Improved Paine point ventricular puncture in the assisted treatment of early ruptured intracranial multiple aneurysms

Abstract

Objective To investigate the microsurgical methods for the early stage of ruptured intracranial multiple aneurysms. Methods Twenty-three cases of intracranial multiple aneurysms were selected, through pterion craniotomy, all of them were operated within 72 h of attack. After the modified Paine point of the ventricle puncture cerebrospinal fluid, and emergency microsurgical clip closed rupture of intracranial aneurysm in 49 cases, parcel in two cases. Results Twenty-three craniotomy patients were placed successfully closed 50 aneurysms (the clipped three aneurysms in two cases, one time clipping two aneurysms in 15 cases, one time clipping one aneurysm and wrapped in one aneurysm in one case, sub clipping four aneurysms in one case, a clipping two aneurysms in four cases). Conclusions Intracranial multiple intracranial aneurysm microsurgery methods are complex, modified Paine ventricle puncture released cerebrospinal fluid can effectively reduce the early operation of acute brain swelling, which is in favor of all aneurysms with early surgery treatment, but need to be combined with the actual situation of develop personalized operation plan, in order to obtain a better clinical effect. Key words: Multiple intracranial aneurysms; Rupture; Early surgery