Surgical treatment of patients with acute sah and multiple cerebral aneurysms

The purpose of this study was to assess of the surgical outcomes in the group of patients with multiple aneurysms who were undergoing surgery during the acute stage of subarachnoid hemorrhage. The Hunt and Hess grading scale was used to describe their neurological condition at admission. To describe the outcomes, we used the Glasgow Outcome Scale. One-stage treatment of all aneurysms by means of single craniotomy or coiling doesn't lead to the deterioration of a patient's condition. The outcomes were determined by a patient's neurological condition at admission rather than the number of aneurysms, which were clipped or coiled. With acute subarachnoid hemorrhage, when there occur multiple aneurysms, a sequential multimodal approach may prove more beneficial.