title: Mycotic aneurysm accompanied by aspergillotic granuloma: a case report.
abstract: Solid granulomas and aneurysms caused by Aspergillus of the central nervous system are rare. A fungal aneurysm is usually situated proximally on the intracranial vessels and is often fatal. We report a case in which a ruptured aneurysm arose from the distal portion of the left posterior inferior cerebellar artery (PICA) in the course of treatment for chronic meningitis forming a granuloma at the left pyramis. After biopsy of the granuloma, he presented subarachnoid hemorrhage caused by a saccular PICA aneurysm. Histologic examination of the aneurysmal wall and the granuloma revealed infection with Aspergillus hyphae. The literature regarding the management of aspergillotic aneurysm is reviewed.
authors.affiliation: Department of Neurosurgery, Kumamoto University Medical School, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Kurino
authors.forename: J
authors.initials: J
authors.lastname: Kuratsu
authors.forename: T
authors.initials: T
authors.lastname: Yamaguchi
authors.forename: Y
authors.initials: Y
authors.lastname: Ushio
mesh_terms: D000785:Aneurysm, Infected / Q000382:microbiology*; D001228:Aspergillosis / Q000382:microbiology*; D001927:Brain Diseases / Q000382:microbiology*; D006099:Granuloma / Q000382:microbiology*; D006801:Humans; D002532:Intracranial Aneurysm / Q000382:microbiology*; D008297:Male; D008875:Middle Aged