Multiple intracranial aneurysms

A high risk condition

Research output: Contribution to journalArticle

47 Citations (Scopus)

Abstract

There is still a relative silence in the literature on what policy should be followed in treating multiple aneurysms. The main risks are: bleeding of a formerly asymptomatic aneurysm during the haemodynamic tides of the peri-operative period; aneurysm(s) can be hidden on angiograms and tend to be overlooked easier in case of an already revealed aneursym; misjudgement of the ruptured one as a silent additional aneurysm, therefore left for second stage surgery. This paper, based on a material of 330 operations for multiple aneurysms, focuses on these problems. It advocates the one stage complete repair of all lesions using both options of bilateral pterional craniotomies or the contralateral approach. But it also describes those silent aneurysms which safely could be clipped later. Hazards and disadvantages concerning the more aggressive surgery proved to be less significant than the natural history of multiple aneurysms represents.

Original languageEnglish
Pages (from-to)59-75
Number of pages17
JournalActa Neurochirurgica
Volume118
Issue number1-2
DOIs
Publication statusPublished - Mar 1992

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Intracranial Aneurysm
Aneurysm
Craniotomy
Angiography
Hemodynamics
Hemorrhage

Keywords

  • bilateral craniotomies
  • contralateral approach
  • microsurgery
  • Multiple aneurysms
  • vasospasm

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Multiple intracranial aneurysms : A high risk condition. / Vajda, J.

In: Acta Neurochirurgica, Vol. 118, No. 1-2, 03.1992, p. 59-75.

Research output: Contribution to journalArticle

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