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Pulled out all stops for this basilar aneurysm: rapid ventricular pacing to soften aneurysm; tandem curved clipping to reduce its girth; tentorium disassembly to increase transsylvian exposure for proximal control lateral to trochlear n.; aneurysm clipping thru 3 triangles: optic-carotid, carotid-oculomotor, oculomotor-tentorium…
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