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J Korean Neurosurg Soc. 2001 May;30(5):657-661. Korean. Case Report.
Kim JH , Yi HJ , Kim KM , Kim JM , Kim YS , Ko Y , Oh SH , Oh SJ .
Department 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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