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Clipping of Rt. Ophthalmic art. aneurysm- pterional approach: |
| Dr. A. Vincent Thamburaj, |
| Neurosurgeon, Apollo Hospitals, Chennai, India. |
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| Clip1: Following a pterional craniotomy, the sphenoidal ridge and the anterior clinoid are drilled away, extradurally. Take care of the optic nerve while drilling; for the inexperienced, intradural drilling may be a safer option.
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| Clip2: The dura is opened. Archnoid dissection exposes the internal carotid; the dissection continues to the cavernous sinus. the aneurysm is coming into view. |
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| Clip3:
The aneurysm is visualized. The the neck of the medially projecting aneurysm is cleared off archnoid; the neck is clipped. |
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