Posterior communicating artery aneurysm presenting with writing apraxia

Neurosurgery
Case Report
10.1102/1470-5206.2012.0008
12
32-35
Posterior communicating artery aneurysm presenting with writing apraxia

Objectives: We report the first case of writing apraxia as the main presenting feature of a posterior communicating artery aneurysm. Cerebral aneurysm usually presents with visual impairment, nausea and vomiting, severe headache and loss of consciousness. Case report: A 58-year-old man presented to the neurological department because of writing difficulty, which affected his work as an executive. Detailed clinical examination and supplementary radiological investigations confirmed a posterior communicating artery aneurysm. The patient was treated surgically with clipping of the aneurysm and he had full recovery at clinic review. Conclusion: To the best of our knowledge, there has been no previous report of a posterior communicating artery aneurysm presenting with writing apraxia. Our case is unusual because the patient’s main presenting feature was writing apraxia secondary to a posterior communicating artery aneurysm.

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Editor-in-Chief

Frank Cross
Consultant Vascular and General Surgeon
The London Clinic, UK

Editors

Neil Barnes
Consultant Physician
Barts Health NHS Trust, London, UK
Ali Jawad
Professor of Rheumatology
Barts Health NHS Trust, London, UK

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