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[One-stage operation in 4 intracranial aneurysms]
Neurologia I Neurochirurgia Polska
|July 1, 1981
Summary
This case study highlights the successful surgical clipping of four intracranial aneurysms in a single operation. It suggests that treating multiple aneurysms simultaneously is feasible and beneficial, even in complex patient conditions.
Area of Science:
- Neurosurgery
- Vascular Neurology
Background:
- Subarachnoid hemorrhage (SAH) carries significant morbidity and mortality.
- Multiple intracranial aneurysms present complex management challenges.
Observation:
- A 58-year-old patient with a history of two SAH episodes presented with four intracranial aneurysms.
- The patient had two aneurysms on the internal carotid artery, one on the middle cerebral artery trifurcation, and one on the anterior communicating artery.
- Despite a poor clinical condition (WHO III), all four aneurysms were surgically clipped in a single procedure.
Findings:
- The patient experienced a stormy postoperative course but showed significant improvement.
- Six months post-surgery, the patient was well with no paresis, though some memory disturbances persisted.
Implications:
- This case demonstrates the feasibility and potential benefit of a one-step surgical approach for multiple intracranial aneurysms.
- Simultaneous treatment is particularly important when the bleeding source is uncertain, optimizing patient outcomes.