Operative neurosurgery (Hagerstown, Md.)
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Oper Neurosurg (Hagerstown) · Dec 2019
Overcoming Daunting Challenges of Clipping of Paraclinoid Carotid-Ophthalmic and Superior Hypophyseal Artery Aneurysms: 2-Dimensional Operative Video.
This surgical video emphasizes the nuances that needed to overcome daunting challenges of clipping of paraclinoid carotidophthalmic and superior hypophyseal artery (SHA) aneurysms. To avoid hazardous manipulations, scarifying the ipsilateral SHA under visual evoked potential (VEP) guidance can be done without risk of postoperative visual decline. This technique is associated with better visual outcome.1 A 66-yr-old woman presented with gradually enlarging right paraclinoid carotidophthalmic and SHA aneurysms. ⋯ The postoperative course was uneventful. There was no evidence of postoperative visual disturbances. The patient has consented to the submission of the case report to the journal.