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Pullay Silven M, Encarnación-Santos DA, Volovish A, Nicoletti GF, Iacopino DG, Valerievich KA. Letter to the Editor Regarding "Targeting the Future: Developing a Training Curriculum for Robotic Assisted Neurosurgery". World Neurosurg 2024; 184:345-346. [PMID: 38590058 DOI: 10.1016/j.wneu.2023.12.145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2023] [Accepted: 12/27/2023] [Indexed: 04/10/2024]
Affiliation(s)
- Manikon Pullay Silven
- Neurosurgical Clinic, AOUP "Paolo Giaccone", Post Graduate Residency Program in Neurologic Surgery, Department of Biomedicine Neurosciences and Advanced Diagnostics, School of Medicine, University of Palermo, Palermo, Italy
| | | | - Alexander Volovish
- Division of Vertebrology of NCC No. 2 (CCB RAS) FGBNU, RNTSKH in B.V. Petroskovo Academy, Moscow, Russia
| | | | - Domenico Gerardo Iacopino
- Neurosurgical Clinic, AOUP "Paolo Giaccone", Post Graduate Residency Program in Neurologic Surgery, Department of Biomedicine Neurosciences and Advanced Diagnostics, School of Medicine, University of Palermo, Palermo, Italy
| | - Kim-A Valerievich
- Deparment of Neurosurgery, City Clinical Hospital No. 68 Gbuz Gkb Im. V.P. Demikhova (RUDN University), Moscow, Russia
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Poullay Silven M, Encarnación-Santos D, Volovish A, Nicoletti GF, Iacopino DG, Valerievich KA. Letter to the Editor Regarding "Minimally Invasive Surgery for Spinal Metastasis: A Review". World Neurosurg 2024; 184:358-359. [PMID: 38590068 DOI: 10.1016/j.wneu.2023.12.046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2023] [Accepted: 12/06/2023] [Indexed: 04/10/2024]
Affiliation(s)
- Manikon Poullay Silven
- Neurosurgical Clinic, AOUP "Paolo Giaccone", Post Graduate Residency Program in Neurologic Surgery, Department of Biomedicine Neurosciences and Advanced Diagnostics, School of Medicine, University of Palermo, Palermo, Italy; Department of Neurosurgery of People of Friendship University, Moscow, Russia
| | | | - Alexander Volovish
- Division of Vertebrology of NCC No. 2 (CCB RAS) FGBNU, RNTSKH in B.V. Petroskovo Academy, Moscow, Russia
| | | | - Domenico Gerardo Iacopino
- Neurosurgical Clinic, AOUP "Paolo Giaccone", Post Graduate Residency Program in Neurologic Surgery, Department of Biomedicine Neurosciences and Advanced Diagnostics, School of Medicine, University of Palermo, Palermo, Italy
| | - Kim-A Valerievich
- Deparment of Neurosurgery, City Clinical Hospital, Gbuz Gkb Im. V.P. Demikhova, Moscow, Russia
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Pullay Silven M, Nicoletti GF, Iacopino DG. Letter to the Editor Regarding "Patient-Tailored 3D-Printing Models in the Subspecialty Training of Spinal Tumors: A Comparative Study and Questionnaire Survey". World Neurosurg 2024; 181:194-195. [PMID: 38229282 DOI: 10.1016/j.wneu.2023.09.093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Accepted: 09/21/2023] [Indexed: 01/18/2024]
Affiliation(s)
- Manikon Pullay Silven
- Department of Biomedicine Neurosciences and Advanced Diagnostics, Neurosurgical Clinic, AOUP "Paolo Giaccone", Post Graduate Residency Program in Neurologic Surgery, School of Medicine, University of Palermo, Palermo, Italy.
| | | | - Domenico Gerardo Iacopino
- Department of Biomedicine Neurosciences and Advanced Diagnostics, Neurosurgical Clinic, AOUP "Paolo Giaccone", Post Graduate Residency Program in Neurologic Surgery, School of Medicine, University of Palermo, Palermo, Italy
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Poullay Silven M, Iacopino DG. Letter To The Editor Regarding "Virtual and Augmented Reality in Spine Surgery: A Systematic Review". World Neurosurg 2024; 181:204-205. [PMID: 38229287 DOI: 10.1016/j.wneu.2023.08.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Accepted: 08/04/2023] [Indexed: 01/18/2024]
Affiliation(s)
- Manikon Poullay Silven
- Neurosurgical Clinic, AOUP "Paolo Giaccone", Post Graduate Residency Program in Neurologic Surgery, Department of Biomedicine Neurosciences and Advanced Diagnostics, School of Medicine, University of Palermo, Palermo, Italy.
| | - Domenico Gerardo Iacopino
- Neurosurgical Clinic, AOUP "Paolo Giaccone", Post Graduate Residency Program in Neurologic Surgery, Department of Biomedicine Neurosciences and Advanced Diagnostics, School of Medicine, University of Palermo, Palermo, Italy
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Pullay Silven M, Nicoletti GF, Iacopino DG. Letter to the Editor Regarding "Full Endoscopic Spine Surgery with Image-Guided Navigation System as 'Hybrid Endoscopic Spine Surgery'". World Neurosurg 2023; 180:252-253. [PMID: 38115385 DOI: 10.1016/j.wneu.2023.09.053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2023] [Accepted: 09/11/2023] [Indexed: 12/21/2023]
Affiliation(s)
- Manikon Pullay Silven
- Department of Biomedicine Neurosciences and Advanced Diagnostics, Post Graduate Residency Program in Neurologic Surgery, Neurosurgical Clinic, AOUP "Paolo Giaccone", School of Medicine, University of Palermo, Sicily, Palermo, Italy.
| | | | - Domenico Gerardo Iacopino
- Department of Biomedicine Neurosciences and Advanced Diagnostics, Post Graduate Residency Program in Neurologic Surgery, Neurosurgical Clinic, AOUP "Paolo Giaccone", School of Medicine, University of Palermo, Sicily, Palermo, Italy
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Poullay Silven M, Nicoletti GF, Iacopino DG. Letter To The Editor Regarding "Augmented Reality in Minimally Invasive Spinal Surgery: A Narrative Review of Available Technology". World Neurosurg 2023; 180:259-260. [PMID: 38115389 DOI: 10.1016/j.wneu.2023.08.095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2023] [Accepted: 08/21/2023] [Indexed: 12/21/2023]
Affiliation(s)
- Manikon Poullay Silven
- Department of Biomedicine Neurosciences and Advanced Diagnostics, Neurosurgical Clinic, AOUP "Paolo Giaccone", Post Graduate Residency Program in Neurologic Surgery, School of Medicine, University of Palermo, Palermo, Italy.
| | | | - Domenico Gerardo Iacopino
- Department of Biomedicine Neurosciences and Advanced Diagnostics, Neurosurgical Clinic, AOUP "Paolo Giaccone", Post Graduate Residency Program in Neurologic Surgery, School of Medicine, University of Palermo, Palermo, Italy
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Xu N, Liu P, Kang Y, Chen F. Partial vertebrectomy with spine shortening for old spondyloptosis at the thoracolumbar spine: a case series study and literature review. Front Surg 2023; 10:1206395. [PMID: 37545844 PMCID: PMC10401035 DOI: 10.3389/fsurg.2023.1206395] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2023] [Accepted: 07/03/2023] [Indexed: 08/08/2023] Open
Abstract
Objective We aimed to report the surgical outcomes of serial cases and retrospectively analyze the value of partial vertebrectomy and spinal shortening in the reduction of old spondyloptosis at the thoracolumbar spine. Methods From 2015 to 2021, eight cases of patients who received a spinal intervention of partial vertebrectomy and spinal shortening for thoracolumbar spondyloptosis over 3 weeks post-trauma were retrospectively summarized. Medical records and surgical outcomes were extracted for clinical safety and efficacy evaluation. Results Acceptable reduction and immediate stabilization were achieved for all eight cases without causing iatrogenic damage to the viscera. The mean operation time was 3.7 h (range, 3.2-4.2 h) with a mean blood loss average of 1,081 ml (range, 900-1,300 ml). Postoperative stay in the spine department was an average of 11.4 days (range, 8-17 days), followed by an early rehab program. The mean visual analog scale (VAS) for low back pain decreased from 8.0 preoperatively to 1.4 at the last follow-up. The average follow-up period was 19.9 months. As for neurological function recovery, six patients with preoperative ASIA-A status remained unchanged throughout the follow-up period and improvement of one ASIA grade was noted in two patients. At the latest follow-up, sound interbody fusion as well as good alignment of the spinal column were confirmed radiologically in seven patients, while one patient encountered slight re-dislocation 3 months after surgery, but eventually achieved spinal fusion. Conclusion Partial vertebrectomy and spine shortening via a posterior approach showed good efficacy and safety in the management of old spondyloptosis of the thoracolumbar spine, allowing for a one-step good reduction and spinal fusion for early rehabilitation.
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Umana GE, Scalia G, Spitaleri A, Passanisi M, Crea A, Tomasi OS, Cicero S, Maugeri R, Iacopino DG, Visocchi M. Multilevel Corpectomy for Subaxial Cervical Spondylodiscitis: Literature Review and Role of Navigation, Intraoperative Imaging and Augmented Reality. ACTA NEUROCHIRURGICA. SUPPLEMENT 2023; 135:331-338. [PMID: 38153489 DOI: 10.1007/978-3-031-36084-8_50] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/29/2023]
Abstract
BACKGROUND Subaxial cervical spine spondylodiscitis represents a real challenge in spine surgery. In later stages multiple spinal metamers can the interested by the pathological infection and the alteration of the spinal stability leading to spinal deformity. There is scant literature on subaxial cervical spondylodiscitis management and especially on ≥three-level cervical corpectomies. The authors conducted a literature search on this specific topic and presented an emblematic case of a patient treated with circumferential cervical fixation and four-level cervicothoracic corpectomy. MATERIALS AND METHODS A comprehensive literature review was performed using the combined Medical Subject Headings (MeSH) terms (multilevel) AND (sub axial spine OR cervical spine) AND (spine osteomyelitis OR spinal osteomyelitis), to search in the PubMed and Scopus databases. Our case was also included in this literature review. From our literature search the authors selected 13 papers, eight were excluded because they did not match our inclusion criteria (the involvement of only one or two levels, or did not perform corpectomy, discectomy, or cervical spine localization). The authors also presented a 71-year-old patient, in poor general clinical status who underwent several cage repositioning, with a final four-level corpectomy (C5, C6, C7, and T1), expandable C5-T1 cage positioning and C4-T2 anterior plating performed merging augmented reality, neuronavigation and intraoperative imaging. RESULTS This systematic review included 28 patients treated with ≥ three-level corpectomy (11 patients with three-level corpectomy, 15 patients with four-level corpectomy, and 2 patients with six-level corpectomy), 6 women, 5 men, and 17 not reported specifically, with a mean age of 55.9 years (range: 44-72 years). The combined anterior and posterior approach was taken in all but one case, which was treated with the anterior approach only. In one case of six-level cervicothoracic corpectomy, sternotomy was necessary. All reported patients recovered after surgery, except one who died after nosocomial pneumonia. No major intraoperative complications were reported. Usual postoperative complications include wound hematoma, pneumonia, subsidence, epidural hematoma, dural leakage, dysphagia, soft tissue swelling. The mean follow-up time was 31.9 months (range: 8-110 months). CONCLUSION According to the literature search performed by the authors, multilevel corpectomies for cervical spinal osteomyelitis is a safe and effective complex surgical procedure, even in extended procedures involving up to six levels or those at the cervicothoracic junction. The use multimodal navigation merging intraoperative imaging acquisition, navigation, and augmented reality may provide useful information during implant positioning in complex and altered anatomy and for assessing the best final result.
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Affiliation(s)
- Giuseppe Emmanuele Umana
- Department of Neurosurgery, Cannizzaro Hospital, Trauma Center, Gamma Knife Center, Catania, Italy
| | - Gianluca Scalia
- Department of Neurosurgery, Highly Specialized Hospital and of National Importance "Garibaldi", Catania, Italy
| | - Angelo Spitaleri
- Department of Neurosurgery, Cannizzaro Hospital, Trauma Center, Gamma Knife Center, Catania, Italy
| | - Maurizio Passanisi
- Department of Neurosurgery, Cannizzaro Hospital, Trauma Center, Gamma Knife Center, Catania, Italy
| | - Antonio Crea
- Department of Neurosurgery, Cannizzaro Hospital, Trauma Center, Gamma Knife Center, Catania, Italy
| | - Ottavio S Tomasi
- Department of Neurosurgery, Christian-Doppler-Klinik, Paracelsus Private Medical University, Salzburg, Austria
| | - Salvatore Cicero
- Department of Neurosurgery, Cannizzaro Hospital, Trauma Center, Gamma Knife Center, Catania, Italy
| | - Rosario Maugeri
- Experimental Biomedicine and Clinical Neurosciences, School of Medicine, Postgraduate Residency Program in Neurological Surgery, Neurosurgical Clinic, AOUP "Paolo Giaccone", Palermo, Italy
| | - Domenico Gerardo Iacopino
- Experimental Biomedicine and Clinical Neurosciences, School of Medicine, Postgraduate Residency Program in Neurological Surgery, Neurosurgical Clinic, AOUP "Paolo Giaccone", Palermo, Italy
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Chowdhury D, Rahman A, Khan RA, Sikder SR, Al-Amin FA, Ahmmed T, Husna AU, Islam A, Marcel EI, Chaurasia B. Letter to the Editor Regarding “Surgical Approaches to Tumors of the Occipito-Cervical, Subaxial Cervical, and Cervicothoracic Spine: An Algorithm for Standard versus Extended Anterior Cervical Access”. World Neurosurg 2022; 164:471-472. [DOI: 10.1016/j.wneu.2022.05.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2022] [Accepted: 05/07/2022] [Indexed: 11/29/2022]
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Marcel EI, Ramdas GV, Chaurasia B. Letter to the Editor Regarding “Awake Craniotomy with Functional Mapping for Glioma Resection in a Limited-Resource-Setting: Preliminary Experience from a Lower-Middle Income Country”. World Neurosurg 2022; 164:463-464. [DOI: 10.1016/j.wneu.2022.04.086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Accepted: 04/21/2022] [Indexed: 11/28/2022]
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Radiotherapy in Current Neuro-Oncology: There Is Still Much to Reveal. Life (Basel) 2021; 11:life11121412. [PMID: 34947942 PMCID: PMC8706956 DOI: 10.3390/life11121412] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2021] [Revised: 12/11/2021] [Accepted: 12/16/2021] [Indexed: 01/07/2023] Open
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Crea A. Letter to the Editor Regarding “Minimally invasive extreme lateral lumbar interbody fusion (XLIF) to manage adjacent level disease – A case series and literature review”. INTERDISCIPLINARY NEUROSURGERY 2021. [DOI: 10.1016/j.inat.2021.101295] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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Tomasi SO, Winkler PA. Letter to the editor regarding “Cortical screw fixation using CT-navigation coupled with real-time electrophysiological monitoring of individual screw placement for unstable degenerative lumbar spondylolisthesis”. INTERDISCIPLINARY NEUROSURGERY 2021. [DOI: 10.1016/j.inat.2021.101323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Tomasi SO, Winkler PA. Letter to the Editor Regarding "Lumbar Interbody Fusion: Techniques, Pearls and Pitfalls". Asian J Neurosurg 2021; 16:665-666. [PMID: 34660393 PMCID: PMC8477847 DOI: 10.4103/ajns.ajns_82_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2021] [Revised: 04/10/2021] [Accepted: 04/10/2021] [Indexed: 11/09/2022] Open
Affiliation(s)
- Santino Ottavio Tomasi
- Department of Neurological Surgery, Christian Doppler Klinik Paracelsus Medical University, Salzburg, Austria.,Laboratory for Microsurgical Neuroanatomy, Christian Doppler Klinik, Salzburg, Austria
| | - Peter A Winkler
- Department of Neurological Surgery, Christian Doppler Klinik Paracelsus Medical University, Salzburg, Austria.,Laboratory for Microsurgical Neuroanatomy, Christian Doppler Klinik, Salzburg, Austria
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Letter to the Editor Regarding "Decreasing Radiation Emission in Minimally Invasive Spine Surgery Using Ultra-Low-Radiation Imaging with Image Enhancement: A Prospective Cohort Study". World Neurosurg 2021; 151:320-321. [PMID: 34243655 DOI: 10.1016/j.wneu.2021.03.013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2021] [Accepted: 03/02/2021] [Indexed: 11/21/2022]
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Capone C. Letter to the editor and perspective on Mini-invasiveness in neurosurgery regarding “Safety and efficacy of navigated trocar less pedicle screw placement: Technical note”. INTERDISCIPLINARY NEUROSURGERY 2021. [DOI: 10.1016/j.inat.2021.101233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Crea A. Letter to the Editor Regarding "Minimally Invasive Spinal Surgery: How to Keep out of Trouble". World Neurosurg 2021; 152:250-251. [PMID: 34340293 DOI: 10.1016/j.wneu.2021.03.075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2021] [Accepted: 03/13/2021] [Indexed: 10/20/2022]
Affiliation(s)
- Antonio Crea
- Neurosurgery Unit, Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy.
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Crea A. Letter to the Editor Regarding "Comparison of Radiation Exposure Between O-Arm Navigated and C-Arm Guided Screw Placement in Minimally Invasive Transforaminal Lumbar Interbody Fusion". World Neurosurg 2021; 150:216-217. [PMID: 34098636 DOI: 10.1016/j.wneu.2021.03.040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2021] [Accepted: 03/08/2021] [Indexed: 11/30/2022]
Affiliation(s)
- Antonio Crea
- Neurosurgery Unit, Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy.
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Capone C. Letter to the Editor Regarding "Evolution of Minimally Invasive Lumbar Spine Surgery". World Neurosurg 2021; 150:214-215. [PMID: 34098635 DOI: 10.1016/j.wneu.2021.03.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2021] [Revised: 03/03/2021] [Accepted: 03/04/2021] [Indexed: 11/26/2022]
Affiliation(s)
- Crescenzo Capone
- Neurocritical Care Unit, Department of Neurosurgery and Institute of Intensive Care Medicine, University Hospital and University of Zürich, Zürich, Switzerland.
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Tomasi SO, Winkler PA. Letter to the Editor Regarding "Learning Curve and Minimally Invasive Spine Surgery". World Neurosurg 2021; 145:530-531. [PMID: 33348503 DOI: 10.1016/j.wneu.2020.07.180] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2020] [Accepted: 07/24/2020] [Indexed: 10/22/2022]
Affiliation(s)
- S Ottavio Tomasi
- Department of Neurological Surgery and Laboratory for Microsurgical Neuroanatomy, Christian Doppler Klinik, Salzburg, Austria.
| | - Peter A Winkler
- Department of Neurological Surgery and Laboratory for Microsurgical Neuroanatomy, Christian Doppler Klinik, Salzburg, Austria
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