Vajda J, Juhász J, Orosz E, Pásztor E, Tóth S, Horváth M
Acta Neurochir (Wien). 1986;82(1-2):14-23. doi: 10.1007/BF01456314.
Patients with multiple intracranial aneurysms present a great challenge to neurosurgical practice. The presence of one or more additional aneurysms, whether recognized or unrecognized, along with the source of the haemorrhage profoundly changes the outcome. It also alters the timing and strategy of surgery. In this study the experiences gained from 138 cases with a total of 317 aneurysms are discussed. The analysis of the clinical data, our results and the factors influencing the outcome suggest that the risk of clipping all aneurysms simultaneously are less than the risk of a rebleed from an untreated, previously silent sac even in the early postoperative period.
患有多发性颅内动脉瘤的患者给神经外科手术带来了巨大挑战。一个或多个额外动脉瘤的存在，无论是否被发现，连同出血源一起，都会深刻改变治疗结果。这也会改变手术的时机和策略。在本研究中，我们讨论了从138例共317个动脉瘤病例中获得的经验。对临床数据、我们的结果以及影响治疗结果的因素进行分析后表明，即使在术后早期，同时夹闭所有动脉瘤的风险也小于未治疗的、先前无症状的动脉瘤囊再次出血的风险。
