The Kobe journal of medical sciences
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Paraclinoid internal carotid artery aneurysms are difficult to treat and difficult to visualize by using DSA, MRA, or surface-rendered 3D-CTA. Because those aneurysms are surrounded by bone, the dural ring (proximal and distal), the optic nerve, the oculomotor nerve, and the cavernous sinus. This report represents the first attempt to assess the verification of volume-rendered 3D-CTA for surgical planning in treating paraclinoid internal carotid artery aneurysms. ⋯ When the pterional approach is used and the neck of the aneurysm is found to be remote from the anterior clinoid process, the anterior clinoid process need not be removed. In conclusion, for paraclinoid internal carotid artery aneurysms, volume-rendered 3D-CTA is superior to surface-rendered 3D-CTA, MRA and digital subtraction angiography in terms of visualization of the aneurysm and surrounding bones. It was great help for surgical planning in treating paraclinoid internal carotid artery aneurysms.