Romantic Name for a Deadly Condition: Kissing Aneurysms of the Pericallosal Artery – A Case Report

Przemyslaw M Waszak,,Hanna Garnier,Barbara Brzeska,Janusz Springer,Katarzyna Baranowska,Tomasz Szmuda,Agnieszka Paturej,Katarzyna Aleksandrowicz

doi:10.5195/ijms.2015.126

Przemyslaw M Waszak,, Hanna Garnier + Show 6 more

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https://doi.org/10.5195/ijms.2015.126

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Abstract

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.

Highlights

The prevalence of intracranial aneurysm is estimated at approximately 3.2%.1 The major characteristics of aneurysms include type, size and location
A reoperation combined with cranioplasty was performed to evacuate the epidural pus and antibiotic therapy was continued. This post-operative period was uneventful and the patient was scheduled for a subsequent cranial allograft procedure. Kissing aneurysms derive their name from the specific spatial arrangement of two separate but adjacent malformations
The described patient’s gender, history of smoking, hypertension, and an unclear episode of alcohol abuse should all be considered as risk factors for aneurysm formation as well as contribute to the potential for aneurysmal rupture in the future.[8,10,11]

Summary

Introduction

The prevalence of intracranial aneurysm is estimated at approximately 3.2%.1 The major characteristics of aneurysms include type (saccular, fusiform, dissecting, mycotic, blood-blister-like, distal, etc.), size (micro, small, medium, large, giant etc.) and location (branching sites of anterior, medial or posterior cerebral artery etc.). The major characteristics of aneurysms include type (saccular, fusiform, dissecting, mycotic, blood-blister-like, distal, etc.), size (micro, small, medium, large, giant etc.) and location (branching sites of anterior, medial or posterior cerebral artery etc.). Unruptured aneurysms are asymptomatic in most cases. When ruptured, they cause subarachnoid hemorrhage (SAH), known as hemorrhagic stroke. Kissing aneurysms (KAs) are unusual locational phenomena of multiple aneurysms. The prevalence of multiple aneurysms can be up to 20% of all intracranial aneurysms, the KAs – adjacent bilateral aneurysms arising from the same artery – are quite unique with an incidence as low as 0.2%.5. Kissing aneurysms can be classified into two categories: type 1 represents aneurysmal necks that are located on the same parent artery The prevalence of multiple aneurysms can be up to 20% of all intracranial aneurysms, the KAs – adjacent bilateral aneurysms arising from the same artery – are quite unique with an incidence as low as 0.2%.5 Kissing aneurysms can be classified into two categories: type 1 represents aneurysmal necks that are located on the same parent artery

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