Abstract：
BACKGROUND: At times, a regulation internal carotid artery-posterior communicating artery junction (ICA-P-Comm) aneurysm becomes a surgical hurdle owing to its close proximity to the anterior clinoid process, an immovable ICA and a concealed dominant P-Comm artery arising from the aneurysm neck.
METHODS: A 70 year old patient with a low lying ICA-P-Comm aneurysm underwent a \"tailored\" intradural clinoidectomy for aneurysm clipping.
CONCLUSIONS: A tailored anterior clinoidectomy to expose \"just enough\" allows a proximal ICA control in a suitable area, mobility of an atherosclerotic ICA and exposes the P-Comm artery origin which are essential in safe clipping of these aneurysms.
METHODS: A 70 year old patient with a low lying ICA-P-Comm aneurysm underwent a \"tailored\" intradural clinoidectomy for aneurysm clipping.
CONCLUSIONS: A tailored anterior clinoidectomy to expose \"just enough\" allows a proximal ICA control in a suitable area, mobility of an atherosclerotic ICA and exposes the P-Comm artery origin which are essential in safe clipping of these aneurysms.
摘要：
背景：有时，调节的颈内动脉-后交通动脉交界处（ICA-P-Comm）动脉瘤由于其靠近前斜突而成为手术障碍，由动脉瘤颈部产生的不可移动的ICA和隐蔽的优势P-Comm动脉。
方法：一名70岁的低洼ICA-P-Comm动脉瘤患者接受了“量身定制的”硬膜内切除术，用于动脉瘤夹闭。
结论：量身定制的前路临床切除术，以暴露“刚好足够”，可以在合适的区域进行近端ICA控制，动脉粥样硬化ICA的移动性，并暴露P-Comm动脉起源，这对于安全夹闭这些动脉瘤至关重要。
方法：一名70岁的低洼ICA-P-Comm动脉瘤患者接受了“量身定制的”硬膜内切除术，用于动脉瘤夹闭。
结论：量身定制的前路临床切除术，以暴露“刚好足够”，可以在合适的区域进行近端ICA控制，动脉粥样硬化ICA的移动性，并暴露P-Comm动脉起源，这对于安全夹闭这些动脉瘤至关重要。
