Perianeurysmal abscess and meningitis after endovascular coil placement for an intracranial aneurysm.
BACKGROUND
Only five cases of infection of the central nervous system attributable to intracranial permanent devices (e.g., coils, cyanacrylate) have been described.


METHODS
Case report and review of the pertinent English-language literature.


METHODS
A case of perianeurysmal abscess, cavernous sinus syndrome, and bacterial meningitis after coil placement in an intracranial aneurysm is presented. Among the possible sources of infection, both intrinsic and extrinsic factors are discussed. Medical management was successful, and removal of the implanted devices was not required.


CONCLUSIONS
Even if central nervous system infection in interventional procedures is a rare entity, particular circumspection in the handling of endovascular devices and excluding from treatment patients with a simultaneous infection may further decrease the possibility of this complication.
Diaz-Romero
Ricardo
R
Department of Neurological Endovascular Therapy, Instituto Nacional de Neurología, México City, México.
Zenteno
Marco
M
Santos-Franco
Jorge-Arturo
JA
Soto-Hernandez
Jose-Luis
JL
Lee
Angel
A
D000038:Abscess / Q000175:diagnosis* / Q000188:drug therapy; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D005260:Female; D006257:Head / Q000000981:diagnostic imaging; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D016920:Meningitis, Bacterial / Q000175:diagnosis* / Q000188:drug therapy; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis* / Q000188:drug therapy; D011859:Radiography