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Direct surgical carotid cutdown overcomes multiple access obstacles
No evidence of residual tumor or recurrence at 6.5 years of follow-up
CT navigation, neuromonitoring and blood management help minimize considerable risks
Case study explores factors informing a tough therapy choice
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Post-processing and machine learning techniques add abundant value
Resourcefulness is the rule to customize solutions for patient progress
Congenital disorders can require lifelong care demanding peds neurosurgery expertise
Experienced team, patient selection are critical
Fast visualization of subtle flow abnormalities makes surgery more precise
Rare but often treatable with early recognition
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