• World Neurosurg · Jan 2017

    Case Reports

    Seven cerebral aneurysms: a challenging case from the Andean slopes managed with one-stage surgery.

    • Joham Choque-Velasquez, Roberto Colasanti, George Fotakopoulos, Humberto Elera-Florez, and Juha Hernesniemi.
    • Department of Neurosurgery, Helsinki University Central Hospital, Helsinki, Finland; Neurosurgical Unit, EsSalud La Libertad, Trujillo, Peru. Electronic address: johchove@hotmail.com.
    • World Neurosurg. 2017 Jan 1; 97: 565-570.

    BackgroundTreatment of multiple intracranial aneurysms is particularly demanding and even more so in a developing country where access to specialized centers may be prevented by different factors.MethodsSingle-stage surgical treatment of 7 cerebral aneurysms was performed in a 58-year-old woman from the northern Peruvian Andes.ResultsAll 7 aneurysms were successfully and safely clipped through 2 lateral supraorbital craniotomies. The double clip technique was used in 3 aneurysms to prevent any residual aneurysmal neck.ConclusionsGood teamwork and correct application of microsurgical principles may allow effective treatment in complex neurosurgical cases even in resource-challenged environments.Copyright © 2016 Elsevier Inc. All rights reserved.

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