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Updated: Sep 14, 2025

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Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
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Paraclinoid aneurysm clipping: how I do it
Bruno Vernile1, Kyle McGrath2, Sudhakar Vadivelu1
1Division of Pediatric Neurosurgery, Department of Neurosurgery, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Acta Neurochirurgica
|July 21, 2025
Summary
Surgical clipping is a challenging but effective treatment for rare paraclinoid aneurysms. Successful management demands deep knowledge of paraclinoid anatomy and surgical expertise.
Area of Science:
- Neurosurgery
- Vascular Neurology
- Cerebrovascular Anatomy
Background:
- Paraclinoid aneurysms are uncommon cerebrovascular diseases.
- These aneurysms pose significant surgical challenges, even with advancements in endovascular treatments.
- Optimal surgical outcomes necessitate specialized anatomical knowledge and extensive surgical experience.
Purpose of the Study:
- To describe a refined approach to the surgical management of paraclinoid aneurysms.
- To detail the planning strategies and surgical techniques employed for these complex lesions.
- To provide insights into overcoming the challenges associated with paraclinoid aneurysm surgery.
Main Methods:
- Review of surgical cases involving paraclinoid aneurysms.
- Detailed anatomical description of the paraclinoid region.
- Elaboration of surgical planning considerations.
- Step-by-step description of surgical techniques for clipping.
Main Results:
- Surgical clipping was successfully employed in select cases of paraclinoid aneurysms.
- The described approach facilitated effective management of these challenging aneurysms.
- No specific outcome data is provided in the abstract, but the focus is on the methodology and approach.
Conclusions:
- Surgical clipping remains a viable and important treatment option for specific paraclinoid aneurysms.
- A thorough understanding of paraclinoid anatomy is crucial for successful surgical intervention.
- The outlined approach provides a framework for managing these complex neurovascular conditions.

