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[PMID]:28619498
[Au] Autor:Konovalov AN; Pitskhelauri DI; Shkarubo M; Buklina SB; Poddubskaya AA; Kolycheva M
[Ad] Endereço:Burdenko Neurosurgery Institute, Moscow, Russia.
[Ti] Título:Microsurgical Treatment of Colloid Cysts of the Third Ventricle.
[So] Source:World Neurosurg;105:678-688, 2017 Sep.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: This study analyzes the results of surgical treatment in 377 patients with colloid cysts (CCs) of the third ventricle who were treated at the Burdenko Neurosurgery Institute from 1981 to 2015. Operations were performed by a single surgeon (the first author of the article). METHODS: The transcallosal approach was used to remove CCs in 97% of cases. Total cyst removal was performed in 96% of cases (in 4% of cases, a small cyst capsule fragment was left on the veins and fornix); in 3 cases, the cyst recurred, which required its repeated removal. RESULTS: Hydrocephalus symptoms regressed in 98% of patients. The most frequent complications in the early postoperative period were memory impairments of varying severity, with a tendency to regress by the time of discharge. Two patients had an intraventricular hematoma, which required operative exploration in 1 patient. There were 4 cases of meningitis (including 1 shunt-associated meningitis) and 5 cases of transient pyramidal insufficiency. CONCLUSIONS: We made a preliminary assessment of the reasonability of the infratentorial supracerebellar approach for removal of CCs in 10 cases.
[Mh] Termos MeSH primário: Cistos Coloides/diagnóstico por imagem
Cistos Coloides/cirurgia
Microcirurgia/métodos
Terceiro Ventrículo/diagnóstico por imagem
Terceiro Ventrículo/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Criança
Pré-Escolar
Feminino
Seguimentos
Seres Humanos
Lactente
Masculino
Meia-Idade
Estudos Retrospectivos
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171004
[Lr] Data última revisão:
171004
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170617
[St] Status:MEDLINE


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[PMID]:28011356
[Au] Autor:Temiz C; Kutlay M; Safali M; Kural C; Ezgu C; Izci Y
[Ad] Endereço:Department of Neurosurgery, Gulhane Education and Training Hospital, Ankara, Turkey.
[Ti] Título:Endoscopic Removal of Suprasellar Colloid Cyst with Interpeduncular and Prepontine Cisterns Extension.
[So] Source:World Neurosurg;98:869.e7-869.e12, 2017 Feb.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Colloid cysts (CCs) are rarely found in the sellar-suprasellar region. Differential diagnosis of CCs is more challenging in this region because many other cystic lesions may locate or invade sellar or suprasellar structures. We present a large and unusual case of sellar-suprasellar CC with extension into the suprasellar, interpeduncular, and prepontine cisterns. This is the first case of sellar-suprasellar CC treated with an endoscopic transsphenoidal approach. CASE DESCRIPTION: A 33-year-old woman presented with a 1-year history of recurrent headaches. Her headaches had been unresponsive to medical treatment for the last 2 weeks. She had normal neurologic and ophthalmologic examinations. Neuroradiologic studies showed a large cystic sellar lesion with extension into the suprasellar, interpeduncular, and prepontine cisterns. The lesion did not show any enhancement, not even in the cyst wall. Her hormonal status was also normal. The cystic lesion was totally resected via a purely endoscopic endonasal approach. There were no complications, and the patient was recovered completely with improvement of her headache. Pathology was consistent with a CC. At 6-month follow-up, magnetic resonance imaging did not show any evidence of the residual or recurrent lesion. CONCLUSIONS: Although rarely found in this location, CC should be considered in the differential diagnosis in patients who present with a sellar-suprasellar cystic lesion. Additionally, sellar-suprasellar CC would be a good candidate for the endoscopic endonasal approach.
[Mh] Termos MeSH primário: Encefalopatias/cirurgia
Cistos Coloides/cirurgia
Cirurgia Endoscópica por Orifício Natural/métodos
Procedimentos Neurocirúrgicos/métodos
[Mh] Termos MeSH secundário: Adulto
Encefalopatias/diagnóstico por imagem
Cistos Coloides/diagnóstico por imagem
Feminino
Seres Humanos
Espaço Subaracnóideo/diagnóstico por imagem
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170918
[Lr] Data última revisão:
170918
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161225
[St] Status:MEDLINE


  3 / 129 MEDLINE  
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[PMID]:27981391
[Au] Autor:Lavrador JP; Brogna C; Vergani F; Hasegawa H; Aizpurua M; Bhangoo R
[Ad] Endereço:Department of Neurosurgery, King's College Hospital NHS Foundation Trust, Denmark Hill, London, SE5 9RS, UK. Jose.pedro.lavrador@gmail.com.
[Ti] Título:Third-ventricle enterogenous cyst presentation mimicking a colloid cyst: uncommon presentation of a rare disease and literature review.
[So] Source:Acta Neurochir (Wien);159(3):465-468, 2017 Mar.
[Is] ISSN:0942-0940
[Cp] País de publicação:Austria
[La] Idioma:eng
[Ab] Resumo:Enterogenous cysts (ECs) are endodermal lesions resulting from splitting anomalies in the neuroenteric canal. We report the case of a 64-year-old patient who presented with a sudden headache followed by collapse. Brain computed tomography revealed a hyperdense lesion in the anterior part of the third ventricle with obstructive hydrocephalus. A presumptive diagnosis of colloid cyst was made and he underwent a right transcortical approach for lesion resection. The histopathological examination revealed an EC. ECs are common lesions in the cervical-thoracic spine but rare in the supratentorial compartment with only two previously described cases occurring in the third ventricle.
[Mh] Termos MeSH primário: Cistos/patologia
Hidrocefalia/patologia
Doenças Raras/patologia
Neoplasias Supratentoriais/patologia
Terceiro Ventrículo/patologia
[Mh] Termos MeSH secundário: Cistos Coloides/patologia
Feminino
Seres Humanos
Meia-Idade
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170908
[Lr] Data última revisão:
170908
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161217
[St] Status:MEDLINE
[do] DOI:10.1007/s00701-016-3052-5


  4 / 129 MEDLINE  
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[PMID]:27429416
[Au] Autor:Dorsch AB; Leonardo J
[Ad] Endereço:Department of Neurosurgery, Kaleida Health System, Buffalo, New York, United States.
[Ti] Título:Use of the Swiveling Technique for Endoscopic Removal of a Colloid Cyst of the Third Ventricle: A Technical Note.
[So] Source:J Neurol Surg A Cent Eur Neurosurg;78(1):78-81, 2017 Jan.
[Is] ISSN:2193-6323
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:Colloid cysts are considered benign brain tumors and usually occur in the anterior third ventricle. The clinical presentation may be nonspecific and heterogeneous including headaches, visual changes, nausea, and vomiting. The symptomatology is frequently associated with the development of hydrocephalus. Neuroendoscopic removal is increasingly replacing open microsurgical approaches as the standard of care for the treatment of symptomatic colloid cysts of the third ventricle. We describe the case of a 42-year-old man who was found to have a colloid cyst of the third ventricle while undergoing evaluation for a dural arteriovenous fistula. We highlight the rotational, or "swiveling," method for extraction of the colloid cyst.
[Mh] Termos MeSH primário: Cistos Coloides/cirurgia
Neuroendoscopia/métodos
Terceiro Ventrículo/cirurgia
[Mh] Termos MeSH secundário: Adulto
Cistos Coloides/diagnóstico por imagem
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Terceiro Ventrículo/diagnóstico por imagem
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170615
[Lr] Data última revisão:
170615
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160719
[St] Status:MEDLINE
[do] DOI:10.1055/s-0036-1584828


  5 / 129 MEDLINE  
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[PMID]:27349743
[Au] Autor:Brostigen CS; Meling TR; Marthinsen PB; Scheie D; Aarhus M; Helseth E
[Ad] Endereço:Faculty of Medicine, University of Oslo, Oslo, Norway.
[Ti] Título:Surgical management of colloid cyst of the third ventricle.
[So] Source:Acta Neurol Scand;135(4):484-487, 2017 Apr.
[Is] ISSN:1600-0404
[Cp] País de publicação:Denmark
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The aim of this study of third ventricular colloid cysts (TVCC) from a defined population was to estimate the incidence, the presenting features, the surgical treatment, the treatment related complications, and the clinical and surgical outcomes. METHODS: A reprospective study of 32 consecutive primary surgeries for TVCC was performed at Oslo University Hospital in the time period 2002-2015. RESULTS: The estimated incidence rate for TVCC was 0.9 per million. Mean age was 41 years and the male-to-female ratio was 1:1.5. The most common presenting symptoms were headache (100%), ataxia (25%), reduced level of consciousness (22%), and impaired vision (19%). The surgical mortality was 0%. Gross total resection (GTR) was achieved in 69% based on intraoperative findings and in 81% based on postoperative imaging. The rate of surgery-related complications was 13%. There was no statistically significant difference between microsurgery and endoscopic surgery with respect to surgery-related complications and grade of resection. At time of follow-up, all patients were able to care for themselves. CONCLUSIONS: Due to the risk of acute neurological deterioration and sudden death, surgical treatment is recommended for patients with symptomatic TVCC. This study shows that surgical resection can be performed with a fairly low risk and with a good long-term outcome.
[Mh] Termos MeSH primário: Cistos Coloides/cirurgia
Endoscopia/efeitos adversos
Microcirurgia/efeitos adversos
Procedimentos Neurocirúrgicos/efeitos adversos
[Mh] Termos MeSH secundário: Adulto
Idoso
Ataxia/etiologia
Cistos Coloides/diagnóstico
Feminino
Cefaleia/etiologia
Seres Humanos
Masculino
Meia-Idade
Complicações Pós-Operatórias
Transtornos da Visão/etiologia
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170508
[Lr] Data última revisão:
170508
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160629
[St] Status:MEDLINE
[do] DOI:10.1111/ane.12632


  6 / 129 MEDLINE  
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[PMID]:27635155
[Au] Autor:Filippini A; Prada F; Del Bene M; DiMeco F
[Ad] Endereço:Department of Neurosurgery, Fondazione IRCCS Istituto Neurologico "C. Besta", Via Celoria 11, 20133 Milan, Italy.
[Ti] Título:Intraoperative cerebral ultrasound for third ventricle colloid cyst removal: case report.
[So] Source:J Ultrasound;19(3):211-5, 2016 Sep.
[Is] ISSN:1876-7931
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To assess the usefulness of intraoperative Ultrasound (ioUS) and Echo-Color-Doppler (ECD) for the surgical removal of a specific deep-sited lesion. METHODS: Case report of a woman underwent surgery of a third ventricle colloid cyst removal. RESULTS: The ioUS technique depicted the deep intraventricular lesion and all the anatomical structures surrounding the lesion; helping us defining the best trajectory for the safest surgical removal. CONCLUSION: In our experience ioUS and ECD have demonstrated to be a reliable and useful intraoperative tool in neurosurgery, not only for superficial tumors but for deep intraventicular lesions as well.
[Mh] Termos MeSH primário: Cistos Coloides/diagnóstico por imagem
Cistos Coloides/cirurgia
Ultrassonografia Doppler em Cores/métodos
Ultrassonografia de Intervenção/métodos
[Mh] Termos MeSH secundário: Cistos Coloides/complicações
Feminino
Seguimentos
Seres Humanos
Imagem Tridimensional/métodos
Meia-Idade
Neuronavegação
Convulsões/diagnóstico por imagem
Convulsões/etiologia
Convulsões/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170902
[Lr] Data última revisão:
170902
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160917
[St] Status:MEDLINE
[do] DOI:10.1007/s40477-014-0151-0


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[PMID]:27450975
[Au] Autor:Thotakura AK; Nooti VS; Ghanta S
[Ad] Endereço:Department of Neurosurgery, NRI Medical College, Mangalagiri, Guntur, Andhra Pradesh, India.
[Ti] Título:Paired Colloid Cysts in the Third Ventricle.
[So] Source:World Neurosurg;93:485.e7-9, 2016 Sep.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Colloid cyst is the most common neoplastic lesion of the third ventricle, and the occurrence of 2 colloid cysts in the ventricular system is rare. CASE REPORT: We present a 35 year old female patient with paired colloid cysts of the third ventricle who presented with obstructive hydrocephalus and were treated surgically with the transcallosal interhemispheric transforaminal approach. Until now only 3 patients of dual or paired colloid cysts of different ventricles were reported. To the best of our knowledge, this is the first case with both the colloid cysts present in the third ventricle. CONCLUSION: This report illustrates the importance of proper radiologic study in a case of colloid cyst and preparing preoperatively and excision of both the colloid cyst whenever present, ​to prevent the recurrence.
[Mh] Termos MeSH primário: Cistos Coloides/patologia
Cistos Coloides/cirurgia
Neoplasias Primárias Múltiplas/patologia
Neoplasias Primárias Múltiplas/cirurgia
Ventriculostomia/métodos
[Mh] Termos MeSH secundário: Adulto
Diagnóstico Diferencial
Feminino
Seres Humanos
Procedimentos Cirúrgicos Minimamente Invasivos/métodos
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160725
[St] Status:MEDLINE


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[PMID]:26968449
[Au] Autor:Peeters SM; Daou B; Jabbour P; Ladoux A; Abi Lahoud G
[Ad] Endereço:Department of Neurosurgery, Paris Descartes University, Paris, France; Department of Neurosurgery, University of Texas Southwestern, Dallas, Texas, USA.
[Ti] Título:Spontaneous Regression of a Third Ventricle Colloid Cyst.
[So] Source:World Neurosurg;90:704.e19-704.e22, 2016 Jun.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Colloid cysts represent 0.5%-1% of intracranial tumors and most commonly occur in the third ventricle near the Monro foramen. Although benign, if the lesion obstructs the foramen abruptly, sudden death may ensue. Evolution of these cysts is poorly understood. Spontaneous regression has been reported in only 2 other cases. Management of such cysts depends on whether the cyst continues to grow, its location, and clinical presentation. Incidental asymptomatic colloid cysts are typically followed with neuroimaging surveillance. CASE DESCRIPTION: We present a case of an incidental third ventricle colloid cyst in a 46-year-old patient who was managed conservatively with neuroimaging surveillance. Thereafter, she started developing some working memory deficits and intermittent headaches, with the cyst volume increasing, leading to the decision to perform a resection. However, the cyst underwent spontaneous regression before the scheduled surgery date, 3 years after initial diagnosis. CONCLUSIONS: This case confirms that some colloid cysts could regress spontaneously. Disappearance of the cyst is not necessarily accompanied by clinical worsening, as was reported by other investigators who noted deteriorating neurologic deficits as a result of worsening hydrocephalus. Assuming the cysts rupture, some patients tolerate the contents of the cyst leaking into the ventricular system, whereas others may mount an inflammatory reaction, causing a disruption in cerebrospinal fluid flow. In addition, it is still unclear what factors increase the likelihood of cysts to suddenly rupture.
[Mh] Termos MeSH primário: Cistos Coloides/diagnóstico por imagem
Cistos Coloides/patologia
Regressão Neoplásica Espontânea
[Mh] Termos MeSH secundário: Adulto
Diagnóstico Diferencial
Feminino
Seres Humanos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170830
[Lr] Data última revisão:
170830
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160313
[St] Status:MEDLINE


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[PMID]:26898492
[Au] Autor:Abed Rabbo F; Simon A; Ben Salem D; Seizeur R
[Ad] Endereço:Service de Neurochirurgie, Hôpital Cavale Blanche, CHRU Brest, France; Laboratoire d'Anatomie, Faculté de Médecine, Université de Brest, France; Laboratoire de traitement de l'information médicale, LaTIM UMR1101, France. Electronic address: francis.ar@gmail.com.
[Ti] Título:Oculomotor Nerve Palsy Complicates Third Ventricle Colloid Cyst Endoscopic Removal: Case Report.
[So] Source:World Neurosurg;90:700.e13-700.e17, 2016 Jun.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: A colloid cyst is a rare benign tumor. If indicated, surgical treatment can be realized using a microsurgical technique or an endoscopic technique. We report an uncommon complication of a third ventricle colloid cyst endoscopic removal. CASE DESCRIPTION: The cyst was incidentally discovered on computed tomography scan workup for mild head trauma in a 20-year-old male. Minor headache and minor memory loss were noted on clinical examination. Magnetic resonance imaging workup revealed obstructive hydrocephaly of the lateral ventricles associated with left uncal herniation. Surgery was uneventful. However, left oculomotor palsy was noted postoperatively. Workup revealed oculomotor nerve injury and isolated left mammillary body ischemia, secondary to worsened uncal herniation. This worsening might be caused by acute left ventricle hydrocephaly ascribed to interventricular foramen obstruction during cyst removal. CONCLUSION: Therefore, in similar presentation, realizing septum fenestration before cyst removal should relieve the pressure in the lateral ventricles thus decreasing the risk of herniation.
[Mh] Termos MeSH primário: Cistos Coloides/patologia
Cistos Coloides/cirurgia
Neuroendoscopia/efeitos adversos
Doenças do Nervo Oculomotor/etiologia
Doenças do Nervo Oculomotor/prevenção & controle
[Mh] Termos MeSH secundário: Adulto
Cistos Coloides/complicações
Seres Humanos
Masculino
Doenças do Nervo Oculomotor/patologia
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170830
[Lr] Data última revisão:
170830
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160223
[St] Status:MEDLINE


  10 / 129 MEDLINE  
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[PMID]:26873714
[Au] Autor:Doron O; Feldman Z; Zauberman J
[Ad] Endereço:Department of Neurosurgery, Sheba Tel-Hashomer Hospital, Affiliated to Tel Aviv University Sackler Medical School, Sheba Rd. 2, Ramat Gan, Israel. omerdoronmd@gmail.com.
[Ti] Título:MRI features have a role in pre-surgical planning of colloid cyst removal.
[So] Source:Acta Neurochir (Wien);158(4):671-6, 2016 Apr.
[Is] ISSN:0942-0940
[Cp] País de publicação:Austria
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Endoscopic resection is becoming a well-established treatment option for patients with colloid cysts of the third ventricle. A disadvantage of this approach is the decreased ability to resect cysts in their entirety. Correlations between magnetic resonance imaging (MRI) features and cyst content could potentially help surgeons decide on the extent of resection and approach. We attempted to identify a correlation between patients' MRI imaging patterns and difficult cyst removal, post-operative adverse outcomes and the need for cerebrospinal fluid (CSF) diversion, in order to detect markers that may affect pre-surgical planning. METHOD: A retrospective examination of all patients' records that underwent a colloid cyst excision attempt at our institution between 2001 and 2014, and which had a minimum 1-year follow-up was compiled. RESULTS: Of the 25 patients fulfilling the criteria, we found cysts with a low T2 signal, specifically when combined with high T1 signal, to be significantly correlated with piecemeal, difficult removals. Correlation was also found between high T2 signal cysts and pre-operative hydrocephalus. Among patients that had pre-existing hydrocephalus, those that required a piecemeal removal possessed a strong trend towards a need for subsequent shunting. CONCLUSIONS: We found specific MRI features suggestive of difficult cyst excision. In a subgroup of patients with pre-operative hydrocephalus and imaging features suggestive of difficult removal, significantly higher rates of shunting were observed. We therefore recommend an open approach in cases of low T2, high T1 signal cysts with a diameter of over 15 mm, or CSF shunting in poor surgical candidates. Smaller cysts, with a low T1 signal, a high T2 signal and pre-operative hydrocephalus, constitute a subgroup in which we recommend endoscopic intervention as the procedure of choice.
[Mh] Termos MeSH primário: Cistos Coloides/cirurgia
Imagem por Ressonância Magnética
Neuroendoscopia/métodos
Procedimentos Neurocirúrgicos/métodos
Terceiro Ventrículo/cirurgia
[Mh] Termos MeSH secundário: Adulto
Cistos Coloides/diagnóstico por imagem
Feminino
Seres Humanos
Masculino
Meia-Idade
Neuroendoscopia/efeitos adversos
Procedimentos Neurocirúrgicos/efeitos adversos
Terceiro Ventrículo/diagnóstico por imagem
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160214
[St] Status:MEDLINE
[do] DOI:10.1007/s00701-016-2739-y



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