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Complications when clipping basilar apex aneurysms come from compromising thalamoperforators, which arise from superior walls of P1 segments, away from SCA aneurysms. These are safer to clip w/better outcomes, but proximal control may be deeper down & SCA origin from the base may be harder to reconstruct….

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Michael T. Lawton, MD

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25,231 görüntüleme • 2 ay önce •via X (Twitter)

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Clipping basilar aneurysms requires the 3T’s: training + talent + temperament. Keys to success include temporary clipping, better perforator dissection, effective permanent clipping techniques. Plus tricks, like clinoidectomy to mobilize oculomotor nerve, transposition of sphenoparietal sinus, etc. Young neurosurgeon should strive to gain proficiency…
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