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Updated: Jul 13, 2026

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
Posterior communicating artery aneurysm-induced third nerve palsy: clipping or coiling?
Georgios K Matis1, Theodossios A Birbilis
1Department of Neurosurgery, University Hospital of Alexandroupolis, Democritus University of Thrace, Medical School, Alexandroupolis, Greece.
Abstract:
We present a case of a 38-year-old man who underwent neurosurgical clipping of a posterior communicating artery aneurysm causing a third nerve palsy. Pupil size and extraocular muscle movements became normal within one year and a mild residual ptosis was noted. The role of surgical and endovascular treatment is discussed. This case illustrates the difficulties arising in choosing the most appropriate therapeutical intervention.
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