"Kissing" Aneurysms of the Internal Carotid Artery Treated by Coil Embolization-Case Report

被引：10

作者：

Takahashi, Chiaki ^{[1
]}

Kubo, Michiya ^{[1
]}

Okamoto, Soushi ^{[1
]}

Matsumura, Nobuhisa ^{[1
]}

Horie, Yukio ^{[1
]}

Hayashi, Nakamasa ^{[2
]}

Kuwayama, Naoya ^{[2
]}

Endo, Shunro ^{[2
]}

机构：

[1] Saiseikai Toyama Hosp, Dept Neurosurg, Toyama 9318533, Japan

[2] Toyama Univ, Fac Med, Dept Neurosurg, Toyama 930, Japan

来源：

NEUROLOGIA MEDICO-CHIRURGICA | 2011年 / 51卷 / 09期

关键词：

kissing aneurysm; coil embolization; anterior choroidal artery; duplicated middle cerebral artery; treatment strategy; MIDDLE CEREBRAL-ARTERY; OF-THE-LITERATURE; UNRUPTURED ANEURYSM; MULTIPLE ANEURYSMS; DUPLICATION; ORIGIN; DIAGNOSIS;

D O I：

10.2176/nmc.51.653

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

A 62-year-old female complaining of sudden severe headache was referred to our stroke center in consultation. Computed tomography showed diffuse spread of thick subarachnoid hemorrhage to the basal cistern and both sylvian fissures, and digital subtraction angiography showed kissing aneurysms arising in the left lateral and occipital directions in the C-1 portion of the internal carotid artery (ICA). The anterior choroidal artery was situated between the two aneurysms, and another small branch originating from the dome of the distal aneurysm was confirmed as a duplicated middle cerebral artery (MCA). Endovancular treatment was successfully performed to spare the two vessels involved. This case of kissing aneurysms and ICA-duplicated MCA is very rare, and presents difficulties for both surgical and endovascular treatments.

引用

页码：653 / 656

页数：4

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