Endovascular Management for Bilateral Ophthalmic Segment “Kissing” Aneurysms Presenting with Nasal Bleeding

Abstract

A rare case of bilateral ophthalmic segment “kissing” aneurysms is reported. A 32-year-old man presented with nasal bleeding and headaches. Cerebral angiography demonstrated bilateral internal carotid-ophthalmic aneurysms. Both aneurysms were treated in the same procedure because of uncertainty over which aneurysm had bled. The left aneurysm was coiled intrasaccularly, the right one was treated by parent artery occlusion. Surgery for kissing aneurysms has been recognized as hazardous and challenging. We emphasize that the endovascular technique described is reasonable.