Kissing aneurysms of the distal anterior cerebral artery: A case report and literature review

Fu,Chuan‑Yi; Chen,Jian‑Long; Liu,Zhao‑Hui; Wang,Peng‑Cheng; Duan,Chuan‑Zhi; Zhao,Jian‑Nong

doi:10.3892/etm.2018.5854

Kissing aneurysms of the distal anterior cerebral artery: A case report and literature review

Authors:
- Chuan‑Yi Fu
- Jian‑Long Chen
- Zhao‑Hui Liu
- Peng‑Cheng Wang
- Chuan‑Zhi Duan
- Jian‑Nong Zhao
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Affiliations: Department of Neurosurgery, The National Key Clinic Specialty, Hainan General Hospital, Hainan Clinical Medicine Research Institution, Haikou, Hainan 570311, P.R. China, Department of Neurosurgery, The National Key Clinic Specialty, The Engineering Technology Research Center of Education Ministry of China, Guangdong Provincial Key Laboratory on Brain Function Repair and Regeneration, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong 510282, P.R. China
Published online on: February 9, 2018 https://doi.org/10.3892/etm.2018.5854
Pages: 3471-3476

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Abstract

Intracranial ‘kissing’ aneurysms are rare types of multiple aneurysms referring to two adjacent aneurysms arising from identical or different arteries with separate origins and partially adherent walls. The present study reported a 54‑year‑old female patient, who was identified with a ‘kissing’ aneurysm in the A3 segment of the bilateral anterior cerebral arteries, as demonstrated by head computed tomography and emergency cerebral digital subtraction angiography analysis. In total, 12 days following the clipping of the aneurysms, the patient was discharged with a Modified Rankin Scale=0 and recovered well with no neurological deficits. Based on previous literature, it was indicated that the majority of patients with ‘kissing’ aneurysm have a good prognosis and the cure rate is as high as 96.8%. However, the recovery rate may not be that high as the sample size is not large enough to thoroughly demonstrate the complete prognosis of ‘kissing’ aneurysms.

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