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This article discusses the treatment options for blood blister-like aneurysms (BAs) of the internal carotid artery (ICA). The authors conducted a meta-analysis of studies comparing bypass versus non-bypass open microsurgical techniques and endovascular therapy for the treatment of ICA BAs. The results showed that bypass and non-bypass techniques had similar rates of complications and outcomes. However, when comparing microsurgical techniques to endovascular therapy, the latter had a higher rate of favorable functional outcomes. The authors note that more research is needed to compare specific variations in microsurgical techniques and to better understand how factors like aneurysmal angioarchitecture and patient comorbidities can guide treatment selection. [Extracted from the article]

This article discusses different scalp incision techniques used during decompressive hemicraniectomy (DHC), a procedure performed to alleviate elevated intracranial pressure. The study compares the outcomes associated with the reverse question mark (RQM) scalp incision technique to alternative techniques such as retroauricular (RA) and Kempe incisions. The results of the meta-analysis suggest that there may not be a significant difference in surgical site infection and wound complications between the different scalp incision techniques. However, further investigation through prospective trials is needed to confirm these findings. [Extracted from the article]

This article discusses the use of minimally invasive keyhole craniotomies for microsurgical clipping of cerebral aneurysms. The study compares the supraorbital keyhole craniotomy (SOKC) and minipterional (pterional keyhole, PKC) approaches for this procedure. The results show that both approaches have comparable outcomes in terms of clipping rates, final occlusion rates, operative durations, and rates of complications such as intraoperative rupture, postoperative hemorrhage, vasospasm, and infection. The authors suggest that further research is needed to determine the specific indications and contraindications for each approach. [Extracted from the article]

This article, titled "Falcotentorial Meningiomas: Systematic Review and Meta-analysis of Clinical Features, Surgical Considerations, Techniques, and Approaches," provides a comprehensive analysis of the clinical management of falcotentorial (FT) meningiomas. The authors conducted a systematic review of 30 studies and identified 223 cases of FT meningiomas. The most commonly reported symptom was headache, followed by visual disturbance, ataxia, and cognitive disturbance. The study also examined surgical approaches and found that gross total resection (GTR) should be pursued while minimizing retraction of the occipital lobe and cerebellum and protecting vital vascular structures. The article concludes that both the occipital transtentorial (OCT) and supracerebellar infratentorial (SCIT) approaches offer comparable likelihood for GTR. [Extracted from the article]

This article investigates the relationship between facility volume, treatment outcomes, and treatment recommendations for patients with intracranial meningioma. The study uses data from the National Cancer Database and includes 336,115 patients diagnosed with meningioma. The results show that patients treated at high volume facilities had better overall survival rates compared to those treated at low volume facilities. Additionally, patients treated at low volume facilities were more likely to receive a biopsy alone and less likely to receive radiotherapy. These findings suggest potential disparities in access to care for patients with intracranial meningioma. [Extracted from the article]