Hybrid approach in the surgical treatment of multiple cerebral aneurysm in the acute period of rupture

Abstract

Multiple aneurysms of the cerebral vessels, previously considered a rare pathology, are increasingly being diagnosed due to the development of neurovisualization methods. The proportion of patients with multiple aneurysms of the cerebral vessels ranges from 15 to 45% among all patients with aneurysms. Multiple aneurysms are detected in 25–30% of patients with subarachnoid hemorrhage. Surgical treatment of patients in this group is a relevant problem that requires a comprehensive approach. This article presents a clinical observation of successful treatment of a 58-year-old patient with multiple aneurysms in the acute period of rupture, using microsurgical clipping and endovascular embolization.