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Kissing mirror image anterior communicating artery aneurysms--case report
H Wanifuchi1, T Shimizu, T Higa
1Department of Neurosurgery, Saitamaken Saiseikai Kurihashi Hospital, Saitama.
Neurologia Medico-Chirurgica
|February 24, 2001
Summary
This study reports a rare case of symmetrical kissing aneurysms in the anterior communicating artery. Surgical clipping was successful, with the patient recovering fully without neurological deficits.
Area of Science:
- Neurosurgery
- Vascular Neurology
- Medical Imaging
Background:
- Kissing aneurysms are rare vascular malformations.
- The anterior communicating artery is a common site for intracranial aneurysms.
Observation:
- A 45-year-old male presented with bilateral, symmetrical aneurysms at the anterior communicating artery.
- 3D-CT angiography visualized the complex relationship of these kissing aneurysms.
Findings:
- Surgical clipping via a right pterional approach was performed.
- Temporary clipping of anterior cerebral arteries was necessary for surgical access.
- The patient experienced a complete neurological recovery post-surgery.
Implications:
- Awareness of kissing aneurysms is crucial for accurate diagnosis.
- Advanced imaging techniques like 3D-CT angiography aid in detection.
- Successful surgical management is possible for this rare condition.