Intractable complex partial seizures associated with posterior cerebral artery giant aneurysm: a case report.
Giant aneurysms have rarely been reported in association with intractable complex partial seizures (CPS). We report a 30-year-old man with intractable CPS since age 18 years. Seizure onset was electrically localized to right temporal lobe. Preoperative neuroimaging studies showed a partially thrombosed giant aneurysm of the right posterior cerebral artery. Selective amygdalohippocampectomy and occlusion of the posterior cerebral artery did not cause deficits. The patient has been seizure-free for 15 months after operation. We review the relevant literature on aneurysms as a cause of epilepsy.
Yacubian
E M
EM
Department of Neurology, University of São Paulo School of Medicine, Brazil.
Rosemberg
S
S
da Silva
H C
HC
Jorge
C L
CL
de Oliveira
E
E
de Assis
L M
LM
D000328:Adult; D002533:Cerebral Angiography; D002539:Cerebral Arterial Diseases / Q000150:complications* / Q000175:diagnosis; D017029:Epilepsy, Complex Partial / Q000209:etiology*; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D008297:Male