Letter: Hypertonic Saline Solution Versus Mannitol for Brain Relaxation During Craniotomies: A Systematic Review and Updated Meta-Analysis

Abstract

FIGURE 1. A right-handed 56-year-old female patient with 2 left-sided brain metastases, among which are B, 1 parietal measuring 60 mm facing the ventricular trigone and A, the second one measuring 34 mm in the occipital lobe against the posterior aspect of the falx, prevalent of pulmonary epidermoid carcinoma. C and D, She underwent surgical management in the prone position, leading to intraoperative major brain swelling and thus only partial excision of these tumors. G and H, Because of neurological worsening, she underwent surgical revision in the modified supine park bench position with a much larger bone flap, E and F, leading to complete excision of both metastases.