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Aneurysms and epilepsy: an increasingly recognised cause.
Abdul Wadud Kamali1, O C Cockerell, P Butlar
1Department of Neurology, The Royal London Hospital, London, UK. awkamali@hotmail.com
Seizure
|January 27, 2004
Summary
Intracranial aneurysms are rarely linked to complex partial seizures. This study reports five cases, with some seizures resolving after aneurysm treatment and anti-epileptic drugs.
Area of Science:
- Neurology
- Neurosurgery
- Vascular Neurology
Background:
- Complex partial seizures are a type of epilepsy.
- Intracranial aneurysms are abnormal bulges in blood vessels within the brain.
- The association between intracranial aneurysms and complex partial seizures is infrequently documented.
Observation:
- Five cases of complex partial seizures (CPS) with intracranial aneurysms are presented.
- Aneurysms were identified via MRI and angiograms.
- One patient presented with multiple aneurysms.
Findings:
- Four patients underwent GDC coil embolization and received anti-epileptic medication.
- Two patients experienced seizure resolution, while two reported persistent minor seizures.
- The fifth patient is managed with anti-epileptic medication.
Implications:
- The findings suggest a potential link between intracranial aneurysms and complex partial seizures.
- Further research into the pathogenesis of this association is warranted.
- Treatment strategies for intracranial aneurysms in epileptic patients require consideration.