Micro Surgical Treatment Of Multiple Intracranial Aneurysms

Objective: To study the effects of multiple intracranial aneurysms (MIA), to explore thebasic characteristics of the rupture and bleeding risk, treatment strategies, operation methods,skills and prognostic factors, to sum up experience, improve the therapeutic effect.Methods: during2011January to2012December were reviewed, and comparison ofvascular Department of Neurosurgery treated41patients with multiple intracranial aneurysms,13cases of male,28female, age41-74years old, average age is55.9years old, the basiccharacteristics of the authors (including age, gender, case of aneurysm of the site) wereanalyzed to41cases with92aneurysms should be as soon as possible to one or two stagemicrosurgical clipping in the treatment of unruptured aneurysms, part give selective treatment,better prognosis, and to summarize the experience of treatment.Results:41cases with92aneurysms, a clipping in16patients,6cases of stageclamping, clamping+was observed in17cases, clipping and staging was performed in2cases. After all with GOS on the prognosis of patients with poor prognosis were evaluated,1points in2cases, accounting for4%, the follow-up of1-12months, no recurrence ofaneurysm and an unruptured aneurysm hemorrhage.Conclusion: rupture aneurysms should be early operation clipping aneurysms as theprimary principle, processing of non responsibility aneurysm, surgery to a period of allclamping, clamping difficult for phase two clipping aneurysm clipping operation is difficult,and family members do not agree to give the dynamic observation of operation. The reasonMIA poor prognosis in SIA is breaking probability is higher than that of SIA operation,operation of refinement is artificially controllable factors of prognosis of MIA.