Treatment of multiple intracranial aneurysms

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  • 1 Department of Neurological Surgery, Columbia University, College of Physicians and Surgeons, and Service of Neurological Surgery, Columbia-Presbyterian Medical Center, and The Neurological Institute, New York, New York
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✓ The authors report a series of 70 patients with 161 multiple intracranial aneurysms. There was no mortality in 23 patients in whom all aneurysms were treated intracranially. Unoperated aneurysms later caused morbidity or mortality in eight of 33 patients. The authors believe that patients who have had a subarachnoid hemorrhage should have four-vessel arteriography to identify all aneurysms, and that all surgically accessible aneurysms should be treated, preferably intracranially in good-risk patients who have no disabling neurological deficit.

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Address reprint requests to: Lester A. Mount, M.D., Neurological Institute, 710 West 168th Street, New York, New York 10032.
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