Microsurgical treatment on multiple intracranial aneurysms of anterior circulation

VernacularTitle:前循环多发动脉瘤的显微手术治疗
Author: Shuai WANG ¹ ; Shengkui LU ; Jian SONG ; Shaomei GENG ; Baohua JIAO
Author Information

1. 河北医科大学第二医院神经外科
Keywords: Multiple intracranial aneurysm; Microsurgery; Curative effect
From: Chinese Journal of Neuromedicine 2014;13(2):191-194
CountryChina
Language:Chinese
Abstract: Objective To summarize the experience of surgical strategies and operational skills on multiple intracranial aneurysms of anterior circulation.Methods The clinical data of 85 patients with multiple intracranial aneurysms of anterior circulation,admitted to our hospital from October 2010 to March 2011,and the surgical strategies and operational skills on the aneurysms were retrospectively analyzed.According to Glasgow outcome scale (GOS) scores,the curative effects in these patients were rated.Results One-stage surgery was performed in all aneurysms of 79 patients and staged surgeries in 6 patients.Bilateral aneurysms were treated through unilateral craniotomy in 7 patients and bilateral craniotomy in 26 patients.One hundred and eighty-three aneurysms were clipped and 5 were wrapped.According to GOS scores,the curative effects were poor in 7 patients (GOS 2-3) and good in 76 (GOS 4-5),and 2 patients died.Conclusions Multiple intracranial aneurysms of anterior circulation should be treated as soon as possible.The reasonable surgical strategies and delicate surgical skills are critical to the success of surgeries.