Mycotic aneurysm accompanied by aspergillotic granuloma: a case report.
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.
Kurino
M
M
Department of Neurosurgery, Kumamoto University Medical School, Japan.
Kuratsu
J
J
Yamaguchi
T
T
Ushio
Y
Y
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