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Clipping of AICA aneurysm- (rt. pterional approach): |
| Dr. A. Vincent Thamburaj, |
| Neurosurgeon, Apollo Hospitals, Chennai, India. |
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Clip1:
The patient is positioned supine with the head turned to the left; through a retromastoid incision, the triangle at the base of skull, behind the trigeminal nerve, is drilled to facilitate more room and less brain retraction. |
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Clip2:
The dura is opened and the CSF is drained; the petrosal sinus is exposed, coagulated and cut. |
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Clip3:
The dome of the aneurysm and the 6th nerve, and later the 5th nerve are seen. The aneurysm is clipped. |
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