Background: Treatment of multiple intracranial aneurysms is particularly demanding and even more so in a developing country where access to specialized centers may be prevented by different factors.
Methods: Single-stage surgical treatment of 7 cerebral aneurysms was performed in a 58-year-old woman from the northern Peruvian Andes.
Results: All 7 aneurysms were successfully and safely clipped through 2 lateral supraorbital craniotomies. The double clip technique was used in 3 aneurysms to prevent any residual aneurysmal neck.
Conclusions: Good teamwork and correct application of microsurgical principles may allow effective treatment in complex neurosurgical cases even in resource-challenged environments.
Keywords: Developing countries; Lateral supraorbital approach; Microneurosurgery; Mirror aneurysms; Multiple intracranial aneurysms; Single-stage management; Subarachnoid hemorrhage.
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