{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T00:54:47Z","timestamp":1781657687304,"version":"3.54.5"},"reference-count":8,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"24","license":[{"start":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T00:00:00Z","timestamp":1781481600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurosurg Case Lessons"],"published-print":{"date-parts":[[2026,6,15]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>The presence of multiple intracranial aneurysms is not infrequent. Surgical strategies to manage this condition vary, including staged procedures and multiple craniotomies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>A 40-year-old female presented with headache and syncope and was found to harbor 4 aneurysms involving the pericallosal, anterior choroidal, and bilateral middle cerebral arteries. Given her young age and the presence of multiple aneurysms across distinct vascular territories, microsurgical clip ligation via a single incision and dual craniotomies was selected over endovascular treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>Dual ipsilateral craniotomies through a single incision can provide safe and effective corridors for microsurgical treatment of multiple aneurysms across distinct vascular territories.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/10.3171\/CASE2633\">https:\/\/thejns.org\/doi\/10.3171\/CASE2633<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case2633","type":"journal-article","created":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T00:00:35Z","timestamp":1781049635000},"source":"Crossref","is-referenced-by-count":0,"title":["Microsurgical clip ligation of pericallosal, anterior choroidal, and 2 middle cerebral artery aneurysms through simultaneous transsylvian and interhemispheric approaches: illustrative case"],"prefix":"10.3171","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6416-8553","authenticated-orcid":true,"given":"Mustafa","family":"Motiwala","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, University of Tennessee Health Science Center, Memphis"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9233-2982","authenticated-orcid":true,"given":"Eva M.","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Tennessee Health Science Center, Memphis"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Earl D.","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Tennessee Health Science Center, Memphis"},{"name":"Semmes Murphey Neurologic & Spine Institute, Memphis, Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nickalus R.","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Tennessee Health Science Center, Memphis"},{"name":"Semmes Murphey Neurologic & Spine Institute, Memphis, Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"bib1","series-title":"World Neurosurg","first-page":"554","article-title":"Neurosurgical \u201csqueeze play\u201d: single incision with dual ipsilateral craniotomies versus 2 separate approaches for intracranial aneurysm treatment","volume":"107","author":"Burkhardt","year":"2017","unstructured":"Burkhardt JKHaider ASRutledge WCWang DHannegan LLawton MT.Neurosurgical \u201csqueeze play\u201d: single incision with dual ipsilateral craniotomies versus 2 separate approaches for intracranial aneurysm treatment. World Neurosurg. 2017;107:554-558. doi:10.1016\/j.wneu.2017.08.032"},{"key":"bib2","series-title":"World Neurosurg","first-page":"565","article-title":"Seven cerebral aneurysms: a challenging case from the Andean slopes managed with 1-stage surgery","volume":"97","author":"Choque-Velasquez","year":"2017","unstructured":"Choque-Velasquez JColasanti RFotakopoulos GElera-Florez HHernesniemi J.Seven cerebral aneurysms: a challenging case from the Andean slopes managed with 1-stage surgery. 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J Neurosurg. 2021;136(2):475-484. doi:10.3171\/2021.1.JNS204078"},{"key":"bib1","series-title":"World Neurosurg","first-page":"554","article-title":"Neurosurgical \u201csqueeze play\u201d: single incision with dual ipsilateral craniotomies versus 2 separate approaches for intracranial aneurysm treatment","volume":"107","author":"Burkhardt","year":"2017","unstructured":"Burkhardt JKHaider ASRutledge WCWang DHannegan LLawton MT.Neurosurgical \u201csqueeze play\u201d: single incision with dual ipsilateral craniotomies versus 2 separate approaches for intracranial aneurysm treatment. 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