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Updated: Aug 31, 2026
Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
[Microsurgical treatment of multiple intracranial aneurysms]
Objective:
To summarize the experience in microsurgical treatment of multiple intracranial aneurysms.
Method:
Eight patients with 17 aneurysms were analysed retrospectively.
Results:
Seven patients were followed up from 0.5 month to 10 years. According to Sundt's standard, the results in 5 patients were excellent and 2 good. One patients with bilateral PCom aneurysm died 1 week after operation.
Conclusions:
Multiple intracranial aneurysms should be removed as soon as possible, especially bilateral ones. The best way is first to clip the bled aneurysm and then the contralateral one by using coronal incision and bilateral pterional approach. This approach has the advantage of minimal invasion, good exposure, and less time-consuming.
