Microcirugía asistida por endoscopia en el clipado de aneurismas gigantes y del segmento carotídeo comunicante posterior

objective. to describe the importance of the aid of the neuroendoscope in the microsurgery of cerebral aneurysms. description. 62 years old female patient with an internal carotid artery giant aneurysm (ica) and multiple aneurysms, one of them in the posterior communicant carotid segment (pcom). intervention. both of them were treated with microsurgery, and the pcom aneurysm was clipped with the assistance of endoscopy. conclusion. in cases with giant and pcom aneurysms the endoscope assisted microsurgery is useful, providing good access to hidden fields to microscope, allowing a properly occlusion and preservation of perforators branches.