Treatment of a bacterial (mycotic) intracranial aneurysm using an endovascular approach.
The case of a patient with a bacterial intracranial aneurysm treated with antibiotics and endovascular obliteration is reported. The patient presented with dysphasia and right hemiparesis. A medical workup revealed endocarditis and associated heart valve dysfunction with no evidence of congestive heart failure. Computed tomography demonstrated subarachnoid hemorrhage, and a subsequent cerebral arteriogram showed a distal left middle cerebral aneurysm, which, as demonstrated by angiography, did not change in size in 2 weeks. An endovascular approach was used to obliterate the aneurysm and its parent vessel. Endovascular techniques may be used to obliterate certain bacterial intracranial aneurysms, particularly in patients who harbor distal aneurysms.
Division of Neurosurgery, University of Alabama, Birmingham Medical Center.
R T
RT
Frizzell
J J
JJ
Vitek
D L
DL
Hill
W S
WS
Fisher
D000328:Adult; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000628:therapy*; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D013290:Streptococcal Infections / Q000000981:diagnostic imaging / Q000628:therapy*; D014057:Tomography, X-Ray Computed