iiinova — where your digital self keeps evolving

Journal of Clinical Neuroscience @jo-cn.bsky.social · 04/08/2025

🧠 Tool for aSAH prognosis: The GAHR score uses 4 clinical predictors to estimate in-hospital mortality with strong accuracy (AUC 0.83). Simple, practical, and validated in an Asian population. #NeurocriticalCare #neurology #neurosurgery #brainhealth 🔗 www.sciencedirect.com/science/arti...

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 29/07/2025

🚨New video case alert!🚨 Watch full-endoscopic decompression in action for L5/S1 far-out syndrome—minimally invasive relief for extraforaminal L5 radiculopathy with elegant technique and excellent outcomes! 🎥🧠💥 🔗 www.sciencedirect.com/science/arti... #Neurosurgery

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 23/07/2025

🚨“What the mind does not know, the eyes do not see!”🚨 A rare case of tandem vertebral artery anomalies—PFIA + arcuate canal—causing recurrent syncope in a teen. Missed on MRI, revealed on CTA & Doppler. 🔗 doi.org/10.1016/j.jo... #NeuroTwitter #Neurosurgery

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 17/07/2025

🚨 Rare brain tumor presentation: case of olfactory groove schwannoma mimicking meningioma—but with a twist: communicating hydrocephalus that resolved after resection alone. 🧠✨ Radiographic clues: no dural tail, bone erosion, microbleeds, + hydro. 🔗 lnkd.in/gyghAz4X #Neurosurgery #NeuroOncology

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 15/07/2025

🧠 New month, new brain fuel! The August issue of Journal of Clinical Neuroscience is here: 🧵 VP shunt complications 🧠 Radiosurgery for meningioma 🧍‍♂️ Vertebral artery injury 🛌 Sleepiness after stroke …and more! 🔗 www.sciencedirect.com/journal/jour... #Neurosurgery #Stroke #NeuroOncology

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 14/07/2025

🧠💧Can two drains be better than one? This systematic review explores combined ventricular + lumbar drainage in aneurysmal #SAH. Early data show promise in reducing vasospasm & improving outcomes, but more studies needed! 📖👉 www.sciencedirect.com/science/arti... #Stroke #NeurocriticalCare

sciencedirect.com

Enhancing cerebrospinal fluid clearance in subarachnoid hemorrhage: A systematic review of combined ventricular and lumbar drainage

Aneurysmal subarachnoid hemorrhage (aSAH) is a severe type of stroke associated with high rates of mortality and morbidity. Two major complications fo…

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 11/07/2025

🔍 Does optic nerve sheath fenestration (ONSF) relieve headaches in IIH? 📉 In this retrospective trial, while ONSF improves vision, headaches persist in 60% post-op. 📰 Read the study: www.sciencedirect.com/science/arti... #NeuroTwitter #IIH #NeuroOphthalmology #Headache #ONSF #Neurosurgery

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 08/07/2025

🛠️ Fragmentectomy vs Microdiscectomy for lumbar disc herniation—what’s better? 📊 This new meta-analysis shows no significant difference in pain relief, reherniation, or reop rates. 🔗 www.sciencedirect.com/science/arti... #SpineSurgery #Neurosurgery #BackPain #LumbarDisc #Microdiscectomy

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 07/07/2025

🧠😴 Post-stroke fatigue is more than just feeling tired—it’s multifaceted and highly prevalent. This new study breaks down physical vs cognitive fatigue and their unique predictors. 👉 www.sciencedirect.com/science/arti... #StrokeRecovery #Neurorehab #PostStrokeFatigue

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 06/07/2025

☀️ Sun, sand, and synapses—your ultimate beach read has arrived! The July issue is packed with brainy summer hits: 🧠 Cavernous malformations ⚡ Status epilepticus 🕺 Parkinson’s disease 🧬 Brain tumors Dive in 👉 www.sciencedirect.com/journal/jour... #JOCN #Neurosurgery #Neurology #CavMal #Parkinsons

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 06/07/2025

🧠🇳🇿 Spanning 2 decades, 1,224 pituitary ops. This massive NZ case series shows outcomes on par with global standards—low complication rates, strong remission stats, and key predictors of recurrence. A must-read! 👉 www.sciencedirect.com/science/arti... #Neurosurgery #PituitaryTumor #Endocrinology

sciencedirect.com

Pituitary surgery in New Zealand: A single neurosurgeon case series of 1,224 operations

Pituitary neuroendocrine tumours (PitNETs) are among the most common tumours of the central nervous system, yet data regarding surgical outcomes is li…

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 03/07/2025

🚨 Scoping review of 22 stent retrievers used in mechanical thrombectomy for acute ischemic stroke 🚑🧠 🔹 Solitaire & Trevo dominate M1/ICA 🔹 Distal occlusions underrepresented 🔹 Need for data on MVOS devices 📖 doi.org/10.1016/j.jo... #Stroke #NeuroIR #Thrombectomy #LVO #MVOS #NeuroTwitter

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 02/07/2025

🧠👶 New meta-analysis shows helmet therapy offers significantly greater short-term improvement in cranial asymmetry for infants with positional cranial deformation vs. non-helmet options. More RCTs still needed to guide long-term outcomes. 🔗 doi.org/10.1016/j.jo... #Pediatrics #Neurosurgery

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 30/06/2025

🧠 Prone vs. sitting for Chiari I surgery in kids: no difference in complications, but sitting had shorter op time—especially in high BMI patients. A safe alternative when done by experienced teams? 🔗 doi.org/10.1016/j.jo... #Neurosurgery #Pediatrics #ChiariMalformation #NeuroTwitter

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 27/06/2025

🧠 Images in neuroscience: Lentiform fork sign linked to acute chorea after GI illness in a patient with ESRD. 💡 Metabolic acidosis + uremia = basal ganglia vulnerability 📸 MRI shows classic LFS 🧬 Chorea resolved with olanzapine + dialysis 🔗 doi.org/10.1016/j.jo... #NeuroRad #MovementDisorders

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 26/06/2025

🚨 New meta-analysis alert! Minimally invasive surgery (MIS) for ICH leads to better functional outcomes, less blood loss, and shorter operative time vs. craniotomy—without increasing mortality or rebleeding. 🔗 doi.org/10.1016/j.jo... #Neurosurgery #ICH #NeurocriticalCare #Stroke

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 26/06/2025

Clipping vs coiling for unruptured anterior circulation aneurysms 🧠⚖️ EVT = fewer peri-op complications MSC = better occlusion, lower retreatment Functional outcomes? Similar. 🧵 Nuanced decisions require individualized care. 🔗 doi.org/10.1016/j.jo... #NeuroTwitter #Neurosurgery #Endovascular

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 25/06/2025

🧠 We love these historical pieces! A tribute to Dr. Joseph J. Volpe, the father of neonatal neurology, whose work shaped care for our tiniest patients. From IVH to PVL, his legacy endures through research, mentorship, and impact. 👶📚 🔗 doi.org/10.1016/j.jo... #NeonatalNeurology #NeuroTwitter

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 23/06/2025

🧠 New meta-analysis on brainstem cavernous malformations (BSCMs): 📉 Post-op mRS improved from 2.42 ➡️ 1.63 🧍‍♂️ Male sex = ↑ morbidity/mortality 📆 Outcomes improved 1996–2024 🔍 81 studies | 4046 patients Surgery helps—but risk remains. 🔗 doi.org/10.1016/j.jo... #Neurosurgery #NeuroTwitter #BSCM

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 17/06/2025

🧠 Despite decades of research, VP shunt complication management still lacks unified, evidence-based protocols. Is it time for global consensus? 🌍 📖 Onyia & Ojo call for structured surveys. 🔗 doi.org/10.1016/j.jo... #Neurosurgery #Hydrocephalus #VPS #NeuroTwitter #EvidenceBasedMedicine

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 14/06/2025

🚨New in J Clin Neurosci🚨 Is the Supplemented Spetzler-Martin (Supp-SM) grading system better for AVM surgical risk? 🧠 Supp-SM ≥6 = 🔼 postop morbidity 📉 SM vs. Supp-SM: similar AUROC, but Supp-SM shows stronger correlation with outcomes 🔗 doi.org/10.1016/j.jo... #Neurosurgery #AVM #SpetzlerMartin

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 12/06/2025

A simple, step-by-step guide to laparoscopic VP shunt insertion 💡 ✅ Pneumoperitoneum made easy ✅ Visual confirmation of distal catheter ✅ Neurosurgeons & general surgeons welcome! 🔗 doi.org/10.1016/j.jo... #Neurosurgery #Laparoscopy #VPS #MedTwitter #NeuroTwitter

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 11/06/2025

🚨 New in @JOCNonline! Video article! A tailored soctrans-horizontal fissure approach enables safe, minimally invasive resection of deep cerebellar cavernous mal using DVAs as landmarks 🧠🧵 🔗 doi.org/10.1016/j.jo... #Neurosurgery #Microsurgery #NeuroTwitter #BrainSurgery #CavernousMalformation

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 10/06/2025

🚨 July issue of Journal of Clinical Neuroscience out now! Meningioma biomarkers to MMS embolization in cSDH, radiosurgery, SRS, and stroke prognostics— packed with cutting-edge reviews & original research. 🔗 www.sciencedirect.com/journal/jour... #Neurosurgery #NeurocriticalCare #NeuroOncology

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 09/06/2025

🚨 One-stop stroke care? Yes, please! Angio–CT merges CT + angiography in a single suite to slash door-to-puncture times and boost outcomes for AIS patients 💥🧠 #Stroke #NeuroIR #Thrombectomy #NeuroTwitter 🔗 doi.org/10.1016/j.jo...

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 05/06/2025

🚨 Retrospective study: Platelet transfusions don’t prevent ventriculostomy hemorrhage in aSAH—even on DAPT 🔄 Timing didn’t matter ❌ No outcome benefit 🧠 Symptomatic bleeds still rare 📖 doi.org/10.1016/j.jo... #NeurocriticalCare #Neurosurgery #SAH #Antiplatelet #ICU #NeuroTwitter #MedTwitter

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 04/06/2025

🚨 Delayed diagnosis = lasting damage 🧠🩻 New in @JOCNonline: Spinal dural AVFs are often undiagnosed for far too long. How do we do better? #NeuroTwitter #MedEd #SpineMRI #AVF #DiagnosticDelay #neurosurgery #neurology 🔗 doi.org/10.1016/j.jo...

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 03/06/2025

🚨 New meta-analysis in @JOCNonline! 🧠 Intensive statins after ischemic stroke = better 3-month recovery (↑mRS 0–2 & 0–3) ⚠️ But with slightly higher ICH risk Is more always better? 🧐 doi.org/10.1016/j.jo... #Stroke #NeuroTwitter #Statins #MedTwitter #NeuroCriticalCare

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 02/06/2025

🧠🦷 Could your gums predict your brain’s future? New article explores relationship of periodontitis to neurodegeneration via inflammation, tooth loss & salivary biomarkers. 📖 doi.org/10.1016/j.jo... #Alzheimers #OralHealth #Neurodegeneration #BrainHealth #Dentist #Neurology

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 29/05/2025

🚨 TMS-evoked potentials may outperform traditional tests in predicting response to shunting in iNPH! 🧠⚡️ Delphi-NPH index showed strong predictive power (AUC 0.91) vs. imaging & tap test. A step toward noninvasive precision care. 🔗 doi.org/10.1016/j.jo... #Neurosurgery #Hydrocephalus #brainhealth

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 23/05/2025

🧠 Food for thought in neurodegeneration 🚨 Can diet impact #ParkinsonsDisease? This RCT shows a nicotine-rich diet (± protein redistribution) led to: ✅ ↓ UPDRS motor scores by up to 15% ✅ ↓ α-synuclein levels significantly 🔗 doi.org/10.1016/j.jo... #Parkinsons #Neuroscience

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 21/05/2025

Small unruptured intracranial aneurysms (sUIAs ≤5 mm) carry a low rupture risk (<1%)—regardless of location or follow-up length. But growth trends highlight the need for long-term monitoring. doi.org/10.1016/j.jo... #NeuroTwitter #Stroke #Neurosurgery #Aneurysm #NeuroCriticalCare

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 20/05/2025

🧠 Long before EEGs, Ibn Sina was classifying seizures and prescribing lavender 🌿 Explore how this Islamic Golden Age giant shaped modern epilepsy care! 🔗 doi.org/10.1016/j.jo... #Neurology #Epilepsy #MedicalHistory

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 17/05/2025

Adjunct middle meningeal artery embolization (MMAE) cuts recurrence & reoperation in chronic subdural hematoma—without added risk. Mortality & functional outcomes? Still unclear. #Neurosurgery #SDH #Embolization Read more: doi.org/10.1016/j.jo...

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 16/05/2025

Does mannitol improve brain relaxation in posterior fossa surgery? This RCT found no significant benefit during CPA tumor resection in supine position—raising important questions about its routine use. www.sciencedirect.com/science/arti... #Neurosurgery #Neuroanesthesia

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 16/05/2025

Trigeminal neuralgia in MS: What works best? A new systematic review compares medical, surgical, and SRS approaches for TN in MS patients. Radiofrequency ablation shows promising long-term relief—but we need better trials. doi.org/10.1016/j.jo... #MultipleSclerosis #Neurosurgery

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 14/05/2025

🧠✨ Hot off the press! The June issue of JoCN is packed with the latest insights! 🔍 Cutting-edge reviews on brain AVMs, the gut-brain axis in TBI, glioma, MS, spine surgery & more! 📚 sciencedirect.com/journal/jour... #Neurosurgery #NeurocriticalCare #TBI #Neuroimaging

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 12/05/2025

Can a liver fibrosis score predict stroke outcomes? High FIB-4 scores (>2.67) were linked to worse 3-month outcomes and higher mortality in IV tPA-treated stroke patients. www.sciencedirect.com/science/arti... #Stroke #LiverFunction #tPA #NeuroTwitter #MedTwitter

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 11/05/2025

Why do some patients with refractory status epilepticus not make it out of the hospital? New data highlight key risk factors: • Hemodynamic instability • Seizure recurrence • Older age Surprise: prior epilepsy = lower mortality www.sciencedirect.com/science/arti... #Epilepsy #NeuroICU

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 08/05/2025

⛔️⚠️Post-op pneumocephalus in chronic subdural hematoma isn’t just air—it’s a risk. This meta-analysis of 3,200+ patients finds massive pneumocephalus triples recurrence risk and worsens prognosis. No mortality difference, but outcomes matter. #Neurosurgery www.sciencedirect.com/science/arti...

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 06/05/2025

🧠🩸Over 20 years, non-traumatic ICH mortality is down—but hospital stays are up and rural-urban gaps persist. Complexity climbs, outcomes improve, equity lags. www.sciencedirect.com/science/arti... #Stroke #NeuroICU #HealthEquity #ICH #NeuroTwitter #MedTwitter #CriticalCare

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 06/05/2025

TBI meets the Gut-Brain Axis. Disruptions in gut microbiota post-TBI can fuel chronic neuroinflammation, cog decline, and poor recovery. Can probiotics, SCFAs & precision diets be the future of TBI care? www.science direct.com/science/article/pii/S0967586825002309 #TBI #NeuroRecovery

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 04/05/2025

🧠 Carotid webs: a hidden threat in young stroke patients. Review of 788 cases reveals high recurrence with medical management alone—but zero recurrence with stenting or endarterectomy. 🔗 doi.org/10.1016/j.jo... #Stroke #CarotidWeb #Endovascular #Neurosurgery

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 02/05/2025

🌟🧠National analysis reveals high-risk factors for poor outcomes after cerebral cavernous malformation (CCM) resection—especially acute bleeding, non-elective admissions, and socioeconomic disparities. Read more: doi.org/10.1016/j.jo... #Neurosurgery #HealthEquity #Neurovascular #MedTwitter

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 01/05/2025

New data from a 12.5-year single-center review of endovascular tx for post-hemorrhagic cerebral vsp (PHCV): • 41% achieved good outcomes (mRS ≤ 2) • 200 procedures in 82 patients • Comp rate ~5% • GCS predicted outcomes doi.org/10.1016/j.jo... #Neuro #NeuroIR #SAH #NeuroCriticalCare

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 29/04/2025

New study identifies risk & protective factors for late-onset MS (LOMS): ☀️Sunlight exposure in adolescence & adulthood is protective 😩Stress, depression, intense physical activity, & family hx of MS increase risk Full article: doi.org/10.1016/j.jo... #MultipleSclerosis #NeuroEpi #neurology #Neuro

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 28/04/2025

New systematic review finds mask-based Gamma Knife SRS offers comparable tumor control and safety to frame-based SRS for brain metastases—enhancing patient comfort. Read more: www.sciencedirect.com/science/arti... #SRS #RadOnc #Neurosurgery

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 27/04/2025

Cementing better outcomes: Bone cement cranioplasty (CCP) lowers CSF leaks, infections, and reoperations after retrosigmoid CPA surgery. Meta-analysis supports CCP over non-cement reconstruction. Read here: doi.org/10.1016/j.jo... #Neurosurgery #Surgery #neurology #surgicaltechniques

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Journal of Clinical Neuroscience @jo-cn.bsky.social · 26/04/2025

Can SRS help in recurrent high-grade gliomas? In this study, SRS achieved 70% local control at 3 months, with MGMT methylation linked to better survival. More insights here: doi.org/10.1016/j.jo... #NeuroOncology #Glioma #RadOnc

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