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Average time to achieve proximal control was 22.6 min (22.6±13.8). One patient developed transient oculomotor palsy postoperatively. There were no other complications. When the exposed clinoidal segment of the internal carotid artery does not offer sufficient proximal space for temporary clipping, the extradural approach can be extended to the horizontal portion of the IC-ICA. In our experience, this technique is a quick, reliable, and safe alternative to the classical modalities of temporary occlusion. When the exposed clinoidal segment