Giant aneurysm causing frontal lobe syndrome
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Updated: Oct 9, 2026

Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment
Published on: September 25, 2009
C Bokemeyer1, B Frank, A Brandis
1Department of Neurology, Städtisches Krankenhaus Nordstadt, Hannover, Federal Republik of Germany.
Abstract:
A 67-year-old patient with a completely thrombosed giant aneurysm of the anterior communicating artery is described. The only neurological findings were a disturbance of stance and gait and slight bilateral grasp reflexes. He had had the features of a frontal lobe psychotic syndrome for more than 12 years. Computed tomography demonstrated a primarily hyperdense calcified suprasellar space-occupying lesion. Magnetic resonance imaging proved valuable in establishing the correct diagnosis, which was confirmed post mortem.
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