title: Seven Cerebral Aneurysms: A Challenging Case from the Andean Slopes Managed with 1-Stage Surgery.
abstract: BACKGROUND
  Treatment 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.
  
  
  METHODS
  Single-stage surgical treatment of 7 cerebral aneurysms was performed in a 58-year-old woman from the northern Peruvian Andes.
  
  
  RESULTS
  All 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.
  
  
  CONCLUSIONS
  Good teamwork and correct application of microsurgical principles may allow effective treatment in complex neurosurgical cases even in resource-challenged environments.
authors: Department of Neurosurgery, Helsinki University Central Hospital, Helsinki, Finland; Neurosurgical Unit, EsSalud La Libertad, Trujillo, Peru. Electronic address: johchove@hotmail.com.
authors: Joham
authors: J
authors: Choque-Velasquez
authors: Department of Neurosurgery, Helsinki University Central Hospital, Helsinki, Finland; Neurosurgical Unit, EsSalud La Libertad, Trujillo, Peru; Department of Neurosurgery, Umberto I General Hospital, Università Politecnica delle Marche, Ancona, Italy.
authors: Roberto
authors: R
authors: Colasanti
authors: Neurosurgical Unit, EsSalud La Libertad, Trujillo, Peru.
authors: George
authors: G
authors: Fotakopoulos
authors: Neurosurgical Unit, EsSalud La Libertad, Trujillo, Peru.
authors: Humberto
authors: H
authors: Elera-Florez
authors: Department of Neurosurgery, Helsinki University Central Hospital, Helsinki, Finland; Neurosurgical Unit, EsSalud La Libertad, Trujillo, Peru.
authors: Juha
authors: J
authors: Hernesniemi
mesh_terms: D002533:Cerebral Angiography / Q000379:methods*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging* / Q000601:surgery*; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000379:methods*; D010568:Peru; D016896:Treatment Outcome
keywords: Developing countries; Lateral supraorbital approach; Microneurosurgery; Mirror aneurysms; Multiple intracranial aneurysms; Single-stage management; Subarachnoid hemorrhage