The Clinical Syndrome of Aneurysm of the Middle Cerebral Artery

Clinical presentation of ruptured intracranial aneurysm

“…Signs relating to lesions of the cerebral hemispheres such as dysphasia, hemiparesis, or hemianaesthesia occurred more commonly in the middle group, as noted already (Frankel and Alpers, 1955;Walker, 1956); hyperreflexia alone appeared to be slightly more common in the anterior group.…”

“…rarely (less than 10%) and did not always indicate were as common in the anterior the site of the bleed, a point noted by others ups as in the middle group. (Henderson, 1955;Frankel and Alpers, 1955; either monoplegia or hemiplegia, Walker, 1956;Dimsdale and Logue, 1959). Site of far more common in the middle the headache was most unreliable as a guide to localization of the aneurysm, a ruptured posterior iances, including hemi-anaesthesia, aneurysm being as likely to have a frontal as an L and tactile inattention, were occipital headache.…”

Unruptured intracranial aneurysm presenting with epiletic seizure

“…Aneurysms which cause epilepsy are usually large, and situated on the middle cerebral artery [6][7][8][9] . Frankel and Alpers 10 describe one patient with a giant aneurysm of the middle cerebral artery, who had presented with complex partial seizures that had persisted for the 3 years prior to her death after aneurysmal surgery. In Bull's 7 series 4 out of 22 giant intracranial aneurysms presented initially epilepsy and among 666 patients with seizures reported by Currie et al 11 , only one had an unruptured intracranial aneurysm of the middle cerebral artery.…”