Endoscopic Endonasal Clipping of Paraclinoid Aneurysm Lateral to Optic Nerve - Surgical Technique and Technical Nuances

Journal of Neurological Surgery Part B Skull Base 2026

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Authors: M. Salman Ali, Lydia Kaoutzani, Luca H. Debs, Christopher J Carr, Shannon Derthick, James Kenneth Byrd, David Baker, Dan‐Victor Giurgiutiu, Fernando L. Vale
DOI: 10.1055/s-0046-1819006
Cited by: 0

Abstract

We present a case of young female with bilateral paraclinoid aneurysms, larger on the left. This was an incidental finding but due to family history and daughter sac on aneurysm, it was decided to proceed with treatment. After consulting our neuroendovascular collegues, it was decided to pursue clipping, otherwise she may end up requiring flow divertors bilaterally. After discussion with the patient, it was decided to perform and endoscopic endonasal approach. 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 Head and Neck Surgical Oncology Vascular Malformations 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