[One-stage operation in 4 intracranial aneurysms].

The authors report a patient aged 58 years with a history of two episodes of subarachnoid haemorrhage and with arteriographic finding of four intracranial aneurysms: two on the internal carotid artery, one on the trifurcation of the middle cerebral artery, and one on the anterior communicating artery. Despite rather poor general and local condition (III clinical group) during the operation all four aneurysms were closed with clips. After a stormy postoperative course the condition of he patient improved and 6 months later he was feeling well, had no paresis, and only some memory disturbances remained. This case shows that multiple intracranial aneurysms should be treated in one-step operation, if this can be done from one surgical approach. This is important particularly in these cases in which it is difficult to say which aneurysm is bleeding.