World Neurosurgery: X 2019 DOI: 10.1016/j.wnsx.2019.100014 View full text
Santiago Gomez-Paz, Alejandro Enriquez-Marulanda, Luis C. Ascanio, Paul Foreman, Ajith J. Thomas, Christopher S. Ogilvy

Abstract: This operative video demonstrates the important considerations and details to perform a suction decompression technique to assist in clipping of a large middle cerebral artery (MCA) aneurysm ( Video 1 ). We present the case of a 58-year-old man with a 5-day history of dizziness. A computed tomography angiography revealed a 15-mm-diameter aneurysm in the left middle cerebral artery and a 6-mm-diameter aneurysm in the anterior communicating artery. Characterization of both lesions was obta…

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