Background: Subarachnoid hemorrhage can be caused by rupture of an intracranial aneurysm, trauma, or spontaneous bleeding. Severity of symptoms and the ultimate outcome are determined by the level of pressure exerted by the released blood on the brain. Gold standard treatment for cerebral aneurysm is primarily endovascular coiling. Patients that received open clipping may be at higher risk of complications due to the more invasive procedure and craniotomy.

Objective: The purpose of this article us to scrutinize clinical complications of open clipping as intervention for subarachnoid hemorrhage at the onset of post-op care to decades following surgery.

Methods: Utilizing a case report spanning three decades, risks of surgical clipping is investigated.

Results: Open clipping may result in wide ranging complications compared to endovascular coiling.

Discussion: Open clipping is a procedure that involves performing a craniotomy to expose the aneurysm, followed by the placement of a specially selected clip at the base of the aneurysm to secure its closure. Titanium Aneurysm Clips are employed to secure the aneurysm, serving as a recognized approach in the management of aneurysms. Over the years, the surgical technique of clipping aneurysms has undergone various modifications and improvements, refining its effectiveness. Although surgical

clipping demonstrates a reduced incidence of aneurysm recurrence compared to other treatment options, it does present with many more complications due to the invasiveness of the procedure.

To be update