A possible case of unruptured middle cerebral artery aneurysm presenting as epileptic seizures

Neurol Sci. 2003 Oct;24(3):141-4. doi: 10.1007/s10072-003-0101-7.

Abstract

We report the case of a 73-year-old man with an unruptured aneurysm of the left middle cerebral artery. The initial sign was complex partial seizures. A standard scalp electroencephalogram was normal while neuropsychological tests revealed a slight deficit of episodic memory. Brain MRI showed an aneurysm at the left middle cerebral artery bifurcation. Cerebral angiography confirmed the presence of a saccular aneurysm at the left middle cerebral artery bifurcation, with a maximum diameter of 12 mm. This case had two main characteristic features: seizures had a quite late onset and were the only symptom the patient experienced.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Epilepsy / etiology*
  • Epilepsy / pathology
  • Epilepsy / therapy
  • Humans
  • Intracranial Aneurysm / complications*
  • Intracranial Aneurysm / pathology
  • Intracranial Aneurysm / therapy
  • Magnetic Resonance Angiography / instrumentation
  • Magnetic Resonance Angiography / methods
  • Magnetic Resonance Imaging / instrumentation
  • Magnetic Resonance Imaging / methods
  • Male
  • Middle Cerebral Artery / diagnostic imaging
  • Middle Cerebral Artery / pathology
  • Tomography, X-Ray Computed / instrumentation
  • Tomography, X-Ray Computed / methods