Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지

A Giant Unruptured Aneurysm of Middle Cerebral Artery Bifurcation Solely Presenting with Seizure - A Case Report -

경련만으로 발현된 중대뇌동맥 분지부의 미파열성 거대 동맥류 - 증례보고 -

  • Kim, Jae Hoon (Department of Neurosurgery, School of Medicine, Hanyang University Medical Center) ;
  • Yi, Hyeong Joong (Department of Neurosurgery, School of Medicine, Hanyang University Medical Center) ;
  • Kim, Kwang Myung (Department of Neurosurgery, School of Medicine, Hanyang University Medical Center) ;
  • Kim, Jae Min (Department of Neurosurgery, School of Medicine, Hanyang University Medical Center) ;
  • Kim, Young Soo (Department of Neurosurgery, School of Medicine, Hanyang University Medical Center) ;
  • Ko, Yong (Department of Neurosurgery, School of Medicine, Hanyang University Medical Center) ;
  • Oh, Seong Hoon (Department of Neurosurgery, School of Medicine, Hanyang University Medical Center) ;
  • Oh, Suck Jun (Department of Neurosurgery, School of Medicine, Hanyang University Medical Center)
  • 김재훈 (한양대학교 의과대학 신경외과학교실) ;
  • 이형중 (한양대학교 의과대학 신경외과학교실) ;
  • 김광명 (한양대학교 의과대학 신경외과학교실) ;
  • 김재민 (한양대학교 의과대학 신경외과학교실) ;
  • 김영수 (한양대학교 의과대학 신경외과학교실) ;
  • 고용 (한양대학교 의과대학 신경외과학교실) ;
  • 오성훈 (한양대학교 의과대학 신경외과학교실) ;
  • 오석전 (한양대학교 의과대학 신경외과학교실)
  • Received : 2001.01.09
  • Accepted : 2001.04.09
  • Published : 2001.05.28
Download PDF
⟨ Previous Next ⟩

Abstract

Intracranial giant aneurysms have been known to cause clinical signs and symptoms, either by rupture, compression of surrounding structures, repeated minor leakage, or cerebral ischemia due to thromboembolism. A giant aneurysm which manifests only a seizure disorder comprises relatively few contributions. The authors present a case of a giant, unruptured aneurysm solely presenting with generalized tonic-clonic type seizure in a 43-year-old man. Brain computed tomogram(CT) and 3-D CT angiogram demonstrated a huge calcified aneurysm at the bifurcation of right middle cerebral artery. Complete neck clipping and aneurysmectomy followed by uneventful neurologic recovery.

Keywords