De un total de 61 pacientes intervenidos quirúrgicamente de aneurismas intracraneales entre 1986 y 1992, nueve pacientes presentaron aneurismas múltiples; cinco varones y cuatro mujeres con edades comprendidas entre 30 y 62 años. Ocho pacientes tenían dos aneurismas y un paciente tres. Del total de 19 aneurismas, 8 pertenecían al territorio de la a. cerebral media, 5 al territorio de la a. carótida intracraneal, 4 al complejo de la a. comunicante anterior y dos al territorio de la a. percallosa. Todos los pacientes fueron tratados preoperatoriamente con calcioantagonistas en infusión i.v. e intervenidos quirúrgicamente entre los días 1° y 36° tras la hemorragia subaracnoidea. No hubo mortalidad en esta serie. Evaluamos la fiabilidad de los medios complementarios para diagnosticar el aneurisma sintomático y discutimos la actitud a seguir con los aneurismas no rotos.

Sixty one patients were operated on of intracranial aneurysms from 1986 to 1992; nine of them, 5 males and 4 females aging between 30 and 62 years, showed multiple aneurysms. In 8 cases two aneurysms were discovered and one patient had three aneurysms. Eight out of 19 aneurysms were located in the middle cerebral artery, 5 in the internal carotid artery, 4 in the anterior comunicating artery and 2 in the pericallosal artery. Calcioantagonists were used in all patients before operation. The operation was performed between the first and the 36th. day after subarachnoid haemorrhage, and there were no mortality. The reliability of complementary diagnostic procedures for detecting the symptomatic aneurysm is evaluated. The management of the unruptured aneurysms is discussed.