Unruptured aneurysm of the middle cerebral artery presenting with psychomotor seizures: Case study and review of the literature

Vincent J. Miele, Bernard R. Bendok, H. Hunt Batjer

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

An intracranial aneurysm would be low on the differential diagnosis of a patient presenting with behavioral or emotional changes. Nonetheless, complex partial seizures (CPS) may cause such symptoms and result from an unruptured intracranial aneurysm. Failure to diagnose and treat this condition in a timely manner increases the patient's risk of catastrophic aneurysmal rupture. This report describes a 55-year-old woman who presented following two CPS which began with the perception of a strange smell and culminated in a brief loss of consciousness. She had no history of seizure disorder or recent trauma. Magnetic resonance imaging (MRI) revealed a space-occupying lesion over the right temporal lobe near the amygdala. Magnetic resonance angiography (MRA) confirmed a 1.5-cm right middle cerebral artery aneurysm, with a dome projecting toward the amygdalohippocampal region. Following surgical ablation, the patient's CPS were well controlled. A review of the literature is performed on this unusual etiology and management strategies are discussed.

Original languageEnglish (US)
Pages (from-to)420-428
Number of pages9
JournalEpilepsy and Behavior
Volume5
Issue number3
DOIs
StatePublished - Jun 1 2004

Keywords

  • Complex partial seizures
  • Diagnosis
  • Prognosis
  • Psychomotor seizures
  • Unruptured intracranial aneurysms

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology
  • Behavioral Neuroscience

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