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¹Kocaeli Üniversitesi Tıp Fakültesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, Kocaeli, Türkiye The use of an endoscope in aneurysm surgery has been increasing, especially in terms of better visualization of the surgical site, the presence of aneurysm domes, the main artery and perforations, both before and after the clipping, and the areas that are hard to visualize with the microscope. Initially, the endoscope was used to display the field just before and after the clipping, and also during the clipping with the help of an endoscope holder. The endoscope also allows surgeons to perform microsurgical manipulation using both hands under endoscopic and microscopic control with stabilization systems. The surgeon can check hidden structures in this manner. The endoscope can also be used with the transnasal transsphenoidal route for the removal of the content of an aneurysm causing cranial nerve injury after endovascular closure of cavernous segment aneurysms. Anahtar Kelimeler : Aneurysm, Endoscope, Endoscope-assisted microneurosurgery, Supraorbital, Transphenoidal