title: Mirror image distal anterior cerebral artery aneurysms treated with coil embolization. a report of two cases and literature review.
abstract: Mirror image aneurysms of the distal anterior cerebral arteries (DACA) are rare. To the best of our knowledge this is the first case report of two patients with mirror image DACA aneurysms treated successfully with coil embolization. The association of aneurysms with anatomic variants has been extensively reported. We may speculate that the remnants of the failed regression of the supreme anterior communicating artery could lead to an increase in stress across their territorial bifurcation, leading to the development of mirror image DACA aneurysms. We found the endovascular treatment of mirror image DACA aneurysms to be feasible and effective. If possible, we suggest the treatment of both aneurysms in one procedure.
authors.affiliation: Service of Radiology, Neuroradiology Division, Faculty of Medicine, University of Tirana UHC "Mother Teresa", Tirana, Albania.
authors.forename: E
authors.initials: E
authors.lastname: Enesi
authors.forename: A
authors.initials: A
authors.lastname: Rroji
authors.forename: M
authors.initials: M
authors.lastname: Demneri
authors.forename: G
authors.initials: G
authors.lastname: Vreto
authors.forename: M
authors.initials: M
authors.lastname: Petrela
mesh_terms: D000328:Adult; D020771:Anterior Cerebral Artery / Q000002:abnormalities*; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D008875:Middle Aged