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Updated: May 9, 2026

Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment
18:50

Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment

Published on: September 25, 2009

Simultaneous rupture of two middle cerebral artery aneurysms presented with two aneurysm-associated intracerebral

Sina Havakeshian1, Oliver Bozinov1, Jan-Karl Burkhardt1

  • 1Department of Neurosurgery, University Hospital of Zurich, Zurich, Switzerland.

Journal of Neurological Surgery. Part A, Central European Neurosurgery
|July 27, 2013
PubMed

Insights

Simultaneous rupture of multiple intracranial aneurysms is rare but possible. This case highlights the importance of identifying all ruptured aneurysms in patients with multiple aneurysms to ensure complete treatment.

Area of Science:

  • Neurosurgery
  • Neurology
  • Radiology

Background:

  • Multiple intracranial aneurysms present a diagnostic challenge.
  • Simultaneous rupture of multiple aneurysms is an uncommon but critical event.

Observation:

  • A patient presented with symptoms of subarachnoid hemorrhage and progressive consciousness decline.
  • CT angiography revealed two adjacent middle cerebral artery aneurysms associated with separate intracerebral hemorrhages.

Findings:

  • Surgical confirmation of simultaneous rupture of two middle cerebral artery aneurysms.
  • Successful microsurgical clipping of both ruptured aneurysms without complications.

Implications:

  • Clinicians should consider simultaneous aneurysm rupture in patients with multiple aneurysms.
  • Accurate identification of all ruptured aneurysms is crucial for effective management and preventing re-bleeding.

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