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Purely endoscopic resection of BCMs is a technically feasible and effective treatment modality, particularly for ventral and ventromedial pontine lesions, and offers high GTR rates and favorable neurological recovery while avoiding the brain retraction associated with open microsurgery.
While pooled data supports surgical decompression as an effective intervention, future multicenter randomized controlled trials are essential to refine patient selection criteria, clarify the role of adjunctive steroids, and establish standardized protocols.
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