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Timothy Uschold, Adib A. Abla, David Fusco, Ruth E. Bristol and Peter Nakaji

wide corridor were coagulated and cut on the bias toward the cerebellar surface to avoid later avulsion during removal, angulation, or replacement of the endoscope. On arrival at the deep venous (galenic) confluence, the endoscope was directed at the level of the pathological entity, and the coronally oriented arachnoid adhesions were opened sharply with microscissors. In a single case of pineal cyst resection, dissection of the cyst proceeded as previously described, using a “bimanual” technique through the principal and side ports of the endoscope. During this

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Sam Safavi-Abbasi, Hai Sun, Mark E. Oppenlander, Peter Nakaji, M. Yashar S. Kalani, Joseph M. Zabramski and Robert F. Spetzler

References 1 Barrow DL , Spetzler RF : Cotton-clipping technique to repair intraoperative aneurysm neck tear: a technical note . Neurosurgery 68 : 294 – 299 , 2011 2 Bederson JB , Zabramski JM , Spetzler RF : Treatment of fusiform intracranial aneurysms by circumferential wrapping with clip reinforcement. Technical note . J Neurosurg 77 : 478 – 480 , 1992 3 Lanzino G , Spetzler RF : Clip wrapping for partial avulsion of the aneurysm neck. Technical note . J Neurosurg 99 : 931 – 932 , 2003 4 Menovsky T , de Vries J

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Sam Safavi-Abbasi, Felix Moron, Hai Sun, Mark E. Oppenlander, M. Yashar S. Kalani, Celene B. Mulholland, Joseph M. Zabramski, Peter Nakaji and Robert F. Spetzler

, 2003 42 Lanzino G , Spetzler RF : Clip wrapping for partial avulsion of the aneurysm neck. Technical note . J Neurosurg 99 : 931 – 932 , 2003 43 Lavin P : Muslin-induced optochiasmatic arachnoiditis? . Neurosurgery 20 : 505 , 1987 . (Letter) 44 Lawton MT , Du R : Effect of the neurosurgeon's surgical experience on outcomes from intraoperative aneurysmal rupture . Neurosurgery 57 : 9 – 15 , 2005 45 Lee DW , Binning MJ , Shanmugam VK , Schmidt RH , Couldwell WT , Meyer M , : Muslin-induced intracranial

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Mohamed A. Labib, Leandro Borba Moreira, Xiaochun Zhao, Sirin Gandhi, Claudio Cavallo, Ali Tayebi Meybodi, A. Samy Youssef, Andrew S. Little, Peter Nakaji, Mark C. Preul and Michael T. Lawton

process (MCP). D: The external dural leaflet is elevated and retracted medially. Note the inferior parasellar ligament ( black arrows ) connecting the parasellar ICA to the meningeal dura of the gland, which constitutes the medial wall of the CS. E: The inferior parasellar ligament is divided, and the IHA is identified, coursing to the posterior lobe of the pituitary. F: The IHA is divided to avoid the risk of iatrogenic avulsion off the ICA during pituitary mobilization. The inferior aspect of the caroticoclinoid ligament (CCL) is now visible. G: The