Abstract
Surgical treatment of multiple intracranial aneurysms in the acute stage requires special stratagic consideration. The authors present the surgical results of multiple aneurysms of 80 cases drawn from 348 consecutive cases over 5 years. Of 54 patients treated at the same procedure, 8 patients (14.8%) had surgical complications, and 20.5% died. There was no mortality in 15 patients in whom all aneurysms were treated in a subsequent operation. A severe preoperative neurological deficit (Grade IV) existed in 12.5% of the patients, 70% with unsatisfactory outcome. In 3 cases of anterior circulation aneurysms with a posterior circulation aneurysm had one stage operation through the same approach, there was no good results. 29 patients had unilateral one stage operation. In this group, the risk of the surgical complications was 6.9%, and 13.5% in bilateral one stage operation group.
We recommend that one stage operation through bilateral approaches should be done preferably in good-risk patients.
