Surgical Procedure in Multiple Cerebral Aneurysms

Abstract

There has been a major change in views with regard to surgical treatment of multiple aneurysms in the course of recent decades. As late as 1973, Paterson and Bond asserted that operation on the unruptured aneurysm was not indicated [4]. In 1970, Heiskanen and Marttila suggested that the unruptured aneurysm should be operated on when it can be eliminated via the same approach [2]. Subsequently, it was generally accepted that all unruptured aneurysms accessible to surgery should be operated on, even if a second operation became necessary [1, 3]. At present, this is the view of most authors.