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r DCS, and an SCA of 79.1 degrees demonstrated significant diagnostic value for the detection of DCS. Patients in the DCS group had a lower SCA and a higher T1s. Both a lower SCA and a higher T1s could be risk factors for DCS, and an SCA of less then 79.1 degrees demonstrated significant diagnostic value for the detection of DCS. Access to timely neurosurgical care in particular remains limited worldwide, and is associated with increased morbidity and mortality, a decrease in overall life expectancy, and catastrophic economic costs.