Ho-ho-ho! Gather ’round, my elves, for a tale of surgical wonder, as we delve into the story of a brave 53-year-old lady, whose brain harbored a twisty, winding aneurysm, much like the serpentine paths to the North Pole. This aneurysm, nestled in the paraclinoid region of the internal carotid artery (ICA), was as tricky to handle as a slippery rooftop on Christmas Eve.

Our medical Santa, armed with mixed reality technology, embarked on a preoperative sleigh ride through the patient’s cranial landscape. This magical tech allowed for a thorough reconnaissance, much like checking the list twice, to ensure no detail of the aneurysm’s complex anatomy was overlooked.

On the day of the operation, akin to the Big Night itself, the surgeon, with the precision of a master toymaker, intradurally removed the anterior clinoid process—think of it as carefully unwrapping a gift—to reveal the aneurysm’s neck. Then, with a flourish of a long curved clip, much like a candy cane, the aneurysm was secured, ensuring it would no longer pose a threat, much like making sure every stocking is safely hung by the chimney with care.

Our patient’s recovery was as smooth as a sleigh ride over fresh snow, with nary a complication to dampen the holiday spirits. This jolly report serves to illuminate the complexities of clipping ICA-SHA aneurysms, a procedure as delicate and precise as trimming the Christmas tree. And so, with visions of healthy recoveries dancing in our heads, we close this chapter, with good cheer and a newfound appreciation for the wonders of medical innovation. Merry clipping to all, and to all a good night!