An unusual case of ruptured distal anterior cerebral artery aneurysm associated with brucellosis.
Reports have noted aneurysmal dilatation of arteries in association with brucellosis, but involvement of intracranial vessels has not been documented to date. Sixty-one year old female patient who had been diagnosed with brucellosis 14 months earlier presented with symptoms of subarachnoid hemorrhage (SAH). Due to deterioration of the patient's clinical condition in spite of a two-drug antibiotic regimen, she was treated surgically and made a full recovery. It is important to identify this association promptly, as there are clinical implications for optimal management. The article also discusses the timing and duration of antibiotic therapy, indications for and considerations regarding surgery, and the use of other treatment modalities.
Erdogan
Bulent
B
Department of Neurosurgery, Faculty of Medicine, Baskent University, 01250, Adana, Turkey. uberdogan@hotmail.com
Sener
Levent
L
Ozsahin
Kursat
K
Savas
Lutfu
L
Caner
Hakan
H
D017542:Aneurysm, Ruptured / Q000209:etiology*; D001769:Blood / Q000382:microbiology; D002006:Brucellosis / Q000150:complications* / Q000382:microbiology; D002343:Carotid Artery, Internal / Q000382:microbiology*; D002555:Cerebrospinal Fluid / Q000382:microbiology; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000209:etiology*; D008875:Middle Aged; D013345:Subarachnoid Hemorrhage / Q000209:etiology*; D014057:Tomography, X-Ray Computed