J Cerebrovasc Endovasc Neurosurg.  2015 Jun;17(2):113-119. 10.7461/jcen.2015.17.2.113.

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

Affiliations
  • 1Department of Neurosurgery, Louisiana State University Health Sciences Center, Shreveport, LA, USA. oahmed@lsuhsc.edu

Abstract

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.

Keyword

Aneurysm; Coiling; Clipping; Subarachnoid hemorrhage; Intracranial

MeSH Terms

Aneurysm
Arteries
Craniotomy
Decision Making
Female
Headache
Humans
Intracranial Aneurysm*
Middle Aged
Middle Cerebral Artery
Paresis
Subarachnoid Hemorrhage
Surgical Instruments
Full Text Links
  • JCEN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
    DB Error: unknown error