BACKGROUND: @entity510 ( @entity510 ) has a global incidence of 9/100,000. In low-resource settings, where neurosurgical capacity is diminished through fewer @entity1 and technological resources, neurosurgeons may not be prepared to operate on @entity439 cases in emergent situations. We report a @entity1 presented with @entity439 @entity510 in rural Iran, creating the dilemma of the will for the neurosurgeon. We discuss the impact of the knowledge of neurosurgical anatomy on the resolution of this dilemma. CASE DESCRIPTION: A 30-year-old female presented with @entity439 @entity510 to a remote medical facility in rural Iran. A safe and fast referral to a nearby vascular neurosurgery center was not available. A contrasted computed tomography (the only available imaging modality) revealed a carotid bifurcation @entity439 . The situation was explained to the @entity1 and family, and they decided to proceed with surgery. With the minimum  technical radiological and surgical equipment available, the surgeon managed to successfully treat the @entity1 , aided by his mastery of the neurosurgical anatomy. The @entity1 was discharged without any complication. CONCLUSIONS: We highlight the importance of mastery of neurosurgical anatomy, which was critical in achieving a favorable @entity1 outcome. The necessity of developing low-cost platforms to enhance neurosurgical anatomy learning in neurosurgical residency programs of low-resource regions and countries is discussed.

"To Operate" Versus "Not to Operate" in Low-Resource Settings: Example of XXXX Surgery in Rural Iran and Impact of Mastery of Neurosurgical Anatomy.

@entity1 :: ('9606', 'Species') :: ['human', 'patient'] @entity439 :: ('MESH:D000783', 'Disease') :: ['aneurysmal', 'aneurysm'] @entity510 :: ('MESH:D013345', 'Disease') :: ['SAH', 'Subarachnoid hemorrhage']
@entity439 :: (MESH:D000783,Disease) :: ['Aneurysm']
