case_images: PMC4274853_01
case_images: Magnetic resonance without any abnormality.
case_images: CRIM2014-325414.002.jpg
case_images: PMC4274853_01_CRIM2014-325414.002.jpg
case_images: fig2
case_images: She is a chronic smoker and was investigated through computed tomography (CT), brain magnetic resonance imaging (Figure 2), angiotomography (Figure 3), and cerebral angiography.
case_images: Angiotomography shows a P2P aneurysm of the right side (yellow target).
case_images: CRIM2014-325414.003.jpg
case_images: PMC4274853_01_CRIM2014-325414.003.jpg
case_images: fig3
case_images: She is a chronic smoker and was investigated through computed tomography (CT), brain magnetic resonance imaging (Figure 2), angiotomography (Figure 3), and cerebral angiography.
case_images: Positioning the patient with Mayfield surgical frame to subtemporal approach.
case_images: CRIM2014-325414.004.jpg
case_images: PMC4274853_01_CRIM2014-325414.004.jpg
case_images: fig4
case_images: The patient was positioned with Mayfield surgical frame and submitted to a subtemporal approach (Figure 4).
case_images: Detaching and mobilizing the anterior temporal lobe open the operative corridor through the carotid-oculomotor triangle.
case_images: CRIM2014-325414.005.jpg
case_images: PMC4274853_01_CRIM2014-325414.005.jpg
case_images: fig5
case_images: Superficial dissection strategy for P2P aneurysm was done by detaching and mobilizing the anterior temporal lobe opening the operative corridor through the carotid-oculomotor triangle (Figure 5).
case_images: Visualization of the P2P segment aneurysm.
case_images: CRIM2014-325414.006.jpg
case_images: PMC4274853_01_CRIM2014-325414.006.jpg
case_images: fig6
case_images: Dissecting the P2 segment was necessary laterally over the oculomotor nerve to the tentorial edge (Figure 6).
case_images: Definitive clipping of the aneurysm.
case_images: CRIM2014-325414.007.jpg
case_images: PMC4274853_01_CRIM2014-325414.007.jpg
case_images: fig7
case_images: With a dissection of the neck of the aneurysm a definitive Sugita clip (Mizuho, Japan) was placed (Figure 7).
case_images: A postoperative CT scan.
case_images: CRIM2014-325414.008.jpg
case_images: PMC4274853_01_CRIM2014-325414.008.jpg
case_images: fig8
case_images: After the surgery a CT scan was performed (Figure 8).
case_images: Patient 3 days after the surgery.
case_images: CRIM2014-325414.009.jpg
case_images: PMC4274853_01_CRIM2014-325414.009.jpg
case_images: fig9
case_images: Patient showed a good postoperative evolution without neurologic deficits (Figure 9).