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Figure 3: Initial postoperative computed tomography (CT) scan after clipping of right middle cerebral artery bifurcation aneurysm, (b) CT scan after patient deteriorated due to edema and infarct after 4 postoperative days with midline shift and elevation of the bone flap, (c) CT scan after removal of the bone flap with a decrease in midline shift, (d) 3D reconstruction showing the size of the craniotomy at the first surgery and (e) 3D reconstruction showing the size of the decompressive craniotomy defect

Figure 3: Initial postoperative computed tomography (CT) scan after clipping of right middle cerebral artery bifurcation aneurysm, (b) CT scan after patient deteriorated due to edema and infarct after 4 postoperative days with midline shift and elevation of the bone flap, (c) CT scan after removal of the bone flap with a decrease in midline shift, (d) 3D reconstruction showing the size of the craniotomy at the first surgery and (e) 3D reconstruction showing the size of the decompressive craniotomy defect