Tanaka K, Hirayama K, Hattori H, Matsuoka O, Sakamoto H, Hakuba A, Murata R
Department of Pediatrics, Osaka City University Medical School, Japan.
Brain Dev. 1994 May-Jun;16(3):233-7. doi: 10.1016/0387-7604(94)90076-0.
We report a 20-month-old girl with an unruptured aneurysm of the middle cerebral artery. The initial sign was complex partial seizures. Magnetic resonance angiography showed an aneurysm of the right middle cerebral artery. Cerebral angiography confirmed the presence of a saccular aneurysm. After 3 months, the aneurysm spontaneously thrombosed without neurological deficit. The seizures were controlled by anti-convulsants. The aneurysm was probably near the focus of the complex partial seizures. This is a rare case of a childhood cerebral artery aneurysm that first manifested itself by complex partial seizures.
我们报告了一名20个月大的女孩，患有大脑中动脉未破裂动脉瘤。最初的症状是复杂部分性发作。磁共振血管造影显示右侧大脑中动脉有一个动脉瘤。脑血管造影证实存在囊状动脉瘤。3个月后，动脉瘤自发血栓形成，无神经功能缺损。癫痫发作通过抗惊厥药物得到控制。该动脉瘤可能靠近复杂部分性发作的病灶。这是一例罕见的儿童脑动脉动脉瘤，最初表现为复杂部分性发作。
