Seven Intracranial Aneurysms in One Patient: Treatment and Review of Literature

Osama Ahmed; Piyush Kalakoti; Matthew Hefner; Hugo Cuellar; Bharat Guthikonda

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자료유형: 학술저널

저자정보: Osama Ahmed (Louisiana State University Health Sciences Center) Piyush Kalakoti (Louisiana State University Health Sciences Center) Matthew Hefner (Louisiana State University Health Sciences Center) Hugo Cuellar (Louisiana State University Health Sciences Center) Bharat Guthikonda (Louisiana State University Health Sciences Center)

저널정보: 대한뇌혈관외과학회 Journal of Cerebrovascular and Endovascular Neurosurgery Journal of Cerebrovascular and Endovascular Neurosurgery Vol.17 No.2

발행연도: 2015.1

수록면: 113 - 119 (7page)

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Before the advent of endovascular coiling, patients with multiple intracranial aneurysms were treated with surgical clipping; however, with the advancements in endovascular technology, intracranial aneurysms can be treated with surgical clipping and/or endovascular coiling. We describe a case of subarachnoid hemorrhage in a patient with 7 intracranial aneurysms. A 45-year-old female developed a sudden headache and left sided hemiparesis. Initial workup showed a subarachnoid hemorrhage in the right Sylvian fissure. Further angiographic workup showed 7 intracranial aneurysms (left and right middle cerebral artery bifurcation, right middle cerebral artery, anterior communicating artery, left posterior communicating artery, right posterior inferior cerebellar artery, and left superior cerebellar artery). The patient underwent two craniotomies for surgical clipping of the anterior circulation aneurysms and endovascular stent-assisted coils for the posterior circulation aneurysms. The need for anti-platelet agents for endovascular treatment of the posterior circulation aneurysms and clinical presentation warranted surgical clipping of the anterior circulation aneurysms prior to endovascular therapy. We describe a case report and decision making for a patient with multiple intracranial aneurysms treated with surgical clipping and endovascular coiling.

참고문헌 (30)

참고문헌 신청

Baumann F / 2008 / Patient and aneurysm characteristics in multiple intracranial aneurysms / Acta Neurochir Suppl 103:19~28

Bederson JB / 2000 / Recommendations for the management of patients with unruptured intracranial aneurysms:A Statement for healthcare professionals from the Stroke Council of the American Heart Association / Stroke 31(11):2742~2750

Chyatte D / 1988 / Early versus late intracranial aneurysm surgery in subarachnoid hemorrhage / J Neurosurg 69(3):326~331

de Gans K / 2002 / Timing of aneurysm surgery in subarachnoid hemorrhage: a systematic review of the literature / Neurosurgery 50(2):336~342

Ellamushi HE / 2001 / Risk factors for the formation of multiple intracranial aneurysms / J Neurosurg 94(5):728~732

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