Romantic Name for a Deadly Condition: Kissing Aneurysms of the Pericallosal Artery – A Case Report
Keywords:Intracranial Aneurysm, Anterior Cerebral Artery, Microsurgery, Angiography, Kissing aneurysms
Background: Kissing aneurysms are two independent but adjacent aneurysms protruding from two contralateral arterial locations. This report describes a successfully treated case of kissing aneurysms at the Department of Neurosurgery, Medical University of Gdansk.
Case: A 45-year-old asymptomatic woman was diagnosed with unruptured bilateral aneurysms located in the pericallosal-callosomarginal division. Her medical history included a previous intracranial aneurysm and arterial hypertension. The patient underwent a successful treatment by surgical clipping and was discharged in good condition; neither disability nor neurologic deficit was noticed upon discharge. Surgical wound healing was complicated by an infection and resulted in a reoperation for the patient.
Conclusion: The etiology of kissing aneurysms is still unknown and the best treatment method stills remains unclear. Thus, every case has to be carefully and individually assessed by an interdisciplinaryteam. As a result, patient transfer to an experienced neurosurgical center could be beneficial.
2. Koffijberg H, Buskens E, Granath F, Adami J, Ekbom a, Rinkel GJ, et al. Sub¬arachnoid haemorrhage in Sweden 1987-2002: regional incidence and case fatality rates. J Neurol Neurosurg Psychiatry. 2008 Mar;79(3):294-9.
3. Brown RD, Broderick JP. Unruptured intracranial aneurysms: epidemiology, natural history, management options, and familial screening. Lancet Neurol. 2014 Apr;13(4):393-404.
4. Darsaut TE, Estrade L, Jamali S, Bojanowski MW, Chagnon M, Raymond J. Uncertainty and agreement in the management of unruptured intracranial aneurysms. J Neurosurg. 2014 Mar;120(3):618-23.
5. Baldawa SS, Menon G, Nair S. Kissing anterior communicating artery aneu¬rysms: diagnostic dilemma and management issues. J Postgrad Med. 2011 Jan-Mar;57(1):44-7.
6. Harada K, Orita T, Ueda Y. [Large kissing aneurysms of the middle cerebral artery: a case report--classification of kissing aneurysms]. No Shinkei Geka. 2004 May;32(5):513-7. Jap
7. Alimohammadi M, Bidabadi MS, Amirjamshidi A. Bilateral “Kissing” Aneu¬rysms of the Distal Pericallosal Arteries: Report of a Case and Review of the Literature. Neurosurg Q. 2010;20(4):308-10.
8. Casimiro MV, McEvoy AW, Watkins LD, Kitchen ND. A comparison of risk fac¬tors in the etiology of mirror and nonmirror multiple intracranial aneurysms. Surg Neurol. 2004 Jun;61(6):541-5.
9. Salunke P, Malik V, Yogesh N, Khandelwal NK, Mathuriya SN. Mirror-like aneurysms of proximal anterior cerebral artery: report of a case and review of literature. Br J Neurosurg. 2010 Dec;24(6):686-7.
10. Vlak MHM, Rinkel GJ, Greebe P, Greving JP, Algra A. Lifetime risks for aneu¬rysmal subarachnoid haemorrhage: multivariable risk stratification. J Neurol Neurosurg Psychiatry. 2013 Jun;84(6):619-23.
11. Rinkel GJ, Djibuti M, Algra A, van Gijn J. Prevalence and risk of rupture of intracranial aneurysms: a systematic review. Stroke. 1998 Jan;29(1):251-6.
12. Bijlenga P, Ebeling C, Jaegersberg M, Summers P, Rogers A, Waterworth A, et al. Risk of rupture of small anterior communicating artery aneurysms is similar to posterior circulation aneurysms. Stroke. 2013 Nov;44(11):3018-26.
13. Lawson MF, Neal DW, Mocco J, Hoh BL. Rationale for treating unruptured intracranial aneurysms: Actuarial analysis of natural history risk versus treat¬ment risk for coiling or clipping based on 14,050 patients in the nationwide inpatient sample database. World Neurosurg. 2013 Mar-Apr;79(3-4):472-8.
14. Corns R, Zebian B, Tait MJ, Walsh D, Hampton T, Deasy N, et al. Prevalence of recurrence and retreatment of ruptured intracranial aneurysms treated with endovascular coil occlusion. Br J Neurosurg. 2013 Feb;27(1):30-3.
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