Summary
We report a series of 41 patients with multiple intracranial aneurysms, analyzing them by type of surgical treatment and prognosis. We compare our findings with those of the largest published series and draw conclusions regarding the most appropriate treatment. The upshot would seem to be that morbidity and mortality depend chiefly on whether the aneurysms are bilateral or unilateral and on the patient's pre-operative status.
Similar content being viewed by others
References
Almaani WS, Richardson AE (1978) Multiple intracranial aneurysms: identifying the ruptured lesion. Surg Neurol 9: 303–305
Brisman R (1985) Management of multiple and asymptomatic aneurysms. In: Fein JM, Flamm ES (eds) Cerebrovascular surgery, Vol 3. Springer, Wien New York, pp 983–995
Drake CG, Grivin JP (1976) The surgical treatment of subarachnoid hemorrhage with multiple aneurysms. In: Morley TP (ed) Current controversies in neurosurgery. Saunders, Philadelphia, pp 274–278
Hamby WB (1959) Multiple aneurysms: aspects of treatment. J Neurosurg 16: 558–563
Heiskanen O, Marttila I (1970) Risk of rupture of a second aneurysm in patients with multiple aneurysms. J Neurosurg 32: 295–299
Heiskanen O (1981) Risk of bleeding from unruptured aneurysms in cases with multiple intracranial aneurysms. J Neurosurg 55: 524–526
Hunt WE, Kosnik EJ (1974) Timing and perioperative care in intracranial aneurysm surgery. Clin Neurosurg 21: 79–89
Inagawa T (1991) Surgical treatment of multiple intracranial aneurysms. Acta Neurochir (Wien) 108: 22–29
Inagawa T, Hirano A (1990) Ruptured intracranial aneurysms: an autopsy study of 133 patients. Surg Neurol 33: 117–123
Jaskolski DJ, Zawirski M, Jakubowski J (1989) A clinical evaluation of computed tomography in patients with subarachnoid haemorrhage and multiple intracranial aneurysms. Zentrbl Neurochir 50: 138–141
McKissock W, Richardson A, Walsh L (1964) Multiple intracranial aneurysms. Lancet 1: 623–626
Mizoi K, Suzuki J, Yoshimoto T (1989) Surgical treatment of multiple aneurysms: review of experience with 372 cases. Acta Neurochir (Wien) 96: 8–14
Mount LA, Brisman R (1974) Treatment of multiple aneurysms: symptomatic and asymptomatic. Clin Neurosurg 21: 166–170
Nehls DG, Flom RA, Carter LP, Spetzler RF (1985) Multiple intracranial aneurysms: determining the site of rupture. J Neurosurg 63: 342–348
Ostergaard JR, Hog E (1985) Incidence of multiple intracranial aneurysms: influence of arterial hypertension and gender. J Neurosurg 63: 49–55
Poppen JL, Fager CA (1959) Multiple intracranial aneurysms. J Neurosurg 16: 581–589
Pouyanne H (1973) Les anevrysmes sacculaires multiples du systeme carotidien supra-clinoiden. Etude anatomo-clinique et therapeutique. Neurochirurgie 19 [Suppl 1]: 3–96
Suzuki J, Sakurai Y (1979) The treatment of intracranial multiple aneurysms. In: Suzuki J (ed) Cerebral aneurysms. Neuron, Tokyo, pp 293–307
Vajda J, Juhasz J, Orosz E, Pasztor E, Toth SZ, Horvath M (1986) Surgical treatment of multiple intracranial aneurysms. Acta Neurochir (Wien) 82: 14–23
Winn HR, Almaani WS, Berga SL, Jane JA, Richardson AE (1983) The long-term outcome in patients with multiple aneurysms. Incidence of late hemorrhage and implications for treatment of incidental aneurysms. J Neurosurg 59: 642–651
Wilson FMA, Jaspan T, Holland IM (1989) Multiple cerebral aneurysms — a reappraisal. Neuroradiology 31: 232–236
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Cervoni, L., Delfini, R., Santoro, A. et al. Multiple intracranial aneurysms: Surgical treatment and outcome. Acta neurochir 124, 66–70 (1993). https://doi.org/10.1007/BF01401124
Issue Date:
DOI: https://doi.org/10.1007/BF01401124