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Related Experiment Video

Updated: Sep 14, 2025

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

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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

This summary is machine-generated.

Surgical clipping is a challenging but effective treatment for rare paraclinoid aneurysms. Successful management demands deep knowledge of paraclinoid anatomy and surgical expertise.

Keywords:

Aneurysm clipping Cerebral aneurysm Paraclinoid aneurysm Surgical approach

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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.