Seven Cerebral Aneurysms: A Challenging Case from the Andean Slopes Managed with 1-Stage Surgery

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• 作者：Joham Choque-Velasquez¹ ; ² ; ^{johchove@hotmail.com} ; Roberto Colasanti¹ ; ² ; ³ ; George Fotakopoulos² ; Humberto Elera-Florez² ; Juha Hernesniemi¹ ; ²
• 关键词：Developing countries ; Lateral supraorbital approach ; Microneurosurgery ; Mirror aneurysms ; Multiple intracranial aneurysms ; Single-stage management ; Subarachnoid hemorrhage
• 刊名：World Neurosurgery
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：97
• 期：Complete
• 页码：565-570
• 全文大小：1717 K
• 卷排序：97

文摘

Treatment of multiple intracranial aneurysms is particularly demanding and even more so in a developing country where access to specialized centers may be prevented by different factors.MethodsSingle-stage surgical treatment of 7 cerebral aneurysms was performed in a 58-year-old woman from the northern Peruvian Andes.ResultsAll 7 aneurysms were successfully and safely clipped through 2 lateral supraorbital craniotomies. The double clip technique was used in 3 aneurysms to prevent any residual aneurysmal neck.ConclusionsGood teamwork and correct application of microsurgical principles may allow effective treatment in complex neurosurgical cases even in resource-challenged environments.