To explore the treatment of single-stage unilateral neurosurgical approach to clip the multiple intracranial aneurysms in acute stage

Abstract

Objective To explore the treatment of single-stage unilateral neurosurgical approach to clip the multiple intracranial aneurysms in acute stage,for the patient could avoid a second craniotomy and anesthesia.We present our technique of the single-stage unilateral approach to multiple intracranial aneurysms.Methods From January 2011 to November 2012,18 patients with multiple intracranial aneurysms were single-stage unilaterally approached in acute stage.Results Total 38 aneurysms of 18 patients were successfully clipped in single-stage unilateral neurosurgical operation in acute stage.The patent of all parents' arteries were preserved.The 14 cases of 18 patients are fine,there was no death associated with this approach in our group.Conclusions The method of single-stage unilateral neurosurgical approach to clip the multiple intracranial aneurysms in acute stage can avoid the patients' risk and inconvenience associated with a separate craniotomy at the different stage.And it's very important ot judge the responsible aneurysms correctly before and in operation.Therefore,it is a good technique for MIA and a good alternative approach for neurosurgeons. Key words: Multiple intracranial aneurysms (MIAs) ; Treatment; Microsurgery