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Related Experiment Video

Updated: Jun 6, 2026

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms

Published on: August 11, 2015

Paraclinoid carotid aneurysms.

Vijayakumar Javalkar¹, Anirban Deep Banerjee, Anil Nanda

¹Department of Neurosurgery, Louisiana State University Health Sciences Center - Shreveport, 1501 Kings Highway, Shreveport, Louisiana 71103, USA.

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia

|December 4, 2010

Summary

This summary is machine-generated.

Paraclinoid aneurysms, often large and complex, arise from the internal carotid artery. Management involves challenging microsurgery and endovascular options, with ongoing debate on optimal surgical techniques.

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Area of Science:

Neurosurgery
Vascular Neurology
Radiology

Background:

Paraclinoid aneurysms originate from the internal carotid artery (ICA) within a specific anatomical segment.
Giant, multiple, and bilateral presentations are more common in this aneurysm subtype.
Surgical clipping is technically demanding due to surrounding bony structures and neurovascular anatomy.

Purpose of the Study:

To review the anatomical features, radiological aspects, and classification of paraclinoid aneurysms.
To discuss and compare surgical and endovascular treatment modalities for these complex aneurysms.

Main Methods:

Review of anatomical and radiological characteristics of paraclinoid aneurysms.
Analysis of current surgical techniques, including skull-base approaches and anterior clinoid process resection.
Evaluation of endovascular treatment strategies for paraclinoid aneurysms.

Main Results:

Microsurgical techniques have significantly reduced operative mortality.
There is a lack of consensus on standardized surgical procedures, particularly regarding skull-base approaches.
Endovascular procedures are frequently employed due to the complexity of these aneurysms.

Conclusions:

Paraclinoid aneurysms present unique anatomical challenges requiring specialized management.
Advances in microsurgery have improved outcomes, but optimal surgical strategies remain debated.
A combination of surgical and endovascular approaches may be necessary for effective treatment.