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How can we tell during surgery whether the spinal cord is adequately decompressed? Iwan and Ben are joined by Dr Carl Zipser, a Consultant Neurologist and Scientist at Balgrist University Hospital, Switzerland to discuss his study looking at a role for CSF pressure monitoring. It represents a return to concepts that have been dormant for over 40 years, but now a timely one, as we look for techniques to overcome the limitations of MRI.