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The clamp was brought out of the same incision, and the sutures were closely approximated around this.

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Improvement occurred in one patient over two to three weeks while the remaining five patients had residual hemiparesis.

One patient developed malignant MCA infarct for which decompressive craniectomy had to be done. Conclusions: Gradual monitored occlusion and ICA ligation may be a simple, safe alternative procedure to clipping in surgically inaccessible and complex aneurysms, especially for surgeons with limited experience.

A volumetric classification was used to analyze tumor growth trends.

More than 1 year of imaging follow-up was available for 23 patients.

Results and Conclusion: Medium- and large-volume-size lesions were associated with the need for surgery.

About half of the nonsurgical lesions grew at least 50% over a period of 4.5 years and did not require surgical resection. Karger AG, Basel Received: April 14, 2015Accepted: November 12, 2015Published online: January 21, 2016 Issue release date: February 2016 Number of Print Pages: 10 Number of Figures: 9 Number of Tables: 4 ISSN: 1016-2291 (Print) e ISSN: 1423-0305 (Online) For additional information: https:// Copyright: All rights reserved.

However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions.

This is particularly important when the recommended agent is a new and/or infrequently employed drug.

Neurol India [serial online] 2012 [cited 2018 Jan 11];4-9. 2012/60/2/174/96396Giant carotid aneurysms in the paraclinoid or cavernous segment, which are surgically complex and 'unclippable' may be considered for carotid ligation as it is a simple procedure to perform and may be performed even in a setup with limited infrastructure.

Authors retrospectively analyzed patients with giant internal carotid artery (ICA) aneurysms who had undergone ICA ligation.

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