Cranio-Orbital Approach with Extradural Clinoidectomy for Ruptured Wide Neck Fetal PCOMM Aneurysm
Abstract
A 58-year-old woman presented with headache and nuchal rigidity but was otherwise neurologically intact, was found to have HH2F3 SAH due to ruptured left fetal PCOM aneurysm. A left cranio-orbital approach with anterior clinoidectomy permitted successful clipping of the aneurysm. Postoperative DSA confirmed that the left anterior choroidal artery and fetal PCOM remained patent, and that the aneurysm was obliterated. She recovered well and is functionally independent at three-month follow-up. Publication History Article published online: 27 February 2026 © 2026. Thieme. All rights reserved. Georg Thieme Verlag KG Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany
Fields of Study & Subjects
Intracranial Aneurysms: Treatment and Complications
Vascular Malformations Diagnosis and Treatment
Moyamoya disease diagnosis and treatment
Publication details
- Journal / source
- Journal of Neurological Surgery Part B Skull Base
- Volume
- 87
- Issue
- S 01
- Pages
- S1–S548
- Publication date
- 27 February 2026
- Language
- EN