Therapeutic strategies of multiple intracranial aneurysms

Abstract

Objective To explore the incidence,principles of treatment and prognosis of multiple intracranial aneurysms.Method The clinical and imaging data of 36 patients with 76 aneurysms were analyzed retrospectively.Results 28 aneurysms were clipped and 2 were wrapped through single pterion approach in 14 patients.40 aneurysms were treated with endovascular therapy in 20 patients.4 aneurysms were clippled and 2 were coiled with surgical treatment combined with endovascular therapy in 2 patients.The clinical outcomes of these patients evaluated by Glasgow Outcome Scale grades were:28 persons without deficit,4 persons with minor deficit,2 persons with major deficit,1 person was vegetative state and 1 person was dead.Conclusions At first days based on the sites of aneurysms and patient's conditions,all multiple intracranial aneurysms should be treated selectively by microsurgery or endovascular therapy in one stage whenever possible,and the prognosis is good. Key words: Intracranial aneurysm; Microsurgery; Endovascular embolization