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Ruptured intracerebral aneurysms account for high morbidity and mortalityall around the world, where only one third seems to go back to their functional life and another one third live a life of dependence.1,2,12,18,19,21 There are various surgical strategies for the management of those aneurysms, which can be broadly divided into endovascular management and microsurgical clipping.8,9,20 Early Experience of Microsurgical Clipping of Ruptured Intracranial Aneurysms. Pankaj Raj Nepal FCPS Neurosurgery B&C Medical College Teaching Hospital,