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We report 7 cases presenting with double aneurysms originated from the junction of the internal carotid artery-posterior communicating artery and the ipsilateral internal carotid artery-anterior choroidal artery. It was equivocal in the preoperative angiogram whether 2 adjacent aneurysms were adherent or not. Meticulous dissection of the aneurysms and preservation of blood flow in the parent artery and its branches are required in direct surgery.

Surgery for Double Aneurysms of the Internal Carotid Artery Both at the Posterior Communicating and Anterior Choroidal Artery