title: [A ruptured mycotic aneurysm, simultaneously associated with acute subdural hematoma and intracerebral hemorrhage: case report and review of the literature].
abstract: A case is reported of a patient with simultaneous subdural hematoma and intracerebral hemorrhage associated with a ruptured intracranial mycotic aneurysm. A 65-year-old woman, with a history of low grade fever for over a month, presented with disturbance of consciousness. A CT showed bilateral acute subdural hematomas and parenchymal hematomas in the occipital lobes. Cerebral angiography demonstrated a distal middle cerebral aneurysm. Cardiac ultrasonography showed a verruca at the mitral valve. The incidence of ruptured mycotic aneurysm presenting with acute subdural hematoma is extremely rare. To our knowledge, there have been only seven cases. The present case is discussed with reference to a review of the literature.
authors.affiliation: Department of Neurosurgery, Otsu Red Cross Hospital, 1-1-35 Nagara, Otsu-city, Shiga 520-8511, Japan.
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Sugino
authors.forename: Kazuo
authors.initials: K
authors.lastname: Yamamoto
authors.forename: Minoru
authors.initials: M
authors.lastname: Kidooka
authors.forename: Shin-ichi
authors.initials: S
authors.lastname: Otsuka
mesh_terms: D000368:Aged; D000785:Aneurysm, Infected / Q000150:complications*; D017542:Aneurysm, Ruptured / Q000150:complications*; D002543:Cerebral Hemorrhage / Q000209:etiology*; D005260:Female; D020199:Hematoma, Subdural, Acute / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications*; D014057:Tomography, X-Ray Computed