A case report of two patients with review of literature. We report two cases of patients with bilateral 'mirror image' or 'kissing' aneurysms at the distal anterior cerebral arteries who presented with subarachnoid haemorrhage and frontal intracerebral haematoma. Three distal anterior cerebral artery aneurysms in the same branch associated with five additional intracranial aneurysms. PubMed Central. Kozyrev, Danil A. Simultaneous treatment of such lesions can be particularly challenging.
A report of three aneurysms on the same parent artery has not been reported before. We report a case of three DACA aneurysms treated within one microsurgical operation in a patient with eight aneurysms. Case Description: A year-old woman incidentally presented with multiple various size saccular aneurysms, including tree on the left DACA. Ligation of all three of these aneurysms was planned in one operation.
A standard anterior interhemispheric approach was utilized. Three aneurysms were successfully clipped using four clips. Intraoperative angiography confirmed aneurysm occlusion with parent artery patency preservation. The patient showed no new postoperative neurological deficit. Conclusion: Clipping multiple DACA aneurysms within a single microneurosurgical operation is a feasible treatment option.
Meticulous analysis of preoperative imaging features is crucial for selecting the best, patient-specific treatment strategy. The anterior temporal artery: an underutilized but robust donor for revascularization of the distal middle cerebral artery.
The capacities of the ATA as a donor have not been studied previously. In this study, the authors assessed the feasibility of using the ATA as a donor for revascularization of different segments of the distal middle cerebral artery MCA.
