may provide adequate operative exposure without significant changes in operative time. Cadaveric labs improve skill acquisition and should be considered during implementation of novel surgical approaches into practice.</p>","PeriodicalId":54254,"journal":{"name":"Operative Neurosurgery","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-06DOI: 10.1227/ons.0000000000001487
Kristine Ravina, Ritika Peddamallu, Fraz Zia, Benjamin Yim
{"title":"Mini Pterional Craniotomy for Clip Ligation of a Large Middle Cerebral Artery Bifurcation Aneurysm by Picket-Fence Technique: 2-Dimensional Operative Video.","authors":"Kristine Ravina, Ritika Peddamallu, Fraz Zia, Benjamin Yim","doi":"10.1227/ons.0000000000001487","DOIUrl":"https://doi.org/10.1227/ons.0000000000001487","url":null,"abstract":"","PeriodicalId":54254,"journal":{"name":"Operative Neurosurgery","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-06DOI: 10.1227/ons.0000000000001460
Ran Wang, Kaiyu Liu, Feng Yu, Liemei Guo, Junfeng Ma, Yi Chai, Xiaohua Zhang, Hongyu Zhou
Background and objectives: Deep brain stimulation (DBS) is a well-established intervention for alleviating both motor and nonmotor symptoms of Parkinson disease. However, a common complication of stereotaxic DBS surgery is pneumocephalus, which can compromise electrode accuracy, complicate postoperative assessments, and negatively affect the long-term outcomes of DBS surgery. This report proposes a comprehensive and robust set of recommendations aimed at optimizing DBS surgical protocols to achieve zero pneumocephalus outcomes.
Methods: A retrospective analysis was undertaken on 138 patients with Parkinson disease who underwent simultaneous bilateral stereotaxic DBS targeting either the subthalamic nucleus or the globus pallidus internus at a single institution. The study compared the pneumocephalus volume and postsurgical electrode tip displacement between the original surgical technique and a refined procedure that incorporated modified supine position, dural puncture, and liquid sealing.
Results: With the implementation of the refined procedure, the volume of pneumocephalus significantly decreased from 14.40 ± 17.00 to 0.32 ± 1.02 mL, with 92.9% of patients showing no visible pneumocephalus or intracranial air less than 1 mL. In addition, the refined procedure was associated with less electrode tip displacement in the postoperative stage.
Conclusion: The refined procedure effectively minimized the average pneumocephalus volume to approximately 0, and bilateral DBS electrodes exhibited enhanced stability during the postoperative stage.
{"title":"Refining Stereotaxic Deep Brain Stimulation Surgery Procedures for Parkinson Disease in Pursuit of Zero Pneumocephalus: 2-Dimensional Operative Video.","authors":"Ran Wang, Kaiyu Liu, Feng Yu, Liemei Guo, Junfeng Ma, Yi Chai, Xiaohua Zhang, Hongyu Zhou","doi":"10.1227/ons.0000000000001460","DOIUrl":"https://doi.org/10.1227/ons.0000000000001460","url":null,"abstract":"<p><strong>Background and objectives: </strong>Deep brain stimulation (DBS) is a well-established intervention for alleviating both motor and nonmotor symptoms of Parkinson disease. However, a common complication of stereotaxic DBS surgery is pneumocephalus, which can compromise electrode accuracy, complicate postoperative assessments, and negatively affect the long-term outcomes of DBS surgery. This report proposes a comprehensive and robust set of recommendations aimed at optimizing DBS surgical protocols to achieve zero pneumocephalus outcomes.</p><p><strong>Methods: </strong>A retrospective analysis was undertaken on 138 patients with Parkinson disease who underwent simultaneous bilateral stereotaxic DBS targeting either the subthalamic nucleus or the globus pallidus internus at a single institution. The study compared the pneumocephalus volume and postsurgical electrode tip displacement between the original surgical technique and a refined procedure that incorporated modified supine position, dural puncture, and liquid sealing.</p><p><strong>Results: </strong>With the implementation of the refined procedure, the volume of pneumocephalus significantly decreased from 14.40 ± 17.00 to 0.32 ± 1.02 mL, with 92.9% of patients showing no visible pneumocephalus or intracranial air less than 1 mL. In addition, the refined procedure was associated with less electrode tip displacement in the postoperative stage.</p><p><strong>Conclusion: </strong>The refined procedure effectively minimized the average pneumocephalus volume to approximately 0, and bilateral DBS electrodes exhibited enhanced stability during the postoperative stage.</p>","PeriodicalId":54254,"journal":{"name":"Operative Neurosurgery","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-06DOI: 10.1227/ons.0000000000001490
Érico Samuel Gomes Galvão da Trindade, Talita Helena Martins Sarti, Luis Ángel Canache Jiménez, Erica Antunes Effgen, Mariano Teyssandier, Francisco Jose Luis de Sousa, Bruna Lisboa do Vale, Feres Chaddad-Neto
{"title":"Giant Brainstem Cavernoma in Children: Microsurgical Strategies and Neuroanatomical Implications: 2-Dimensional Operative Video.","authors":"Érico Samuel Gomes Galvão da Trindade, Talita Helena Martins Sarti, Luis Ángel Canache Jiménez, Erica Antunes Effgen, Mariano Teyssandier, Francisco Jose Luis de Sousa, Bruna Lisboa do Vale, Feres Chaddad-Neto","doi":"10.1227/ons.0000000000001490","DOIUrl":"https://doi.org/10.1227/ons.0000000000001490","url":null,"abstract":"","PeriodicalId":54254,"journal":{"name":"Operative Neurosurgery","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background and objectives: The study aimed to investigate the potential pathogenesis and present an implant retention procedure for patients with titanium mesh exposure after cranioplasty.
Methods: The clinical data were obtained from 26 consecutive cases with titanium mesh exposure who underwent surgical treatment between 2018 and 2023. These patients' medical records, scalp photographs, operative notes, and outcomes were retrospectively analyzed. In addition, a literature search was conducted for articles describing treatment strategies for titanium mesh exposure published within the past 10 years.
Results: A total of 26 patients (15 males; mean age [±SD] 52.3 ± 15.0 years) underwent surgical treatment for titanium mesh exposure. Among the subset of patients with a history of ventriculoperitoneal shunt implantation (n = 10), low-pressure hydrocephalus was observed in 90% of cases. The pathogenesis of titanium mesh exposure can be categorized into 4 stages: ischemic stage, depletion stage, defect stage, and infection stage, with a median onset time of 392 days (range from 40 to 5114 days). Based on this, we introduce a novel technique of using a pedicled galea aponeurotica-periosteal flap in titanium mesh retention surgery for treating various types of skin defects. Consequently, 15 patients (57.8%) underwent this procedure and exhibited favorable wound healing over a follow-up period averaging at 640.4 ± 397.2 days (range 117-1573 days).
Conclusion: Implant removal surgery is not the optimal choice for patients presenting with titanium mesh exposure after cranioplasty. The 4 stages of skin defect outlined in this study offer clinical guidance for managing cases of titanium mesh exposure, while highlighting intracranial hypotension as an underappreciated pathogenic factor. A pedicle galea aponeurotica-periosteal flap represents a valuable and versatile alternative for retaining the existing titanium mesh, as it ensures adequate blood supply and withstands pressure gradients.
{"title":"Intracranial Hypotension Mechanism and Implant Retention Procedure for Patients With Titanium Mesh Exposure.","authors":"Rui-Zhe Zheng, Zeng-Xin Qi, Li-Jian Lang, Wen-Tao Huang, Jia-Yu Chen, Tong-Ming Zhu, Xue-Hai Wu","doi":"10.1227/ons.0000000000001405","DOIUrl":"https://doi.org/10.1227/ons.0000000000001405","url":null,"abstract":"<p><strong>Background and objectives: </strong>The study aimed to investigate the potential pathogenesis and present an implant retention procedure for patients with titanium mesh exposure after cranioplasty.</p><p><strong>Methods: </strong>The clinical data were obtained from 26 consecutive cases with titanium mesh exposure who underwent surgical treatment between 2018 and 2023. These patients' medical records, scalp photographs, operative notes, and outcomes were retrospectively analyzed. In addition, a literature search was conducted for articles describing treatment strategies for titanium mesh exposure published within the past 10 years.</p><p><strong>Results: </strong>A total of 26 patients (15 males; mean age [±SD] 52.3 ± 15.0 years) underwent surgical treatment for titanium mesh exposure. Among the subset of patients with a history of ventriculoperitoneal shunt implantation (n = 10), low-pressure hydrocephalus was observed in 90% of cases. The pathogenesis of titanium mesh exposure can be categorized into 4 stages: ischemic stage, depletion stage, defect stage, and infection stage, with a median onset time of 392 days (range from 40 to 5114 days). Based on this, we introduce a novel technique of using a pedicled galea aponeurotica-periosteal flap in titanium mesh retention surgery for treating various types of skin defects. Consequently, 15 patients (57.8%) underwent this procedure and exhibited favorable wound healing over a follow-up period averaging at 640.4 ± 397.2 days (range 117-1573 days).</p><p><strong>Conclusion: </strong>Implant removal surgery is not the optimal choice for patients presenting with titanium mesh exposure after cranioplasty. The 4 stages of skin defect outlined in this study offer clinical guidance for managing cases of titanium mesh exposure, while highlighting intracranial hypotension as an underappreciated pathogenic factor. A pedicle galea aponeurotica-periosteal flap represents a valuable and versatile alternative for retaining the existing titanium mesh, as it ensures adequate blood supply and withstands pressure gradients.</p>","PeriodicalId":54254,"journal":{"name":"Operative Neurosurgery","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-06DOI: 10.1227/ons.0000000000001496
Sean M Himel, Taylor Orr, John E Dugan, Mustafa Motiwala, Adam Arthur, Nickalus R Khan
{"title":"Microsurgical Treatment of a Recurrent Tentorial Dural Arteriovenous Fistula After Endovascular Embolization With Skeletonization of the Dural Venous Sinuses: 2-Dimensional Operative Video.","authors":"Sean M Himel, Taylor Orr, John E Dugan, Mustafa Motiwala, Adam Arthur, Nickalus R Khan","doi":"10.1227/ons.0000000000001496","DOIUrl":"https://doi.org/10.1227/ons.0000000000001496","url":null,"abstract":"","PeriodicalId":54254,"journal":{"name":"Operative Neurosurgery","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-06DOI: 10.1227/ons.0000000000001488
Christina Feller, Mohamad G Bakhaidar, Hope M Reecher, Saman Shabani
{"title":"Cervicothoracic Deformity in the Setting of Adhesive Arachnoiditis: An Operative Video Article.","authors":"Christina Feller, Mohamad G Bakhaidar, Hope M Reecher, Saman Shabani","doi":"10.1227/ons.0000000000001488","DOIUrl":"https://doi.org/10.1227/ons.0000000000001488","url":null,"abstract":"","PeriodicalId":54254,"journal":{"name":"Operative Neurosurgery","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-06DOI: 10.1227/ons.0000000000001484
Juan P Sardi, Connor Berlin, Thomas J Buell, Chun-Po Yen, David O Okonkwo, D Kojo Hamilton, Justin S Smith
Adult spinal deformity comprises a heterogeneous group of disorders that primarily affects older patients and can have a significant negative affect on health-related quality of life. Operative treatment for adult spinal deformity typically entails posterior instrumented fusions that have demonstrated the potential to significantly improve health-related quality of life outcomes. However, until fusion is achieved, the instrumentation providing structural support is subject to repetitive cyclical loading that disproportionately fatigues high-stress areas and can result in instrumentation failure. Despite considerable advances in surgical fixation techniques and technology, pseudarthrosis with subsequent implant failure still poses a challenge for surgeons and continues to be 1 of the most common complications, leading to revision surgery. The addition of supplemental rods to primary constructs has gained widespread popularity to mitigate implant failure. Theoretically, more rods will add stiffness, stability, and decreased surface strain, which will provide longer instrumentation lifespan to allow for osseous fusion. There is significant heterogeneity in these constructs, and different types of supplemental rods (eg, satellite, accessory, delta rods, "kickstand rod," and "iliac accessory rod") can be used independently or in combination to further increase strength. However, the use of supplemental rods may increase the rate of proximal junctional kyphosis/failure and paradoxically diminish anterior column fusion rates. Hence, indications and optimal configurations are still a matter of debate. The aim of this narrative review is to provide an overview of the supplemental rod constructs described in the literature and focus on the current evidence supporting their indications and potential impact.
{"title":"Use of Supplemental Rod Constructs in Adult Spinal Deformity Surgery: A Review.","authors":"Juan P Sardi, Connor Berlin, Thomas J Buell, Chun-Po Yen, David O Okonkwo, D Kojo Hamilton, Justin S Smith","doi":"10.1227/ons.0000000000001484","DOIUrl":"https://doi.org/10.1227/ons.0000000000001484","url":null,"abstract":"<p><p>Adult spinal deformity comprises a heterogeneous group of disorders that primarily affects older patients and can have a significant negative affect on health-related quality of life. Operative treatment for adult spinal deformity typically entails posterior instrumented fusions that have demonstrated the potential to significantly improve health-related quality of life outcomes. However, until fusion is achieved, the instrumentation providing structural support is subject to repetitive cyclical loading that disproportionately fatigues high-stress areas and can result in instrumentation failure. Despite considerable advances in surgical fixation techniques and technology, pseudarthrosis with subsequent implant failure still poses a challenge for surgeons and continues to be 1 of the most common complications, leading to revision surgery. The addition of supplemental rods to primary constructs has gained widespread popularity to mitigate implant failure. Theoretically, more rods will add stiffness, stability, and decreased surface strain, which will provide longer instrumentation lifespan to allow for osseous fusion. There is significant heterogeneity in these constructs, and different types of supplemental rods (eg, satellite, accessory, delta rods, \"kickstand rod,\" and \"iliac accessory rod\") can be used independently or in combination to further increase strength. However, the use of supplemental rods may increase the rate of proximal junctional kyphosis/failure and paradoxically diminish anterior column fusion rates. Hence, indications and optimal configurations are still a matter of debate. The aim of this narrative review is to provide an overview of the supplemental rod constructs described in the literature and focus on the current evidence supporting their indications and potential impact.</p>","PeriodicalId":54254,"journal":{"name":"Operative Neurosurgery","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01Epub Date: 2024-06-07DOI: 10.1227/ons.0000000000001233
Guilherme J Agnoletto, Farshad Nassiri, Vance Mortimer, William T Couldwell
{"title":"Resection of Secreting Right Carotid Body Paraganglioma: 2-Dimensional Operative Video.","authors":"Guilherme J Agnoletto, Farshad Nassiri, Vance Mortimer, William T Couldwell","doi":"10.1227/ons.0000000000001233","DOIUrl":"10.1227/ons.0000000000001233","url":null,"abstract":"","PeriodicalId":54254,"journal":{"name":"Operative Neurosurgery","volume":" ","pages":"130-131"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141285367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01Epub Date: 2024-07-30DOI: 10.1227/ons.0000000000001304
Gregory W J Hawryluk
{"title":"Commentary: Subdural Versus Subgaleal Drain Placement After Minicraniotomy for Chronic Subdural Hematoma.","authors":"Gregory W J Hawryluk","doi":"10.1227/ons.0000000000001304","DOIUrl":"10.1227/ons.0000000000001304","url":null,"abstract":"","PeriodicalId":54254,"journal":{"name":"Operative Neurosurgery","volume":" ","pages":"76-78"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141794001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}