Surgery for multiple cerebral aneurysms: Literature review and case report

Author:

Prirodov A. V.1ORCID,Bakharev E. Yu.2ORCID,Khadzhiev Z. B.2ORCID,Grin A. A.3ORCID,Sinkin M. V.2ORCID,Utkina I. I.2ORCID

Affiliation:

1. N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department; RUDN University

2. N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department

3. N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department; A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of Russia

Abstract

We report a case of simultaneous microsurgical clipping of 5 cerebral aneurysms in a patient with multiple aneurysms of the anterior brain.We analyzed the existing treatment approaches to multiple cerebral aneurysms, including endovascular isolation, microsurgical clipping, as well as surgical tactics in case of subarachnoid hemorrhage. We covered the recommendations for screening, surgical risks, and approaches to aneurysm isolation (single-stage and multiple-stage).Using our own experience (since no strict guidelines are currently available), we concluded that it is important to screen cerebral vessels of all close relatives of patients with multiple and familial cerebral aneurysms.

Publisher

Publishing House ABV Press

Reference60 articles.

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