A rare case of azygous ACA with bilateral ICA aneurysm and distal ACA aneurysm

Azygous ACA is one of the rare anatomic variants of the anterior cerebral artery. Predisposition to aneurysm development is attributed to the alteration in flow dynamics. This is most commonly seen in the anterior circulation, causing distal ACA aneurysm to be the most commonly associated vascular pathology. Although neurosurgical literature is replete with such cases, there have been no case reports where bilateral ICA aneurysms are also...