title: Intractable complex partial seizures associated with posterior cerebral artery giant aneurysm: a case report.
abstract: 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.
authors.affiliation: Department of Neurology, University of São Paulo School of Medicine, Brazil.
authors.forename: E M
authors.initials: EM
authors.lastname: Yacubian
authors.forename: S
authors.initials: S
authors.lastname: Rosemberg
authors.forename: H C
authors.initials: HC
authors.lastname: da Silva
authors.forename: C L
authors.initials: CL
authors.lastname: Jorge
authors.forename: E
authors.initials: E
authors.lastname: de Oliveira
authors.forename: L M
authors.initials: LM
authors.lastname: de Assis
mesh_terms: 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