Summary
A small series of five patients with more than one aneurysm on the same internal carotid artery is reported. The author believes that similar cases must have been observed by many neurosurgeons but can find no specific reference to the technical and diagnostic problems created by such lesions.
Sometimes these lesions can be clipped separately, but when the aneurysms are contiguous it may be helpful to apply a clip with its jaws parallel to the long axis of the internal carotid artery.
The author suggests that more case reports would help to advertise the relative frequency of such lesions and thereby should improve their management.
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References
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Locksley, H. B., Report on the cooperative study of intracranial aneurysms and subarachnoid hemorrhage. Section V. Part 1. Natural history of subarachnoid hemorrhage, intracranial aneurysms and arteriovenous malformations. Based on 6,368 cases in the cooperative study. J. Neurosurg.25 (1966), 219–239.
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Jefferson, A. The significance for diagnosis and for surgical technique of multiple aneurysms of the same internal carotid artery. Acta neurochir 41, 23–37 (1978). https://doi.org/10.1007/BF01809134
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DOI: https://doi.org/10.1007/BF01809134