Multiple mirror aneurysms have been rarely reported in the literature. To the best of our knowledge, 3 pairs of mirror aneurysms in a single patient have not been reported prior. We present a case of 3 pairs of mirror aneurysms. One pair in the bifurcations of bilateral middle cerebral arteries and 2 pairs in the distal anterior cerebral arteries. The patient also had 2 unpaired aneurysms in the anterior communicating artery and left M1-anterior temporal junction, respectively. We have effectively treated these aneurysms with primary endovascular coiling.
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