Neurologia medico-chirurgica
Online ISSN : 1349-8029
Print ISSN : 0470-8105
ISSN-L : 0470-8105
“Kissing Aneurysms” of the Internal Carotid Artery
Masaki KOMIYAMAToshihiro YASUIKatsuhiko TAMURAYasunori NAGATAYoshihiko FUHisatsugu YAGURA
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1994 Volume 34 Issue 6 Pages 360-364

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Abstract

Five patients with kissing aneurysms (adherent internal carotid-posterior communicating artery and ipsilateral internal carotid-anterior choroidal artery aneurysms) are reported. There was female predominance and the subarachnoid hemorrhage was commonly due to rupture of the proximal posterior communicating artery aneurysm. Despite the demonstration of angiographic cleavage, the two aneurysms adhere to each other, which makes surgical dissection difficult. Meticulous dissection of the aneurysmal necks and preservation of the blood flow in the anterior choroidal artery are of vital importance.

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© The Japan Neurosurgical Society
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