The Steiner-Lindquist laser intra-operative guidance method is describ
ed and its application in the surgical treatment of mycotic aneurysm i
s presented. Three illustrative cases of distal middle cerebral artery
aneurysms are reported. The authors argue that all ruptured mycotic a
neurysms should be treated surgically. The laser-guided stereotactic a
pproach is presented as simple, flexible and reliable method to improv
e safety and accuracy of the operation in these cases. In our experien
ce it compares favorably with previously described stereotactic techni
ques.