Journal of Cerebrovascular and Endovascular Neurosurgery

Korean Society of Cerebravascular Surgeons (대한뇌혈관외과학회)
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Ruptured mirror DACA aneurysm: A rare case report and review of literature

  • Deepak Kumar Singh (Department of Neurosurgery, DR. Ram Manohar Lohia Institute of Medical Sciences) ;
  • Prevesh Kumar Sharma (Department of Neurosurgery, DR. Ram Manohar Lohia Institute of Medical Sciences) ;
  • Arun Kumar Singh (Department of Neurosurgery, DR. Ram Manohar Lohia Institute of Medical Sciences) ;
  • Vipin Kumar Chand (Department of Neurosurgery, DR. Ram Manohar Lohia Institute of Medical Sciences)
  • Received : 2022.07.10
  • Accepted : 2022.11.07
  • Published : 2023.09.30
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Abstract

Bilateral distal anterior cerebral artery (DACA) aneurysms also called "kissing aneurysms" or "mirror aneurysm" are extremely rare, accounting for only 0.2% of all intracranial aneurysms. There have only been a few examples of mirror DACA aneurysms reported in the literature. Here, we report a rare case of mirror DACA aneurysm in a middle aged female with its successful clipping. Patient was admitted with severe headache and altered sensorium. Computed tomography (CT) head was suggestive of anterior inter-hemispheric hematoma. Digital subtraction angiography (DSA) was done which was suggestive of two distal anterior cerebral artery aneurysms located at same anatomical position. It was treated through microsurgical clipping. Mirror image DACA aneurysms are rare occurrence. All patients with ruptured DACA aneurysms should have angiography with 3D reconstruction studies. This aids in determining the aneurysm's morphology and planning treatment accordingly.

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References

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