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An incident by instance conversation concerning the best method is preferred. Transcranial strategy continues to be necessary for tumefaction removal in most cases. Vascular injury may lead to extreme problems. CSF leak, meningitis, venous sacrifice, artistic impairment and cranial nerves palsies are far more frequent problems. Pituitary dysfunctions tend to be uncommon in preoperative assessment like in postoperative follow-up but should be assessed in case there is me