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aneurysm anterior arch arises artery aspect attached bleeding blood body bone bone flap border brain branches carotid carotid artery cause cavity cerebral cervical clips closed common complete continued cranial cranial nerve deep defect dissection dorsal dura dural enters excision exposed exposure extending external extremity fibers fluid foramen fossa fracture front frontal ganglion head hemorrhage important incision inferior injection injury intracranial intracranial pressure involvement junction lateral lesion lobe lower lumbar mass medial method middle midline muscle neck needle nerve occipital occur opening operation pain patient placed Plate plexus points portion position possible posterior present pressure procedure region removed result root scalp seen separated shown side sinus skin skull spinal cord superior supply surface Surg surgery surgical suture sympathetic temporal thoracic tion tissue transverse treatment tumor upper usually vein ventricle vertebra vessels wall wound