Recurrent transient ischemic attacks secondary to an embolizing saccular middle cerebral artery aneurysm

Case report

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  • 1 Department of Neurological Surgery, School of Medicine, University of California, San Francisco, California
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✓ Over a 1-year period, a 60-year-old woman had nine episodes of transient weakness, clumsiness, and hypesthesia of the right upper extremity. Angiography revealed normal extracranial vessels and a left middle cerebral artery aneurysm. The aneurysmal sac, removed at operation, had an organized thrombus, which was believed to be the cause of the transient ischemic attacks. Postoperatively, the patient has remained free of neurological symptoms.

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Contributor Notes

Address reprint requests to: William F. Hoffman, M.D., The Editorial Office, Department of Neurological Surgery, University of California, San Francisco, Suite 807, 350 Parnassus Avenue, San Francisco, California 94143.
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