J Korean Neurosurg Soc.
2001 May;30(5):657-661.
A Giant Unruptured Aneurysm of Middle Cerebral Artery Bifurcation Solely Presenting with Seizure
- Affiliations
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- 1Department of Neurosurgery, School of Medicine, Hanyang University Medical Center, Seoul, Korea.
Abstract
- Intracranial giant aneurysms have been known to cause clinical signs and symptoms, either by rupture, compression of surrounding structures, repeated minor leakage, or cerebral ischemia due to thromboembolism. A giant aneurysm which manifests only a seizure disorder comprises relatively few contributions. The authors present a case of a giant, unruptured aneurysm solely presenting with generalized tonic-clonic type seizure in a 43-year-old man. Brain computed tomogram(CT) and 3-D CT angiogram demonstrated a huge calcified aneurysm at the bifurcation of right middle cerebral artery. Complete neck clipping and aneurysmectomy followed by uneventful neurologic recovery.
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