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Complete resection of the cyst and histopathologic analysis is recommended in order to differentiate between ependymal cyst and cystic tumor tissue. Published by Elsevier Inc.BACKGROUND It can sometimes be challenging to find a suitable clip to treat an unusual aneurysm, or when the surrounding anatomy is unusual, especially in resource-limited environments. We describe a method to modify aneurysm clips based on the method originated by Sugita, et al. in 1985. Herein clip modification (Clip-Mod) is used to treat anatomically difficult a