Mobilization of the temporal pole as integrated step in microsurgical clipping of pure posteriorly directed posterior communicating artery aneurysm

A pure posteriorly posterior communicating artery (PCoA) aneurysm represents a surgical challenge. This is mainly when there need for good exposure of the aneurysmal neck, sac, PCoA, and anterior choroidal arteries. Ruptured directed PCoA imposes significantly extra challenge as surgeon undergoes dissection through tight brain. Even with measures commonly used to attain brain relaxation like lumbar drain cisternal fenestration. Here, we describe technique temporal pole mobilization (TPM) an integrated part microsurgical clipping ruptured aneurysms. implicated in twenty-three successive cases aneurysms neurosurgery teaching hospital Baghdad, Iraq, no reported complications.