neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.17650/1683-3295-2021-23-4-72-81neurosurgery-1122Research ArticleНАБЛЮДЕНИЕ ИЗ ПРАКТИКИFROM PRACTICEХирургическое лечение множественных аневризм сосудов головного мозга: обзор литературы и клиническое наблюдениеSurgery for multiple cerebral aneurysms: Literature review and case reporthttps://orcid.org/0000-0003-2444-8136ПриродовА. В.PrirodovA. V.

129090 Москва, Б. Сухаревская пл., 3

117198 Москва, ул. Миклухо-Маклая, 6

3 Bolshaya Sukharevskaya Sq., Moscow 129090

6 Miklukho-Maklaya St., Moscow 117198

https://orcid.org/0000-0003-1525-1585БахаревЕ. Ю.BakharevE. Yu.

Евгений Юрьевич Бахарев  

129090 Москва, Б. Сухаревская пл., 3

Evgeniy Yuryevich Bakharev 

3 Bolshaya Sukharevskaya Sq., Moscow 129090

ads_nvkz@mail.ruhttps://orcid.org/0000-0001-9822-4982ХаджиевЗ. Б.KhadzhievZ. B.

129090 Москва, Б. Сухаревская пл., 3

3 Bolshaya Sukharevskaya Sq., Moscow 129090

https://orcid.org/0000-0003-3515-8329ГриньА. А.GrinA. A.

129090 Москва, Б. Сухаревская пл., 3

127473 Москва, ул. Делегатская, 20, стр. 1

3 Bolshaya Sukharevskaya Sq., Moscow 129090

Bld. 1, 20 Delegatskaya St., Moscow 127473

https://orcid.org/0000-0001-5026-0060СинкинМ. В.SinkinM. V.

129090 Москва, Б. Сухаревская пл., 3

3 Bolshaya Sukharevskaya Sq., Moscow 129090

https://orcid.org/0000-0002-5685-4916УткинаИ. И.UtkinaI. I.

129090 Москва, Б. Сухаревская пл., 3

3 Bolshaya Sukharevskaya Sq., Moscow 129090

ГБУЗ «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского Департамента здравоохранения г. Москвы»; ФГАОУ ВО «Российский университет дружбы народов»РоссияN.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department; RUDN UniversityRussian FederationГБУЗ «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского Департамента здравоохранения г. Москвы»РоссияN.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare DepartmentRussian FederationГБУЗ «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского Департамента здравоохранения г. Москвы»; ФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова» Минздрава РоссииРоссияN.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department; A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of RussiaRussian Federation2021180120222347281Copyright © Природов А.В., Бахарев Е.Ю., Хаджиев З.Б., Гринь А.А., Синкин М.В., Уткина И.И., 20222022Природов А.В., Бахарев Е.Ю., Хаджиев З.Б., Гринь А.А., Синкин М.В., Уткина И.И.Prirodov A.V., Bakharev E.Y., Khadzhiev Z.B., Grin A.A., Sinkin M.V., Utkina I.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therjn.com/jour/article/view/1122

Представлено клиническое наблюдение одномоментного микрохирургического клипирования пяти церебральных аневризм у пациентки с множественными аневризмами передних отделов артериального круга большого мозга, а также проанализированы подходы к лечению пациентов с множественными аневризмами сосудов головного мозга.

We report a case of simultaneous microsurgical clipping of 5 cerebral aneurysms in a patient with multiple aneurysms of the anterior brain.We analyzed the existing treatment approaches to multiple cerebral aneurysms, including endovascular isolation, microsurgical clipping, as well as surgical tactics in case of subarachnoid hemorrhage. We covered the recommendations for screening, surgical risks, and approaches to aneurysm isolation (single-stage and multiple-stage).Using our own experience (since no strict guidelines are currently available), we concluded that it is important to screen cerebral vessels of all close relatives of patients with multiple and familial cerebral aneurysms.

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The authors declare that there are no conflicts of interest present.