Dr. Tam Duc LEVietnam
Hanoi Medical University Hospital
| 2020/12 to present | Faculty, Department of Surgery, Hanoi Medical University |
| 2020/12 to present | Neurosurgeon, Department of Neurosurgery and Spine surgery, Hanoi Medical University Hospital |
| 2011 - 2017 | Medical Student in General Practitioner, Hanoi Medical University |
| 2017 - 2020 | Resident doctor in Surgery, Hanoi Medical University |
| 2020/12 - Now | Faculty, Department of Surgery, Hanoi Medical University |
| 2020/12 - Now | Neurosurgeon, Department of Neurosurgery and Spine surgery, Hanoi Medical University Hospital |
| 2020/12 - Now | Active member, Vietnamese Neurosurgical Society |
Functional neurosurgery, skull base surgery, spine surgery
Multimodal treatment for multiple intracranial aneurysms at Hanoi Medical University Hospital
1108 15:50-16:00
Cerebrovascular/304B
Introduction: Follow-ups and treatment of multiple intracranial aneurysms (MIA) is still a major challenge in neurosurgery not only in Vietnam but also in the world due to the higher risk of mortality and recurrence of hemorrhage compared to single aneurysms.
Methodology: A prospective study of case series diagnosed with multiple intracranial aneurysms at Hanoi Medical University Hospital from January 2024 to September 2024.
Results: We recorded 10 cases with 24 aneurysms, commonly in the anterior cerebral circulation, including 2 cases of rupture aneurysms causing subarachnoid hemorrhage. There were two cases of PICA aneurysm, in which one case was ruptured aneurysm. Surgical treatment, endovascular intervention and a combination of them were selected for each patient with good initial results. One case of PCoA aneurysm had ruptured during intervention and then was performed emergency clipping and decompressive craniectomy. One case had bilateral chronic subdural hematoma post-operative one month.
Conclusions: Surgery and endovascular intervention are the two standard treatment options for treating cerebral aneurysms, especially MIA. However, choosing between the two is not easy and requires very careful consideration for each individual case.