Intracerebral abscess formation following embolisation of an internal carotid artery aneurysm using Guglielmi detachable coils.
Infection following endovascular therapy for cerebrovascular disease is a potential but rare complication. A 70-year-old lady in whom an intracranial abscess formed secondary to GDC embolisation of a giant right internal carotid artery aneurysm is reported. Computed tomography (CT) showed the abscess and staphylococcus aureus was cultured from the cerebrospinal fluid and blood. The abscess was successfully treated by antibiotic therapy. Infected Guglielmi detachable coils (GDC) may result in abscess formation in the presence of underlying cerebral ischaemia.
Jenkinson
M D
MD
Department of Neurosurgery, Walton Centre for Neurology and Neurosurgery, Lower Lane, Liverpool L9 7LJ, UK. michael.jenkinson@thewaltoncentre.nhs.uk
Javadpour
M
M
Nixon
T
T
Warnke
P
P
D000368:Aged; D001922:Brain Abscess / Q000175:diagnosis / Q000209:etiology*; D002340:Carotid Artery Diseases / Q000175:diagnosis / Q000628:therapy*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000473:pathology; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis / Q000628:therapy*; D008279:Magnetic Resonance Imaging; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000209:etiology; D014057:Tomography, X-Ray Computed