title: Successful delayed coiling of a ruptured growing distal posterior cerebral artery mycotic aneurysm.
abstract: Intracranial infectious aneurysm (IIA) is a rare form of cerebrovascular malformation for which obliteration may be undertaken after rupture or non-response to targeted antibiotic therapy. We discuss the case of a 19-year-old man who presented with acute neurologic decline (Glasgow Coma Scale of 8) and endocarditis. CT images demonstrated subarachnoid haemorrhage, hydrocephalus and a mycotic aneurysm on the left posterior cerebral artery. Conservative management was initially decided due to the high risk of stroke and hemianopia. However, it was then escalated to endovascular treatment because of increased size of the aneurysm on surveillance scans.
authors.affiliation: Department of Neurosurgery, Institute of Neurological Sciences, Southern General Hospital, 1345, Govan Road, G51 4TF Glasgow, United Kingdom. Electronic address: charles.champeaux@gmail.com.
authors.forename: C
authors.initials: C
authors.lastname: Champeaux
authors.affiliation: Scottish Adult Congenital Cardiac Service, West of Scotland Heart and Lung Centre, Golden Jubilee National Hospital, G81 4DY Clydebank, United Kingdom.
authors.forename: N
authors.initials: N
authors.lastname: Walker
authors.affiliation: Department of Neuroradiology, Institute of Neurological Sciences, Southern General Hospital, 1345, Govan Road, G51 4TF Glasgow, United Kingdom.
authors.forename: J
authors.initials: J
authors.lastname: Derwin
authors.affiliation: Department of Neurosurgery, Institute of Neurological Sciences, Southern General Hospital, 1345, Govan Road, G51 4TF Glasgow, United Kingdom.
authors.forename: A
authors.initials: A
authors.lastname: Grivas
mesh_terms: D000785:Aneurysm, Infected / Q000175:diagnosis / Q000628:therapy*; D017542:Aneurysm, Ruptured / Q000175:diagnosis / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000379:methods; D057510:Endovascular Procedures / Q000379:methods; D006801:Humans; D006849:Hydrocephalus / Q000150:complications / Q000628:therapy*; D002532:Intracranial Aneurysm / Q000175:diagnosis / Q000628:therapy*; D008297:Male; D020769:Posterior Cerebral Artery / Q000601:surgery*; D013345:Subarachnoid Hemorrhage / Q000175:diagnosis / Q000628:therapy*; D055815:Young Adult
keywords: Embolization; Intracranial infectious aneurysm; Mycotic aneurysm; Subarachnoid haemorrhage