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The overall location of a giant MCA aneurysm is demonstrated. Wide Sylvian fissure dissection is warranted https://t.co/YOoqWGZumm
Most intraop ruptures occur from the aneurysm dome. The most dangerous situation is a tear at the aneurysm neck. This can occur because of a neck fracture at the level of an atheroma or if the tips of the blades penetrate the neck during blind clipping.
https://t.co/ZOYGn843zA
Incomplete closure of the atherosclerotic neck can cause intraoperative rupture. Here, the distal atheroma prevents approximation of the clip blades.
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A retrosigmoid craniotomy can be implemented in various sizes for approach to acoustic neuromas (AN), trigeminal neuralgia (TN), and hemifacial spasm (HS). The order of bony cuts is shown.
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During endoscopic transnasal resection of parasellar meningiomas, the tumor should be gently moved into the central resection cavity.
https://t.co/CwuTKxR93A