Ruptured solitary iliac artery aneurysms are rare. We describe an elderly woman who presented with neurologic findings.
A 79-year-old African American woman was brought to our hospital because of a brief episode of shaking of her right upper extremity, followed by an approximately 10-minute episode of unresponsiveness while in her physician's office. On regaining consciousness, the patient was alert and had slurred speech. No other abnormality was noted. Her medical history revealed hypertension, Alzheimer dementia, peripheral vascular disease, a left above-knee amputation, and a percutaneous endoscopic gastrostomy tube for feeding. She was a nonsmoker and lived at home with her caregiver.
Borghaei H, Rolston DDK. Ruptured Solitary Iliac Artery Aneurysm Presenting as a Seizure Disorder. Arch Intern Med. 2000;160(6):872. doi: