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CASE REPORT
Year : 2019  |  Volume : 14  |  Issue : 4  |  Page : 1226-1230

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


1 Department of Neurosurgery, Showa General Hospital; Department of Neurosurgery, NTT Medical Center Tokyo, Tokyo, Japan
2 Department of Neurosurgery, Showa General Hospital, Tokyo, Japan
3 Department of Neurosurgery, Showa General Hospital; Department of Neurosurgery, The University of Tokyo Hospital, Tokyo, Japan

Correspondence Address:
Dr. Sho Tsunoda
NTT Medical Center Tokyo, 5-9-22, Higashigotanda, Shinagawa-ku, Tokyo 141-0022
Japan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ajns.AJNS_165_19

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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.


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