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	<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN">
	<html>
	<head>
	<title>Minimally Invasive Craniotomy | Key-hole microcraniotomies at UCLA</title>
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	<meta name="description" content="Minimally invasive craniotomy: "key-hole" microcraniotomies, in which a minimally invasive, smaller incision is hidden within an eyebrow.">
	<meta name="keywords" content="Minimally invasive craniotomy, key hole surgery, minimally-invasive, craniotomy, pituitary tumor, microcraniotomies">
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				// }else 	 if(!eval(SM8_BannerItems[SM8_ThisBanner][2]+'document')){
	//				window.open(SM8_BannerItems[SM8_ThisBanner][1],); 
				}else{
					eval(SM8_BannerItems[SM8_ThisBanner][2] + "location.href=SM8_BannerItems[SM8_ThisBanner][1]");
				}
			}
			function SM8_BannerWindowStatus(){SM8_MO=true;window.status=SM8_BannerItems[SM8_ThisBanner][1]; return true}
			function SM8_SwapBanner(){
				iNum=SM8_ThisBanner+1;if(iNum>=SM8_BannerItems.length)iNum=0;
				document.body_left_2.src=SM8_BannerItems[iNum][0].src; 
				SM8_ThisBanner=iNum;
				SM8_Timer=setTimeout('SM8_SwapBanner()',6000);
				if(SM8_MO){SM8_BannerWindowStatus();}else{window.status='';}
			}
				
			SM8_Timer=setTimeout('SM8_SwapBanner()',6000);
		//-->
		</SCRIPT> 
</td>
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</td>
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<p><a href="http://www.addthis.com/bookmark.php?v=250" onclick="return addthis_sendto()" onmouseover="return addthis_open(this, '', '[URL]', '[TITLE]')" onmouseout="addthis_close()"><img src="http://s7.addthis.com/static/btn/lg-share-en.gif" border="0" alt="Bookmark and Share" width="125" height="16" style="border:0" /></a>
<script type="text/javascript" src="http://s7.addthis.com/js/250/addthis_widget.js?pub=xa-4a30036865512842"></script>
</p>
<!-- AddThis Button END -->
<p><strong><a href="http://uclaneuro.optimalcare.com/selfreg" title="VisionTree Optimal Care" target="_blank"><img class="sm6generalwizard" src="images/visiontree_logo_small.gif" border="0" alt="VisionTree Optimal Care" width="116" height="48" /></a></strong> <br />VisionTree Optimal Care<strong>&trade;<br /></strong><a href="http://uclaneuro.optimalcare.com/selfreg" title="Register now for a secure portal account" target="_blank">Patient Registration</a></p>
<!--Script for Google Analytics-->
<p>
<script type="text/javascript"><!--
var gaJsHost = (("https:" == document.location.protocol) ? "https://ssl." : "http://www.");
document.write(unescape("%3Cscript src='" + gaJsHost + "google-analytics.com/ga.js' type='text/javascript'%3E%3C/script%3E"));
// --></script>
<script type="text/javascript"><!--
var pageTracker = _gat._getTracker("UA-6029855-1");
pageTracker._initData();
pageTracker._trackPageview();
// --></script>
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          <td width="1" height="100%" bgcolor="#97a3b9" valign="bottom">
						<table width="100%" border="0" cellpadding="0" cellspacing="0" style="background-image: url(images/line_fade.gif); background-position: bottom left;">
							<tr> 
								<td width="1" bgcolor="#97a3b9" valign="bottom"><img alt="" src="images/line_fade.gif"></td>
							</tr>
						</table>
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          <td width="99%" valign="top">
						<table width="100%" height="100%" border="0" cellpadding="0" cellspacing="0">
              <tr>
                <td height="21" colspan="4" valign="top">
									<table width="100%" border="0" cellpadding="0" cellspacing="0" style="background-image:url(images/navbar_tile.gif);background-repeat:repeat-x;background-position:top left;" onMouseOut="DHTMLRestoreAll();">
                    <tr>
											
                      <td height="21" valign="top" onMouseOut="DHTMLRestoreAll();" id="bluenav">

<script type="text/javascript">
<!--

function DHTMLNavBar_configureCookie(linkID) {
	// first we'll split this cookie up into name/value pairs
	// note: document.cookie only returns name=value, not the other components
	var check_name = "SLIDINGTABLE_NAVBAR";
	var a_all_cookies = document.cookie.split( ';' );
	var a_temp_cookie = '';
	var cookie_name = '';
	var cookie_value = '';
	var b_cookie_found = false; // set boolean t/f default f	

	document.cookie = "SLIDINGTBL_NAVBAR_VERSION=0";	
	document.cookie = "SLIDINGTBL_NAVBAR_OLEVELID=";	
	if(linkID.length)
		DHTMLNavBar_setPLinkIDCookie(linkID);
	
	for (i = 0; i < a_all_cookies.length; i++)
	{		
		a_temp_cookie = a_all_cookies[i].split( '=' );					
		cookie_name = a_temp_cookie[0].replace(/^\s+|\s+$/g, '');
	
		//expire all cookies for every slidingTable_navbar intances.						
		if (cookie_name.toUpperCase().indexOf(check_name) == 0)		
			document.cookie = cookie_name.toUpperCase() + "=";				
	}	
}
function DHTMLNavBar_setPLinkIDCookie(linkID){
	document.cookie = "SLIDINGTBL_NAVBAR_PLINKID=" + linkID;		
}
function findPosY(obj) {
	var curtop = 0;
	if (obj.offsetParent)
	{
		while (obj.offsetParent)
		{
			curtop += obj.offsetTop
			obj = obj.offsetParent;
		}
	}
	else if (obj.y)
	{
		curtop += obj.y;
	}
	return curtop;
}
var aryDHTMLLayerMoused = new Array();
var DHTMLrunMouseOvers = false;
var aryDHTMLMoImages = new Array();
var DHTMLimageList = new Array();
var DHTMLTimerID=null;
var itmp=0;

function DHTMLMOImage() {
	var a = DHTMLMOImage.arguments;
	this.ptrImage = DHTMLNavBarMM_findObj(a[0]);
	this.imageMO = new Image();
	this.imageMO.src = a[1];
	this.HTMLname = a[0];
	this.Moused = false;
	this.OriginalSrc = '';
}
// 0) html image name 1) mo image src 2)image Name for rollover key (rollover may have multiple mos for one html Image)
function DHTMLNavBarImagePreload() {
	var arg = DHTMLNavBarImagePreload.arguments;
	imageKey = (arg[2])?arg[2]:arg[0];
	DHTMLimageList[DHTMLimageList.length] = imageKey;
	if(!(aryDHTMLMoImages[imageKey])) 
		aryDHTMLMoImages[imageKey] = new DHTMLMOImage(arg[0],arg[1]);	
}
function DHTMLNavBarMouseover() {
	var a = null;
	var imageKey = null;
	var o = null;	
	if (DHTMLrunMouseOvers)
	{
		//args 0)ImageName 1)OriginalSrc 2)array index (caller imagename)
		a = DHTMLNavBarMouseover.arguments;
		imageKey = (a[2])?a[2]:a[0];
		if(!(aryDHTMLMoImages[imageKey].ptrImage))
			aryDHTMLMoImages[imageKey].ptrImage = DHTMLNavBarMM_findObj(a[0]);		
		if(aryDHTMLMoImages[imageKey] && (o = aryDHTMLMoImages[imageKey].ptrImage))
		{
			aryDHTMLMoImages[imageKey].OriginalSrc = a[1];
			aryDHTMLMoImages[imageKey].Moused = true;
			o.src = aryDHTMLMoImages[imageKey].imageMO.src;
		}
	}
}

var DHTMLNavBarTemponload = null;
if (window.onload && window.onload != null)
	DHTMLNavBarTemponload = window.onload;

function DHTMLFullyLoaded() {
	if (DHTMLNavBarTemponload != null) 
		DHTMLNavBarTemponload();
	DHTMLrunMouseOvers = true;
	return true;
}	
function DHTMLNavBarMouseOutTimer() {
	if(DHTMLTimerID) 
		clearTimeout(DHTMLTimerID); 
	DHTMLTimerID = setTimeout("DHTMLNavBarLayerRestore()",5000);
}	
function DHTMLRestoreParent(layername) {
	for(var i=0;i < aryDHTMLLayerNames.length;i++)
	{
		if(!aryDHTMLNavBarLayerInfo[aryDHTMLLayerNames[i]].isDefault)
		{			
			if(!(aryDHTMLLayerNames[i] == layername) && aryDHTMLLayerNames[i].indexOf("grand") == -1) 
				DHTMLNavBarRestoreLayers(aryDHTMLLayerNames[i]);			
		}
	}
}	
function DHTMLRestoreAll() {
	DHTMLNavBarMouseoverRestore();
	DHTMLNavBarLayerRestore();
}	
function DHTMLNavBarMouseoverRestore() {
	var i = 0;
	var o = null;
	if (DHTMLrunMouseOvers)
	{
		for (var i=0; i < DHTMLimageList.length; i++)
		{
			if (aryDHTMLMoImages[imageList[i]].Moused && (o = aryDHTMLMoImages[imageList[i]].ptrImage)) {
				o.src = aryDHTMLMoImages[imageList[i]].OriginalSrc;
				aryDHTMLMoImages[imageList[i]].Moused = false;
			}
		}
	}
	return true;
}	
function DHTMLNavBarLayerRestore() {
	for(var i=0;i < aryDHTMLLayerNames.length;i++)
	{
		if(!aryDHTMLNavBarLayerInfo[aryDHTMLLayerNames[i]].isDefault) 
			DHTMLNavBarRestoreLayers(aryDHTMLLayerNames[i]);		
	}
}	
function DHTMLNavBarArrayPushUnique(aryArray, varNewElement){
	//only pushes if unique value
	var pushIt = true;
	for (var i=0;i < aryArray.length && pushIt;i++) 
	{
		pushIt = (varNewElement!=aryArray[i]);
	}
	if(pushIt) 
		DHTMLNavBarArrayPush(aryArray, varNewElement);	
	
	return pushIt;
}
function DHTMLNavBarArrayPush(aryArray, varNewElement) {
	//Implement Array Push 'cause IE cant handle it
	aryArray[aryArray.length]=varNewElement;
}	
function DHTMLNavBarArrayPop(aryArray) {
	//Implement Array Pop 'cause IE cant handle it before 5.5
	var varItemToPop = null;
	if(aryArray[aryArray.length-1]) {
		varItemToPop = aryArray[aryArray.length-1];
		aryArray[aryArray.length]=null;
	}
	return varItemToPop;
}
	
var registeredObjects = new Array();
//v3.0 name changed to avoid clash with possible other JS in content, this function complements of MM Dreamweaver
function DHTMLNavBarMM_findObj(n, d) {
	x = document.getElementById(n);
	return x;
}
	
var DHTMLNavBarTime         = 100;
var DHTMLNavBarTimes        = 2;
var DHTMLNavBarmoveDistance = 1;
var DHTMLNavBarThisLoc      = 325;
var aryDHTMLLayerNames      = new Array();
var aryDHTMLNavBarLayerInfo = new Array();
var aryDHTMLNavBarLayers    = new Array();
	
function DHTMLNavBarArrayContains()	{
	var a = DHTMLNavBarArrayContains.arguments;
	var foundit = false;
	for(var i=0; i < a[0].length && !foundit; i++) 
	{
		foundit = (a[1]==a[0][i]);
	}
	return foundit;
}
	
function DHTMLNavBarRegisterLayer()	{
	var a = DHTMLNavBarRegisterLayer.arguments;
	var n = a[0];
	var d = a[1];
	if(a[2] && a[2] == 'MOutLayer')
		var mo = true;
	else 
		var mo = false;	
	
	if(!(DHTMLNavBarArrayContains(aryDHTMLLayerNames,n)))
	{
		if(o = DHTMLNavBarMM_findObj(n))
		{
			aryDHTMLNavBarLayers[n] = o;
			DHTMLNavBarArrayPushUnique(aryDHTMLLayerNames,n);
			aryDHTMLNavBarLayerInfo[n] = new DHTMLNavBarLayer(n,d,mo);
		}
	}
}
	
// v3.0 name changed, this function complements of MM Dreamweaver with customizations
function DHTMLNavBarMM_showHideLayers()	{
	var i,p,v,x,obj,args = DHTMLNavBarMM_showHideLayers.arguments;
	if(args[args.length-1] != "menu") 
		DHTMLNavBarMouseOutTimer(); 
	for (var i=0; i<(args.length-2); i+=3)
	{
		if(!aryDHTMLNavBarLayers[args[i]]) {
			x = (args[i+2]=='show')?'hide':'show';
			DHTMLNavBarRegisterLayer(args[i],x);
		}
	 	if ((obj=aryDHTMLNavBarLayers[args[i]])!=null)
		{
			v = args[i+2];
			aryDHTMLNavBarLayerInfo[args[i]].isDefault = false;
	 		if(args[args.length-1] == "restore") 
				v = (v=='show')?'hide':'show';			
			if (obj.style)
				obj.style.visibility = (v=='show')?'visible':(v='hide')?'hidden':v;
			else 
				obj.visibility = v;			
		}
	}
}
	
// v3.0 name changed, this function complements of MM Dreamweaver with customizations
function DHTMLNavBarMM_showHideGrandLayers() {
	var i,p,v,x,obj,args = DHTMLNavBarMM_showHideGrandLayers.arguments;
	if(args[args.length-1] != "menu") 
		DHTMLNavBarMouseOutTimer();
	for (var i=0; i < (args.length-2); i+=3)
	{
		if(!aryDHTMLNavBarLayers[args[i]]) {
			x = (args[i+2]=='show')?'hide':'show';
			DHTMLNavBarRegisterLayer(args[i],x);
		}
	 	if ((obj=aryDHTMLNavBarLayers[args[i]])!=null)
		{
			v = args[i+2];
			aryDHTMLNavBarLayerInfo[args[i]].isDefault = false;
	 			if(args[args.length-1] == "restore"){
				v = (v=='show')?'hide':'show';		
			}
			if (obj.style)
				obj.style.visibility = (v=='show')?'visible':(v='hide')?'hidden':v;
			else 
	 			obj.visibility = v;			
		}
	}
}
function DHTMLNavBarRestoreLayers()	{
	var i,p,v,obj,args = DHTMLNavBarRestoreLayers.arguments;
	for (var i=0; i < (args.length); i++)
	{		
	 	if (obj = aryDHTMLNavBarLayers[args[i]])
		{
			v = aryDHTMLNavBarLayerInfo[args[i]].defaultVisibility;
			var strobjid = obj.id;
			if (obj.style)
			{
				obj=obj.style;				
				v=(v=='show')?'visible':(v='hide')?'hidden':v;
			}
			obj.visibility = v;
			if (!aryDHTMLNavBarLayerInfo[args[i]].MOutLayer) 
				aryDHTMLNavBarLayerInfo[args[i]].isDefault=true;			
		}
	}
}
function DHTMLNavBarLayer()	{
	var a = DHTMLNavBarLayer.arguments;
	this.defaultVisibility = a[1];
	this.isDefault = true;
	this.MOutLayer = a[2];
}
	
var viz = "hide";
function DHTMLNavBarNavMove() {
	if(thisl==DHTMLNavBarMM_findObj("DHTMLNavBarScrollLayer"))	
	{
		if(thisl.style)
		{
			thisl=thisl.style;
			viz="hidden";
		}
		thisl.top = DHTMLNavBarThisLoc -= 3;
		if(DHTMLNavBarThisLoc < -750)
		{
			DHTMLNavBarThisLoc=325;
			DHTMLNavBarTimes--;
		}
	}
	if (DHTMLNavBarTimes<=0)
	{
		otherl=DHTMLNavBarMM_findObj("DHTMLNavBarLayer");
		otherl.visibility=viz;
	}
	else setTimeout("DHTMLNavBarNavMove()",DHTMLNavBarTime);	
}
function DHTML_swapImgRestore()	{ 	
 	var i,x,a=document.Sliding_sr;
 	for(var i=0; a && i < a.length && (x=a[i]) && x.oSrc; i++) 
	{			
		x.src = x.oSrc;
	}
}
function DHTML_preloadImages() { 
 	var d=document;
 	if(d.images)
 	{
 		if(!d.Sliding_p) 
			d.Sliding_p=new Array();	
		var i,j=d.Sliding_p.length,a=DHTML_preloadImages.arguments;
		for(var i=0; i < a.length; i++)
		{
	 		if (a[i].indexOf("#")!=0)
			{
				d.Sliding_p[j]=new Image;
				d.Sliding_p[j++].src=a[i];
			}
		}
	}
}
function DHTML_findObj(n, d) { 
	var p,i,x;
	if(!d) 
		d=document;	
	if((p=n.indexOf("?")) > 0 && parent.frames.length)
	{
	 	d=parent.frames[n.substring(p+1)].document;
		n=n.substring(0,p);
	}
	if(!(x=d[n]) && d.all) 
		x=d.all[n];
	for (var i=0; !x && i < d.forms.length; i++) 
	{
		x = d.forms[i][n];	
	}
	for(var i=0; !x && d.layers && i < d.layers.length; i++) 
	{
		x = DHTML_findObj(n,d.layers[i].document);
	}
	 if(!x && d.getElementById) 
		x=d.getElementById(n);	
		
	return x;
}
function DHTML_swapImage() { 
	var i,j=0,x,a=DHTML_swapImage.arguments;
	document.Sliding_sr=new Array;
	for(var i=0; i < (a.length-2); i+=3)
	{
		if ((x=DHTML_findObj(a[i]))!=null)
		{
			document.Sliding_sr[j++] = x;
			if(!x.oSrc)
				x.oSrc=x.src;			
			x.src = a[i+2];
		}
	}
}
function DHTMLNavBarSwapRollover(swapimage,defaultimage,imageID) {
	if(imageID.length > 0 && document.getElementById(imageID))
	{
		if(swapimage.length > 0) 
			document.getElementById(imageID).src = "images/" + swapimage;
		else
			document.getElementById(imageID).src = "images/" + defaultimage;		
	}
}
window.onload = DHTMLFullyLoaded;
			

//-->
</script>
			
	
<table border="0" cellpadding="0" cellspacing="0">
	<tr>
		<td valign="top">
		<div id="lryParentmain15" class="Parentmain1"  onmouseover="DHTMLRestoreAll();DHTMLNavBarMM_showHideLayers('lyr15','','show','menu');" onmouseout="DHTML_swapImgRestore();" onclick="DHTMLNavBar_configureCookie('15');">
			<table border="0" class="ParentNav1" width="100%" cellpadding="0" cellspacing="0">
				<tr id="pRow15" style="vertical-align: top; background-color: transparent;" >
					<td valign="top" style="" id="pLink15"><a href="body.cfm?id=15" target="" class="clMain1">Conditions Treated</a></td>
				</tr>
			</table>
			<div id="lyr15" class="clLeft1" onMouseOut="DHTMLRestoreAll();">
				<table cellpadding="0" cellspacing="0" class="ChildNav1" border="0">
					<tr id="cRow15_1" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink15_1"><a href="body.cfm?id=21" target="" class="clSubb1">Alphabetical Conditions</a></td>
					</tr>
					<tr>
						<td valign="top"><img alt="" src='images/c_btwn.gif'></td>
					</tr>
					<tr id="cRow15_2" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink15_2"><a href="body.cfm?id=379" target="" class="clSubb1">Adult Conditions - Neurological</a></td>
					</tr>
					<tr>
						<td valign="top"><img alt="" src='images/c_btwn.gif'></td>
					</tr>
					<tr id="cRow15_3" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink15_3"><a href="body.cfm?id=23" target="" class="clSubb1">Pediatric Conditions</a></td>
					</tr>
					<tr>
						<td valign="top"><img alt="" src='images/c_btwn.gif'></td>
					</tr>
					<tr id="cRow15_4" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink15_4"><a href="body.cfm?id=24" target="" class="clSubb1">Brain Conditions [A—L]</a></td>
					</tr>
					<tr>
						<td valign="top"><img alt="" src='images/c_btwn.gif'></td>
					</tr>
					<tr id="cRow15_5" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink15_5"><a href="body.cfm?id=846" target="" class="clSubb1">Brain Conditions [M—Z]</a></td>
					</tr>
					<tr>
						<td valign="top"><img alt="" src='images/c_btwn.gif'></td>
					</tr>
					<tr id="cRow15_6" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink15_6"><a href="body.cfm?id=294" target="" class="clSubb1">Brain Tumor</a></td>
					</tr>
					<tr>
						<td valign="top"><img alt="" src='images/c_btwn.gif'></td>
					</tr>
					<tr id="cRow15_7" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink15_7"><a href="body.cfm?id=25" target="" class="clSubb1">Spine Conditions</a></td>
					</tr>
					<tr>
						<td valign="top"><img alt="" src='images/c_btwn.gif'></td>
					</tr>
				</table>
				<!--[if lte IE 6.5]>
				<div id="endTablelyr15" style="height:1px;overflow:hidden;"></div><iframe id="Framelyr15" frameborder="0" style="background-color:transparent;left:0px;position:absolute;top:0px;width:100%;height:105;z-index:-1;filter:mask();"></iframe>
				<![endif]-->
			</div>
		</div>
		</td>
		<td valign="top">
		<div id="lryParentmain19" class="Parentmain1"  onmouseover="DHTMLRestoreAll();DHTMLNavBarMM_showHideLayers('lyr19','','show','menu');" onmouseout="DHTML_swapImgRestore();" onclick="DHTMLNavBar_configureCookie('19');">
			<table border="0" class="ParentNav1" width="100%" cellpadding="0" cellspacing="0">
				<tr id="pRow19" style="vertical-align: top; background-color: transparent;" >
					<td valign="top" style="" id="pLink19"><a href="body.cfm?id=19" target="" class="clMain1">Find a Doctor</a></td>
				</tr>
			</table>
			<div id="lyr19" class="clLeft1" onMouseOut="DHTMLRestoreAll();">
				<table cellpadding="0" cellspacing="0" class="ChildNav1" border="0">
					<tr id="cRow19_1" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink19_1"><a href="body.cfm?id=943" target="" class="clSubb1">Physicians</a></td>
					</tr>
					<tr>
						<td valign="top"><img alt="" src='images/c_btwn.gif'></td>
					</tr>
					<tr id="cRow19_2" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink19_2"><a href="body.cfm?id=840" target="" class="clSubb1">Research Scientists</a></td>
					</tr>
					<tr>
						<td valign="top"><img alt="" src='images/c_btwn.gif'></td>
					</tr>
					<tr id="cRow19_3" style="vertical-align: top; background-color: transparent;"  onmouseover="">
						<td valign="top" class="ChildNav1" style="" id="cLink19_3"><a href="body.cfm?id=20" target="" class="clSubb1">Need Help?</a></td>
					</tr>
					<tr>
						<td valign="top"><img alt="" src='images/c_btwn.gif'></td>
					</tr>
				</table>
				<!--[if lte IE 6.5]>
				<div id="endTablelyr19" style="height:1px;overflow:hidden;"></div><iframe id="Framelyr19" frameborder="0" style="background-color:transparent;left:0px;position:absolute;top:0px;width:100%;height:45;z-index:-1;filter:mask();"></iframe>
				<![endif]-->
			</div>
		</div>
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								  <h1 class="pagetitle" id="pagetitle"><strong>Treatment Options for Pituitary Tumor</strong> / Minimally Invasive Craniotomy</h1>
                                
                                
		
		<h2>Minimally Invasive Craniotomy at UCLA</h2>
<p><br /><a href="body.cfm?id=38"><img class="sm6generalwizard" src="images/Pituitary%20Program/Pit_Prog_logo_allpages.jpg" border="0" alt="Link to Pituitary Tumor Program at UCLA." width="500" height="60" /></a></p>
<h3 style="color:#993300">Minimally Invasive "Key-Hole" Surgery for Pituitary Tumors</h3>
<p>In rare cases, pituitary tumors cannot be removed using the endoscopic <a href="body.cfm?id=699">expanded endonasal approach</a>. This situation typically occurs when the tumor has spread laterally (to the side), and therefore not reachable using the nasal corridor.</p>
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<td bgcolor="#eeeeee"><img class="sm6generalwizard" src="images/Pituitary%20Program/Surgical_microscope.jpg" border="0" alt="Image of Surgical microscope being used for a minimally-invasive, key-hole craniotomy approach." hspace="0" width="410" height="277" /></td>
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<td bgcolor="#eeeeee"><em>Surgical microscope being used for a minimally-invasive, key-hole craniotomy approach.</em></td>
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<p>In these cases, a craniotomy may be necessary.</p>
<ul>
<li>A craniotomy refers to opening a window on the side of the skull, and&nbsp;then approaching the pituitary&nbsp;tumor by working underneath the brain.</li>
</ul>
<ul>
<li>The neurosurgeon can either use an endoscope, or a surgical microscope, to provide light and magnification.</li>
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<ul>
<li>Sometimes craniotomies require long incisions on the scalp, which can usually be hidden behind the hairline.</li>
</ul>
<p>UCLA neurosurgeons are experienced with so-called "key-hole" microcraniotomies, in which a minimally invasive, smaller incision is hidden within an eyebrow.</p>
<p><a href="body.cfm?id=407">More about minimally invasive surgery &gt;&gt; </a></p>
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