[Bacterial cerebral aneurysms without infectious endocarditis: analysis of a case and review of the literature].
BACKGROUND
Bacterial intracerebral aneurysms, which are a common complication of infectious endocarditis, are unusual without Osler's disease.


METHODS
From the case report of a man with a bilateral bacterial intracranial aneurysm without endocarditis resulting in an hypopituitarism, we undertook a literature review of bacterial intracerebral aneurysms without endocarditis.


CONCLUSIONS
Although this review has found few cases, this kind of aneurysms seems to have different features from those secondary to infective endocarditis: younger age of incidence, majority of Staphylococcus aureus, clinical presentation as a thrombophlebitis of the cavernous sinus, location of aneurysm on bigger cerebral artery.
Pavic
M
M
Service de médecine interne, hôpital Desgenettes, 108, boulevard Pinel, 69003 Lyon, France.
Debourdeau
P
P
Teixeira
L
L
Brunot
J
J
Colle
B
B
Flechaire
A
A
D000293:Adolescent; D000328:Adult; D001424:Bacterial Infections / Q000175:diagnosis / Q000188:drug therapy; D002533:Cerebral Angiography; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007018:Hypopituitarism / Q000209:etiology; D015378:Imipenem / Q000008:administration & dosage / Q000627:therapeutic use; D007223:Infant; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000188:drug therapy; D013290:Streptococcal Infections / Q000175:diagnosis / Q000188:drug therapy; D013845:Thienamycins / Q000008:administration & dosage / Q000627:therapeutic use; D013997:Time Factors; D014057:Tomography, X-Ray Computed
D013845:Thienamycins; D015378:Imipenem