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Updated: Aug 9, 2026

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
Aneurysm surgery in a community setting
1Division of Neurosurgery, Stanford University School of Medicine, California.
Surgical treatment of intracranial aneurysms in private practice yielded positive outcomes. Despite challenges in a community setting, results were comparable to university hospitals, with most patients recovering well.
Area of Science:
- Neurosurgery
- Vascular Surgery
- Neurology
Background:
- Intracranial aneurysms pose significant surgical challenges.
- Community-based surgical practices may differ from academic settings.
Purpose of the Study:
- To report surgical outcomes of intracranial aneurysms treated in a private practice setting.
- To compare community-based results with those from university hospitals.
Main Methods:
- Retrospective review of 34 intracranial aneurysm surgeries over 15 years.
- Analysis of patient outcomes, including mortality and neurological complications.
Main Results:
- One death occurred due to postoperative arterial spasm.
- Three patients experienced neurological injury; others remained stable or improved.
- Successful outcomes were achieved in the majority of cases.
Conclusions:
- Intracranial aneurysm surgery in a private practice is feasible and can achieve results similar to university settings.
- Community surgical experiences, even with fewer cases, can yield comparable outcomes.
- This study supports the efficacy of private practice neurosurgery for intracranial aneurysms.
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