Microsurgical clip ligation of pericallosal, anterior choroidal, and 2 middle cerebral artery aneurysms through simultaneous transsylvian and interhemispheric approaches: illustrative case.
Publication/Presentation Date
6-15-2026
Abstract
BACKGROUND: The presence of multiple intracranial aneurysms is not infrequent. Surgical strategies to manage this condition vary, including staged procedures and multiple craniotomies.
OBSERVATIONS: A 40-year-old female presented with headache and syncope and was found to harbor 4 aneurysms involving the pericallosal, anterior choroidal, and bilateral middle cerebral arteries. Given her young age and the presence of multiple aneurysms across distinct vascular territories, microsurgical clip ligation via a single incision and dual craniotomies was selected over endovascular treatment.
LESSONS: Dual ipsilateral craniotomies through a single incision can provide safe and effective corridors for microsurgical treatment of multiple aneurysms across distinct vascular territories. https://thejns.org/doi/10.3171/CASE2633.
Volume
11
Issue
24
ISSN
2694-1902
Published In/Presented At
Motiwala, M., Wu, E. M., Jones, E. D., & Khan, N. R. (2026). Microsurgical clip ligation of pericallosal, anterior choroidal, and 2 middle cerebral artery aneurysms through simultaneous transsylvian and interhemispheric approaches: illustrative case. Journal of neurosurgery. Case lessons, 11(24), CASE2633. https://doi.org/10.3171/CASE2633
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
42296560
Department(s)
Department of Surgery
Document Type
Article