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Published December 2020 | public
Journal Article

Staged Cranial Surgery for Intracranial Lesions: A Historical Perspective

Abstract

We follow the development of staged resection from its first description by Walter E. Dandy, one of the founding fathers of neurosurgery, in 1925 in which he removed a large vestibular schwannoma. This historical vignette cites neurosurgical case reports and literature to demonstrate the evolution of staged resection of intracranial lesions, from Dandy's initial use to its becoming a more viable and safe option for the treatment of meningiomas, vestibular schwannomas, and skull base lesions (among numerous other intracranial pathologies). We also discuss the current advancements and future perspectives of staged resection that may show promise in effectively treating a wide range of pathologies while simultaneously reducing morbidity rates—a warrant for further exploration of staged cranial surgery as an important tool in neurosurgery.

Additional Information

© 2020 Elsevier Inc. Received 4 August 2020, Revised 18 August 2020, Accepted 19 August 2020, Available online 22 August 2020. This study was self-funded by the authors. The authors report no conflicts of interest. All authors (Nolan J. Brown, Shane Shahrestani, Ali R. Tafreshi, Katelynn Tran, Brian V. Lien, Seth C. Ransom, Ryan C. Ransom, Luis Daniel Diaz-Aguilar, and Ronald Sahyouni) declare to the following below: They have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Additional details

Created:
August 20, 2023
Modified:
October 20, 2023