Ivan David Lozada-Martinez¹, Mohammed Maan Al-Salihi², Abdur Rahman³, AHM Ataullah⁴, Sabrina Rahman⁵, Md Nazmul Huda Ridoy⁶, Karen Muñoz-Báez⁷ and Md Moshiur Rahman⁸*

¹Medical and Surgical Research Center, School of Medicine, University of Cartagena, Cartagena, Colombia
²Medical Doctor, College of Medicine, University of Baghdad, Baghdad, Iraq
³HMO, Dhaka Medical College Hospital, Dhaka, Bangladesh
⁴Medical Officer, Sher-E-Bangla Medical College Hospital, Barishal, Bangladesh
⁵Department of Public health, Independent University-Bangladesh, Dhaka, Bangladesh
⁶Final Year Medical Student, Jahurul Islam Medical College and Hospital, Bhagalpur, Bajitpur, Bangladesh
⁷Colombian Clinical Research Group in Neurocritical Care, School of Medicine, University of Cartagena, Cartagena, Colombia
⁸Assistant Professor, Neurosurgery Department, Holy Family Red Crescent Medical College, Dhaka, Bangladesh

*Corresponding Author: Md Moshiur Rahman, Assistant Professor, Neurosurgery Department, Holy Family Red Crescent Medical College, Dhaka, Bangladesh.

Received: March 12, 2021; Published: June 30, 2021

Citation: Md Moshiur Rahman., et al. “Microsurgical Clipping of Paraclinoid Aneurysm”. Acta Scientific Neurology 4.5 (2021): 23.

Study Objective

To learn how to clip through fenestrated clip in paraclinoid aneurysm.

  Through pterional approach and trans-sylvian dissection optico-carotid cistern was exposed and anterior clinoid was drilled intradurally, proximal dural ring was sharply cut and paraclinoid aneurysm was clipped by a fenestrated clip parallel to carotid.

Comfort Nursing Home, a private hospital in Dhaka, Bangladesh.

Neurosurgeons/Neurologists/Residents.

Demonstration of pterional approach for clipping of paraclinoid aneurysm and its steps were intervened.

Results

Avoidance of complications like intraoperative rupture, carotid artery injury etc were achieved successfully.

Conclusion

  The steps of paraclinoid aneurysm clipping is well established. Prior anatomical concepts particularly drilling of anterior clinoid, proximal dural ring exposure and relationship of aneurysm to carotid artery is key to success.

Video Article Link

https://youtu.be/FiCLC_flf_M.

Copyright: © 2021 Md Moshiur Rahman., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.