Unilateral Approach to Bilateral Aneurysms: Case Report

Patients with bilateral multiple intracranial aneurysms present a great challenge for determining whether surgical method should e one-stage or two-stage operation. The possibility of fatal rupture of unclipped aneurysm during hemodynamic change of perioperative period after clipping of ruptured aneurysm warrant the one stage operation when contralateral aneurysm is accessible. We clipped the M1 aneurysm of middle cerebral artery and contralateral posterior communicating aneurysm at the same the successfully via the pterional approach.