Ruptured mycotic aneurysm presenting as an intraparenchymal hemorrhage and nonadjacent acute subdural hematoma: case report and review of the literature.
The case of a mycotic aneurysm presenting as an intraparenchymal hemorrhage and acute subdural hematoma is described. A 36-year-old man with a history of headaches and fever presented in coma. Brain computed tomography scan revealed a left occipital intraparenchymal hemorrhage and a nonadjacent acute subdural hematoma that was evacuated. Angiography demonstrated an aneurysm on the distal branch of the left posterior cerebral artery consistent with a mycotic aneurysm. This case and a review of the literature are discussed.
Barami
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Division of Neurosurgery, New York Hospital-Cornell University Medical College, Aitken Neurosurgical Laboratory, NY 10021.
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D000208:Acute Disease; D000328:Adult; D000785:Aneurysm, Infected / Q000175:diagnosis* / Q000382:microbiology; D017542:Aneurysm, Ruptured / Q000175:diagnosis* / Q000382:microbiology; D002543:Cerebral Hemorrhage / Q000209:etiology*; D004696:Endocarditis / Q000150:complications; D006408:Hematoma, Subdural / Q000209:etiology*; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis* / Q000382:microbiology; D008297:Male; D009181:Mycoses