OBJECTIVETo explore the microsurgical treatment of the clinoid and para-clinoid ICA aneurysms we analyzed operative techniques, outcome, and indication.

METHODSClinical data and follow-up outcome of 10 the clinoid and para-clinoid ICA patients were reviewed. In this study there were 3 patients with clinoid ICA aneurysms, five with ophthalmic aneurysms, two with superior hypophyseal aneurysms and one with posterior ICA wall aneurysm.

RESULTSOn follow-up (3 - 14 months, mean 7 months), 7 patients were in an excellent condition and two in a good condition; and one died of stroke postoperatively. Patients were clipped satisfactorily, as confirmed by postoperative angiogram in hospital except that one patient died of stroke.

CONCLUSIONSClinoid and para-clinoid ICA aneurysms were surgical indications. Further clarifications of aneurysms and their indications can improve outcome.