caa a22 4500 477106579 CHVBK 20180405111555.0 cr unu---uuuuu 170330e19960101xx s 000 0 eng 10.1007/BF01411716 doi (NATIONALLICENCE)springer-10.1007/BF01411716 Anatomical and technical aspects of the contralateral approach for multiple aneurysms [Elektronische Daten] [E. de Oliveira, H. Tedeschi, M. Siqueira, M. Ono, C. Fretes, A. Rhoton Jr., D. Peace] Summary: Microsurgery of multiple aneurysms is still a controversial subject. In order to avoid the risk of rebleeding and the consequent increase in morbidity in such cases all aneurysms or at least as many aneurysms as possible should be treated in the first operative procedure. To reach that goal aneurysms located on the contralateral side should also be considered for clipping during the first operation. Between 1984 and 1994 a series of 51 patients harboring multiple aneurysms of which 55 aneurysms were located on the contralateral side of the craniotomy were operated at our institution. No mortality or morbidity could be directly ascribed to the aneurysm that was clipped contralaterally. Based on that series we have described the anatomical features, technical aspects and surgical difficulties of approaching bilateral aneurysms through the same craniotomy. Springer-Verlag, 1996 Aneurysm nationallicence contralateral approach nationallicence pterional approach nationallicence subarachnoid hemorrhage nationallicence de Oliveira E. São Paulo Neurological Institute and the Department of Neurosurgery, University of São Paulo Medical School, São Paulo, Brazil aut Tedeschi H. São Paulo Neurological Institute and the Department of Neurosurgery, University of São Paulo Medical School, São Paulo, Brazil aut Siqueira M. São Paulo Neurological Institute and the Department of Neurosurgery, University of São Paulo Medical School, São Paulo, Brazil aut Ono M. São Paulo Neurological Institute and the Department of Neurosurgery, University of São Paulo Medical School, São Paulo, Brazil aut Fretes C. São Paulo Neurological Institute and the Department of Neurosurgery, University of São Paulo Medical School, São Paulo, Brazil aut Rhoton Jr. A. The Department of Neurosurgery, University of Florida, Gainesville, FL, USA aut Peace D. The Department of Neurosurgery, University of Florida, Gainesville, FL, USA aut Acta Neurochirurgica Springer-Verlag 138/1(1996-01-01), 1-11 0001-6268 138:1<1 1996 138 701 https://doi.org/10.1007/BF01411716 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01411716 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- de Oliveira E. São Paulo Neurological Institute and the Department of Neurosurgery, University of São Paulo Medical School, São Paulo, Brazil aut NATIONALLICENCE 700 1- Tedeschi H. São Paulo Neurological Institute and the Department of Neurosurgery, University of São Paulo Medical School, São Paulo, Brazil aut NATIONALLICENCE 700 1- Siqueira M. São Paulo Neurological Institute and the Department of Neurosurgery, University of São Paulo Medical School, São Paulo, Brazil aut NATIONALLICENCE 700 1- Ono M. São Paulo Neurological Institute and the Department of Neurosurgery, University of São Paulo Medical School, São Paulo, Brazil aut NATIONALLICENCE 700 1- Fretes C. São Paulo Neurological Institute and the Department of Neurosurgery, University of São Paulo Medical School, São Paulo, Brazil aut NATIONALLICENCE 700 1- Rhoton Jr A. The Department of Neurosurgery, University of Florida, Gainesville, FL, USA aut NATIONALLICENCE 700 1- Peace D. The Department of Neurosurgery, University of Florida, Gainesville, FL, USA aut NATIONALLICENCE 773 0- Acta Neurochirurgica Springer-Verlag 138/1(1996-01-01), 1-11 0001-6268 138:1<1 1996 138 701 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer