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Distal anterior cerebral artery mirror aneurysms and middle cerebral artery aneurysms
Authors:Dinc Cem  Iplikcioglu Ahmet Celal  Bikmaz Kerem  Kosdere Serkan  Navruz Yüksel
Institution:Neurosurgery Clinic, Ministry of Health Okmeydani Education and Research Hospital, Istanbul, Turkey. drcemdinc@yahoo.com
Abstract:A 52-year-old woman presented with bilateral distal anterior cerebral artery (ACA) mirror aneurysms, in addition to two right middle cerebral artery (MCA) aneurysms. The left distal ACA and right MCA aneurysms were clipped through right interhemispheric and right pterional craniotomies. The right distal ACA aneurysm was thrombosed. Distal ACA aneurysms tend to be multiple, but mirror aneurysms are rare, especially in the absence of congenital vascular anomaly. Single stage unilateral craniotomy is recommended for surgical treatment.
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