MULTIPLE INTRACRANIAL ANEURYSMS - ENDOVASCULAR TREATMENT BY COILS

The authors report the case of a 30 years-old man presenting with 3 intracranial aneurysms, which were treated by endovascular techniques. The aneurysm responsible for two previous subarachnoid hemorrhages was a giant supracavernous left internal carotid artery aneurysm. Endovascular therapy using coils caused intraoperative rupture which was successfully managed by balloon occlusion of the internal carotid artery. The two other aneurysms (basilar top, and right middle cerebral artery) were small and asymptomatic ; complete obliteration of both aneurysms was achiefed by selective coils embolization. Persistant occlusion of the three aneurysms was documented ad six months angiographic follow up.