Temporal Lobe Epilepsy Caused by Unruptured Middle Cerebral Artery Aneurysms

Kamrin, Robert P.

doi:10.1001/archneur.1966.00470100077010

Cited by 16 publications

(15 citation statements)

References 16 publications

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“…Seven were females, and 3 were below the age of 18. All but 2 were treated with surgical clipping and remained seizure-free or improved in a follow-up varying from 1 to 5 years [2,3,5,6,13]. One case, a 30-year-old male with posterior cerebral artery (PCA) aneurysm, was treated with proximal PCA occlusion and selective AHC and remains seizurefree [6].…”

Section: Discussionmentioning

confidence: 99%

“…One case, a 30-year-old male with posterior cerebral artery (PCA) aneurysm, was treated with proximal PCA occlusion and selective AHC and remains seizurefree [6]. In another case, temporal lobectomy and excision of a calcified thrombosed MCA aneurysm was performed in a 48-year-old woman with significant improvement of her seizures, but she died 10 months later from myocardial infarction [2].…”

Section: Discussionmentioning

confidence: 99%

“…Seizures as the first presenting symptom of intracranial aneurysms are uncommon [1], and rarely become medically intractable [2][3][4][5][6]. Dandy [7], in 1944, was the first to describe such unusual association in a patient with a 15-year history of seizures.…”

Section: Introductionmentioning

confidence: 99%

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Unusual Association of Intractable Temporal Lobe Seizures and Intracranial Aneurysms in an Adolescent: Is It a Coincidence?

Baeesa

Dang²,

Keene³

et al. 1998

Pediatr Neurosurg

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Intracranial aneurysms in the pediatric age group are rare occurrences. They usually present with subarachnoid hemorrhage or mass effect. Their association with epilepsy has rarely been reported; such concurrence may not be a coincidence. We present a 16-year-old girl with a 5-year history of medically intractable complex partial seizures. Preoperative electrophysiological and neuroimaging studies demonstrated an epileptogenic focus and atrophy in the right mesial temporal lobe, and ipsilateral incidental aneurysm at the carotid artery bifurcation. The patient underwent a complete right anterior temporal lobectomy, followed by clipping of the aneurysm. We concluded that the epilepsy management in association with cerebral aneurysms is controversial, but when surgery is indicated, clipping of the aneurysm and resection of the epileptogenic focus may provide the optimal outcome. The relevant literature is reviewed and the possible mechanisms of production of epilepsy by intracranial aneurysms are discussed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Unusual Association of Intractable Temporal Lobe Seizures and Intracranial Aneurysms in an Adolescent: Is It a Coincidence?

Baeesa

Dang²,

Keene³

et al. 1998

Pediatr Neurosurg

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“…Giant intracranial aneurysms have been defined as those over 25 mm in diameter; approximately 5% of all intracranial aneurysms are more than 25 mm in diameter. These giant intracranial aneurysms behave differently from smaller aneurysms and pose different problems in management 3,5,6,9,11,[16][17][18][19][20][21] . In some large series of giant unruptured intracranial aneurysms the majoritary present with signs of a mass lesion; there is a prevailing opinion that giant aneurysms seldom rupture; only 40% of giant aneurysms present with subarachnoid hemorrhage; the other 60 % may cause diagnostic difficulties when present in one of the following ways: as a slowly enlarging intracranial mass causing progressive cranial nerve, brainsten, or cerebral hemispheric disfunction; as transient ischemic attacks or cerebral infarction, as progressive dementia with or without feactures of diencephalic amnesia and seizures 5,13 .…”

Section: Fig 1 (A and B) Plain Skull Film Showing Curvilinear Calcifmentioning

confidence: 99%

Unruptured intracranial aneurysm presenting with epiletic seizure

Sena

Reynier²,

Alliez³

2003

Arq. Neuro-Psiquiatr.

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-Intracranial aneurysms are frequently present with subarachnoid hemorrhage.Less often they produce suggestive symptoms of cranial nerve dysfunction or intracranial tumor when very large. Their association with epilepsy has rarely been reported; such concurrence may not be a coincidence. When the patient presents with epileptiforme attacks the presence of an intracranial aneurysm is rarely considered. In this paper we report the case of a 45-years-old patient with an unruptured aneurysm of the middle cerebral artery with a 10 years history of epileptic seizure.KEY WORDS: intracranial aneurysm, epilepsy, middle cerebral artery, giant aneurysm. Epilepsia secundária a aneurisma cerebral não rotoRESUMO -Aneurismas intracranianos freqüentemente se apresentam com hemorragia subaracnóidea quando rotos, porém quando gigantes sangram com menor freqüência e se comportam como verdadeiros tumores, comprimindo estruturas cerebrais adjacentes, apresentando sintomatologia peculiar. Relatamos o caso de um paciente de 45 anos que apresentava crises convulsivas generalizadas com evolução de 10 anos. A investigação radiológica revelou presença de aneurisma gigante da artéria cerebral média, não roto. É realizada revisão da literatura correlacionando a presença de aneurismas não rotos e epilepsia, pois esta associação é pouco freqüente na literatura. PALAVRAS-CHAVE: aneurisma intracraniano, epilepsia, artéria cerebral média, aneurisma gigante.

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“…Aneurysms which cause epilepsy are usually large (Bull, 1969;Kamrin, 1966), and situated on the middle cerebral artery (Hook and Norlen, 1958;Frankel and Alpers, 1955;Ammerman and Smith, 1977). It has been known for many years that cerebral aneurysms are occasionally familial and Bannerman (1970) reported 27 pedigrees.…”

Section: Introductionmentioning

confidence: 99%

Cerebral aneurysm presenting with epilepsy

McCulloch¹,

Ashworth

1982

Postgraduate Medical Journal

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Two patients with cerebral aneurysm are reported. Both presented with temporal lobe epileptic attacks. In one of the patients there was a family history of aneurysm and cerebral haemorrhage. One aneurysm was recognized by calcification on a plain radiograph but could not be demonstrated by angiography during life. The aneurysms were large and originated from the middle cerebral artery. Previous reports are reviewed. Difficulties of diagnosis and prognosis are discussed.

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Temporal Lobe Epilepsy Caused by Unruptured Middle Cerebral Artery Aneurysms

Cited by 16 publications

References 16 publications

Unusual Association of Intractable Temporal Lobe Seizures and Intracranial Aneurysms in an Adolescent: Is It a Coincidence?

Unusual Association of Intractable Temporal Lobe Seizures and Intracranial Aneurysms in an Adolescent: Is It a Coincidence?

Unruptured intracranial aneurysm presenting with epiletic seizure

Cerebral aneurysm presenting with epilepsy

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