Related Experiment Videos
Intractable complex partial seizures associated with posterior cerebral artery giant aneurysm: a case report
E M Yacubian1, S Rosemberg, H C da Silva
1Department of Neurology, University of São Paulo School of Medicine, Brazil.
Epilepsia
|November 1, 1994
Summary
Giant aneurysms are rarely linked to complex partial seizures (CPS). This case study shows successful surgical treatment for intractable CPS caused by a giant posterior cerebral artery aneurysm, leading to sustained seizure freedom.
Area of Science:
- Neurology
- Neurosurgery
- Vascular Neurology
Background:
- Intractable complex partial seizures (CPS) can significantly impact quality of life.
- The association between giant aneurysms and epilepsy, particularly CPS, is infrequently documented.
- Identifying underlying structural causes is crucial for effective epilepsy management.
Observation:
- A 30-year-old male presented with medically refractory CPS since age 18.
- Electrophysiological studies localized seizure onset to the right temporal lobe.
- Neuroimaging revealed a partially thrombosed giant aneurysm of the right posterior cerebral artery.
Findings:
- Surgical intervention involving selective amygdalohippocampectomy and posterior cerebral artery occlusion was performed.
- The patient experienced no neurological deficits post-operatively.
- The patient achieved sustained seizure freedom for 15 months following the procedure.
Implications:
- Giant aneurysms should be considered in the differential diagnosis of intractable epilepsy, especially when seizures are localized.
- Surgical management of aneurysmal epilepsy can lead to favorable long-term outcomes.
- This case highlights the potential for neurosurgical intervention in resolving complex partial seizures secondary to vascular malformations.