title: Kissing mirror image anterior communicating artery aneurysms--case report.
abstract: A 45-year-old male presented with an extremely rare case of symmetrical kissing aneurysms located at the both ends of the anterior communicating artery. Angiography and three-dimensional computed tomography (3D-CT) angiography clearly showed the relationship of the kissing aneurysms. The aneurysms were clipped through the right pterional approach. Temporary clipping of the anterior cerebral arteries for 5 minutes was required to gain enough operative space. The patient was discharged without neurological deficits. 3D-CT angiography, magnetic resonance angiography, or rotatory digital subtraction angiography may be useful for detecting kissing aneurysms, but the most important issue is awareness of this unusual condition.
authors.affiliation: Department of Neurosurgery, Saitamaken Saiseikai Kurihashi Hospital, Saitama.
authors.forename: H
authors.initials: H
authors.lastname: Wanifuchi
authors.forename: T
authors.initials: T
authors.lastname: Shimizu
authors.forename: T
authors.initials: T
authors.lastname: Higa
authors.forename: K
authors.initials: K
authors.lastname: Nakaya
mesh_terms: D020771:Anterior Cerebral Artery / Q000000981:diagnostic imaging* / Q000601:surgery; D002533:Cerebral Angiography; D003399:Craniotomy; D004292:Dominance, Cerebral / Q000502:physiology; D006801:Humans; D021621:Imaging, Three-Dimensional; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D013525:Surgical Instruments; D014057:Tomography, X-Ray Computed