Satyarthee Guru Dutta, Singh Manmohan
Department of Neurosurgery, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India.
J Pediatr Neurosci. 2017 Apr-Jun;12(2):185-187. doi: 10.4103/jpn.JPN_182_16.
Intracranial aneurysm is a rare cause of seizure although few cases may develop new onset seizure following rupture of aneurysm. The causes of seizure in ruptured aneurysm may be caused due to presence of subarachnoid hemorrhage, intracerebral hematoma, infarct due to progressive vasospasm, worsening of hydrocephalus, or even after surgical craniotomy for clipping of aneurysm. However, incidental aneurysm solely presenting with complex partial seizure is not reported in literature. To the best of knowledge of authors, current case represents the first case as incidental aneurysm presenting with seizure and pertinent literature is briefly reviewed.
颅内动脉瘤是癫痫发作的罕见病因,尽管少数病例在动脉瘤破裂后可能会出现新发癫痫。破裂动脉瘤导致癫痫发作的原因可能是蛛网膜下腔出血、脑内血肿、进行性血管痉挛导致的梗死、脑积水加重,甚至是在进行动脉瘤夹闭手术开颅术后。然而,文献中未报道过仅以复杂部分性癫痫发作为表现的偶然发现的动脉瘤。据作者所知,本病例是首例偶然发现的以癫痫发作为表现的动脉瘤,并对相关文献进行简要回顾。