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Published on: September 20, 2024
A possible case of unruptured middle cerebral artery aneurysm presenting as epileptic seizures
E Zambrelli1, A Cavallini, P Tosi
1Cerebrovascular Unit, C. Mondino Foundation, Via Palestro 3, I-27100, Pavia, Italy.
Abstract:
We report the case of a 73-year-old man with an unruptured aneurysm of the left middle cerebral artery. The initial sign was complex partial seizures. A standard scalp electroencephalogram was normal while neuropsychological tests revealed a slight deficit of episodic memory. Brain MRI showed an aneurysm at the left middle cerebral artery bifurcation. Cerebral angiography confirmed the presence of a saccular aneurysm at the left middle cerebral artery bifurcation, with a maximum diameter of 12 mm. This case had two main characteristic features: seizures had a quite late onset and were the only symptom the patient experienced.
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