A Patient with Eight Intracranial Aneurysms: Endovascular Treatment in Two Sessions.
The frequency of multiple intracranial aneurysms seen in patients with or without subarachnoid hemorrhage is high. The advancement of the endovascular technique and devices has ensured that endovascular treatment of intracranial aneurysms is the first choice in most cases, especially in unruptured ones. Different combinations of treatment modalities and techniques can be used in the management of multiple aneurysms. But in selected patients without subarachnoid hemorrhage, treatment of all aneurysms in one or more sessions with endovascular techniques is less traumatic than that with surgery. In the literature, the maximum number of aneurysms in one patient treated endovascularly and/or surgically is seven. In this case report, we present, with a review of the literature, a patient with eight intracranial aneurysms, all of which were treated in two sessions with various endovascular techniques. A 40-year-old female patient was admitted due to headache. Angiography showed eight aneurysms in the posterior circulation and, bilaterally, in the anterior circulation. All aneurysms were treated endovascularly in two sessions. In the treatment of the aneurysms, different endovascular techniques were used including flow diverters stents, stent-assisted coiling, Y-stent-assisted coiling, and coiling alone.
Radiology Department of Medical Faculty, Cukurova University, Adana, Turkey.
Erol
0000-0003-0020-3759
E
Akgul
Radiology Department of Medical Faculty, Cukurova University, Adana, Turkey.
Hasan Bilen
HB
Onan
Radiology Department of Medical Faculty, Cukurova University, Adana, Turkey.
Huseyin Tugsan
HT
Balli
Neurosurgery Department of Medical Faculty, Cukurova University, Adana, Turkey.
Nuri Eralp
NE
Cetinalp
Acta Neurochir (Wien). 1989;96(1-2):8-14
2929394
Neurosurgery. 1995 Jan;36(1):31-7; discussion 37-8
7708165
Acta Neurochir (Wien). 2009 Dec;151(12 ):1623-30
19669689
J Cerebrovasc Endovasc Neurosurg. 2015 Jun;17(2):113-9
26157691
Acta Neurochir (Wien). 1992;118(1-2):59-75
1414531
Neurosurgery. 2011 Oct;69(4):E1030-2
21709595
Interv Neuroradiol. 2014 Jul-Aug;20(4):442-7
25207907
Stroke. 2003 Jan;34(1):16-21
12511744
Turk Neurosurg. 2014;24(4):598-601
25050690
AJNR Am J Neuroradiol. 2014 Jun;35(6):1170-3
24371032
J Neurosurg. 2001 May;94(5):728-32
11354403
J Neurosurg. 1999 May;90(5):857-64
10223451
J Cerebrovasc Endovasc Neurosurg. 2013 Sep;15(3):184-90
24167798
J Neurointerv Surg. 2012 Jan 1;4(1):27-30
21990433
Turk Neurosurg. 2014;24(2):208-13
24831362