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CC BY-NC-ND 4.0 · Asian J Neurosurg 2019; 14(04): 1226-1230
DOI: 10.4103/ajns.AJNS_165_19
Case Report

One-stage operation with ipsilateral two-piece craniotomies for a case of subarachnoid hemorrhage with multiple intracranial aneurysms

Sho Tsunoda
1   Department of Neurosurgery, Showa General Hospital
2   Department of Neurosurgery, NTT Medical Center Tokyo, Tokyo
,
Gakushi Yoshikawa
1   Department of Neurosurgery, Showa General Hospital
,
Osamu Ishikawa
1   Department of Neurosurgery, Showa General Hospital
3   Department of Neurosurgery, The University of Tokyo Hospital, Tokyo
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Subarachnoid hemorrhage (SAH) with multiple intracranial aneurysms is common, but the difficulties often arise in determining treatment strategy in the acute phase. We experienced a case of SAH with distal anterior cerebral artery aneurysm coexisting with middle cerebral artery and anterior communicating artery aneurysms, in which it was difficult to identify the precise rupture site preoperatively, and both pterional approach and interhemispheric approach were required in the acute phase of SAH. However, we could treat whole aneurysms in one stage and obtained an excellent outcome using our surgical procedure with ipsilateral frontotemporal and frontal parasagittal craniotomies through a single skin incision.

Key-words:

Aneurysm - clipping - intracranial - multiple - subarachnoid hemorrhage

Financial support and sponsorship

Nil.




Publication History

Article published online:
09 September 2022

© 2019. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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