Management of patients with multiple intracranial aneurysms
Zub, L.; Mierzwa, J.; Abraszko, R.; Jarus, K.; Wroński, J.; Czapiga, B.
Neurologia i Neurochirurgia Polska 33(4): 873-881
1999
ISSN/ISBN: 0028-3843 PMID: 10612102 Document Number: 498376
A retrospective analysis of 142 patients with multiple intracranial aneurysms operated on within eight years (1991-1998) was undertaken. In 82 patients multiple aneurysms were clipped during one procedure in the remaining 60 patients operation was performed in two stages. The clinical state of patients according to Hunt-Hess scale at the admission to the department was assessed, as well as the presence of blood on the initial CT scan according to Fisher scale and outcome according to Glasgow Outcome Scale. The operative results patients with multiple intracranial aneurysms are worse, than those with single aneurysm, which is connected with the necessity of wider exposure of cerebral vessels and possibility of bleeding from unclipped aneurysm, when operation is performed in two stages.