Ob man bei der operativen Planung auf eine ventrale oder dorsale Versorgung setzen sollte, bleibt oft eine individuelle Entscheidung und ist multifaktoriell bedingt. Auch das Timing zur Versorgung ist in den seltensten Fällen eindeutig.

Eine evidenzbasierte Entscheidung für den Operateur ist bislang noch nicht eindeutig möglich. Hier muss das Ziel für die kommenden Jahre sein, ein noch fundierteres Verständnis der Pathogenese zu erlangen und klare Richtlinien zu etablieren.

Interessenkonflikt: Keine angegeben

Korrespondenzadresse

Dr. med. Andreas Reinke

Facharzt für Neurochirurgie

Donau-Ries Klinik Donauwörth

Neudegger Allee 6

86609 Donauwörth

a.reinke@donkliniken.de

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