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Updated: Aug 14, 2026

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
Management of high cervical-intracranial internal carotid artery traumatic aneurysms
Abstract:
The successful surgical management of a patient with a traumatic aneurysm of the internal carotid artery (ICA) at the base of the skull and a second traumatic aneurysm of the ipsilateral superficial temporal artery is described. EC-IC bypass was not necessary, and graded occlusion of the ICA was employed. Direct repair was not chosen because of its high risk of distal embolization. Electrophysiologic monitoring techniques are helpful in predicting hemispheric ischemia.
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