Korean J Cerebrovasc Dis.  2001 Sep;3(2):191-195.

Surgical Management of Multiple Aneurysms Including Distal Anterior Cerebral Artery Aneurysms

• Lee JM
• Ahn JS
• Chun YI
• Kwon Y
• Kwun BD

Abstract

OBJECTIVE
The goal of this study is to evaluate the surgical outcome of multiple aneurysms including distal anterior cerebral artery (DACA) aneurysms. MATERIAL AND METHOD: From May 1989 to March 2000, 12 patients with multiple aneurysms including DACA aneurysms, presented with subarachnoid hemorrhage, had been surgically treated. Their medial record and radiological studies were studied retrospectively. Of 12 patients, in 5 patients, all of the aneurysms were clipped through a single craniotomy extended from midline to pterion in one stage, in 5 patients, multiple aneurysms were treated through separate craniotomies in one stage and 2 patients were treated in staged operation.
RESULTS
Two patients showed Glasgow Outcome Scale (GOS) 5-4, 2 patients showed GOS 3-2 and 1 patient showed GOS 1 in 5 patients treated through a single craniotomy in one stage, 2 patients showed GOS 5-4 and 3 patients showed GOS 3-2. All patients treated in staged operation showed favorable outcome.
CONCLUSION
In surgical management of multiple aneurysms including DACA aneurysms surgery through separate bony windows in two stages seemed to show more favorable outcome.

Keyword

Distal anterior cerebral artery aneurysms; Multiple aneurysms

MeSH Terms

Aneurysm*
Anterior Cerebral Artery*
Craniotomy
Glasgow Outcome Scale
Humans
Intracranial Aneurysm*
Retrospective Studies
Subarachnoid Hemorrhage