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Clipping of a giant Lt. M.C.A aneurysm- pterional approach: |
| Dr. A. Vincent Thamburaj, |
| Neurosurgeon, Apollo Hospitals, Chennai, India. |
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Clip1:
Following a pterional craniotomy, and the splitting of sylvian fissure the carotid bifurcation and the M1 are exposed. A temporary clip is applied at the distal M1. |
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Clip2: Further archnoid dissection exposes the neck of the aneurysm; the neck is clipped and the temporary clip is removed.. |
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Clip3: The dome of the giant aneurysm is opened and the thrombus is evacuated and aneurysectomy is carried out..
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