Work

Approach to a symptomatic unruptured intracranial aneurysm presenting as status epilepticus: a case report and literature review

Year: 2025

Type: article

Abstract: Unruptured intracranial aneurysms are mostly diagnosed after hemorrhage from another aneurysm, or incidentally when evaluating neurological symptoms such as headache, ischemic cerebrovascular disease, and cranial nerve palsy. Seizure as a presenting feature is unusual. We reported a case of a 39-year-old woman who suffered status epilepticus caused by an unruptured intracranial aneurysm. Head magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA), confirmed with cerebral angiography, revealed a large left internal carotid artery (ICA) saccular aneurysm. Mass effect resulting in direct compression causing seizures. Symptoms resolved after endovascular coiling was performed. We aim to present a case of seizure as a rarely considered manifestation of a symptomatic unruptured intracranial aneurysm. A treatment strategy prior to hemorrhage is essential.

Source: Radiology Case Reports

DOI: 10.1016/j.radcr.2025.10.011

Authors: Jonathan Kurniawan Sindaka, Poppy Kristina Sasmita

Institution: Atma Jaya Catholic University of Indonesia

Language: English

Topic: Intracranial Aneurysms: Treatment and Complications

Subfield: Neurology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $600