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Description: Video 1. Case 1. After temporal craniotomy and cosmetic mastoidectomy, a small amount of bone at the petrous ridge is drilled out epidurally to just expose the entire course of the SPS. After cutting of the tentorium, internal decompression of the tumor located at the prepontine cistern, and superior mobilization of the trigeminal nerve, additional drilling of the petrous apex is performed via the subdural space to detach the tumor around the petrous apex, and residual tumor at the posterior fos
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