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All targets in the anterior circulation had significantly larger areas of surgical freedom when treated via the MPTa versus the SOa. CONCLUSIONS The MPTa provides greater surgical exposure and better maneuverability than that offered by the SOa. The SOa may be advantageous as a direct corridor for treating lesions located in the contralateral side or in the anterior cranial fossa, but the surgical exposure provided in the midline region is inferior to that exposed by the MPTa.OBJECTIVE Improved outcomes in patients with subarachnoid hemorr