scholarly journals Temporal lobe seizures from a posterior cerebral artery aneurysm presenting as memory flashbacks

CJEM ◽  
2009 ◽  
Vol 11 (04) ◽  
pp. 389-392 ◽  
Author(s):  
Mohamed A. Peera ◽  
Michael LoCurto
Keyword(s):  
Temporal Lobe ◽  
Cerebral Artery ◽  
Posterior Cerebral Artery ◽  
Artery Aneurysm ◽  
Unruptured Aneurysm ◽  
Psychiatric Condition ◽  
Temporal Lobe Seizures ◽  
Psychiatric Conditions ◽  
Cerebral Artery Aneurysm ◽  
With Memory

ABSTRACT Memory flashbacks are usually attributed to recreational drugs or psychiatric conditions. The differential diagnosis for memory flashbacks is diverse and challenging; moreover, management is influenced by the working diagnosis. We describe the case of a 35-year-old man who presented with memory flashbacks secondary to temporal lobe seizures from an unruptured aneurysm of the posterior cerebral artery. To our knowledge, a case of this nature has not been previously reported. This case demonstrates the need to recognize that, on rare occasions, a complaint of memory flashbacks can be the result of an organic etiology. We also discuss the challenging presentations of temporal lobe seizures, as they can easily be misdiagnosed as a psychiatric condition.

scholarly journals P.189 Unruptured Posterior Cerebral Artery aneurysm causing temporal lobe epilepsy

2021 ◽  
Vol 48 (s3) ◽  
pp. S74-S75
Author(s):  
M Fatehi Hassanabad ◽  
G Redekop ◽  
LS Yefet
Keyword(s):  
Temporal Lobe Epilepsy ◽  
Temporal Lobe ◽  
Cerebral Artery ◽  
Rare Case ◽  
Posterior Cerebral Artery ◽  
Cerebral Aneurysms ◽  
Artery Aneurysm ◽  
Parahippocampal Gyrus ◽  
Temporal Lobe Seizures ◽  
Cerebral Artery Aneurysm

Background: Cerebral aneurysms are an unusal cause of epilepsy. To date, several groups have reported temporal lobe seizures caused by aneurysms projecting into the parahippocampal gyrus. Given the low incidence of posterior cerebral artery aneurysms, they are a very rare cause of temporal lobe seizures. Methods: Here, we report a rare case of temporal lobe epilepsy caused by an unruptured aneurysm. We also present a review of the literature yielding two similar cases. Results: A previosuly well 56 year old male presented to a neurologist with symptoms consistent with temporal lobe epilepsy. He was started on carbamzepine and underwent imaging and neuropsychological assessments. An MRI suggested the existance of a 7mm posterior cerebral artery aneurysm arising from the P2 segment of the posterior cerebral artery and projecting into the parahippocampal gyrus. This was also confirmed with CT angiography and the patient elected to have the aneurysm clipped. Conclusions: Temporal lobe epilepsy is an uncommon presentation for unruptured cerebral aneurysms. We report a rare case wherein a laterally pointing PCA aneurysm was buried in the posterior parahippocampal gyrus. This aneurysm had caused perifocal gliosis leading to stereotyped seizures. Post-operatively, the patient has been seizure free.

scholarly journals Memory impairment caused by cerebral hematoma in the left medial temporal lobe due to ruptured posterior cerebral artery aneurysm

BMC Neurology ◽  
2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Shinichiro Maeshima ◽  
Aiko Osawa ◽  
Fumitaka Yamane ◽  
Hidetoshi Shimaguchi ◽  
Ikuo Ochiai ◽  
...  
Keyword(s):  
Temporal Lobe ◽  
Cerebral Artery ◽  
Medial Temporal Lobe ◽  
Memory Impairment ◽  
Posterior Cerebral Artery ◽  
Artery Aneurysm ◽  
Cerebral Hematoma ◽  
Cerebral Artery Aneurysm

Failure of Combined Treatment for the Thrombosed Posterior Cerebral Artery Aneurysm

2010 ◽  
Vol 38 (1) ◽  
pp. 52-56 ◽  
Author(s):  
Yasuo MURAI ◽  
Koji ADACHI ◽  
Yoichi YOSHIDA ◽  
Akira TERAMOTO ◽  
Takayuki MIZUNARI
Keyword(s):  
Cerebral Artery ◽  
Posterior Cerebral Artery ◽  
Combined Treatment ◽  
Artery Aneurysm ◽  
Cerebral Artery Aneurysm

De novo distal posterior cerebral artery aneurysm

2003 ◽  
Vol 60 (6) ◽  
pp. 534-539 ◽  
Author(s):  
Hiroyuki Yoshioka ◽  
Takuhiro Hotta ◽  
Eiji Taniguchi ◽  
Naomi Hashimoto ◽  
Yasuyuki Kinoshita ◽  
...  
Keyword(s):  
Cerebral Artery ◽  
De Novo ◽  
Posterior Cerebral Artery ◽  
Artery Aneurysm ◽  
Cerebral Artery Aneurysm

scholarly journals Endovascular management of dissecting posterior cerebral artery aneurysm associated with persistent hypoglossal artery: A case report

2021 ◽  
Vol 20 ◽  
Author(s):  
Vivek Murumkar ◽  
Sameer Peer ◽  
Jitender Saini ◽  
Hanumanthapura Ramalingaiah Arvinda
Keyword(s):  
Cerebral Artery ◽  
Posterior Cerebral Artery ◽  
Stable Condition ◽  
Artery Aneurysm ◽  
Left Internal Carotid Artery ◽  
Persistent Hypoglossal Artery ◽  
Vertebral Arteries ◽  
Hypoglossal Artery ◽  
Guide Catheter ◽  
Cerebral Artery Aneurysm

Abstract Persistent embryological connections between the anterior and posterior circulations are rare entities. Persistent hypoglossal artery is the second most common persistent carotid-basilar anastomosis. As it is often associated with hypoplasia of vertebral arteries, it poses a challenge during endovascular interventions. We present a case of a 32-year-old woman who presented with occipital headache of four weeks’ duration. Magnetic Resonance Angiography showed hypoplastic vertebral arteries with a persistent hypoglossal artery arising from the cervical segment of the left internal carotid artery and supplying the entire posterior circulation, associated with a dissecting aneurysm of the right posterior cerebral artery. Endovascular parent vessel occlusion was performed for the dissecting posterior cerebral artery aneurysm by navigating the guide catheter, microwire, and microcatheter through the persistent hypoglossal artery because the vertebral arteries were hypoplastic. Post-intervention, the patient did not develop any neurological deficit and was discharged in a stable condition.

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