Literature DB >> 24167806

Ruptured mycotic aneurysm of the distal middle cerebral artery manifesting as subacute subdural hematoma.

Sang-Min Lee1, Hyun-Seok Park, Jae-Hyung Choi, Jae-Taeck Huh.   

Abstract

Mycotic aneurysms are rare inflammatory neurovascular lesions. Ruptured mycotic aneurysm manifesting as subdural hematoma is extremely rare. A 72-year-old male patient was admitted to our hospital with headache and drowsiness. Computer tomography (CT) of brain and CT angiography revealed subdural hematoma and an aneurysm located at the M4 segment of the left middle cerebral artery (MCA). Cerebral angiogram revealed 2 aneurysms; one located at the left distal MCA and the other at the bifurcation of left MCA. Laboratory studies showed leukocytosis and elevated inflammatory factors. The patent was treated with antibiotic therapy for 4 weeks. The follow-up CT and cerebral angiography showed that the mycotic aneurysm was completely resolved, and the patient was nearly free of symptoms.

Entities:  

Keywords:  Middle cerebral artery; Mycotic aneurysm; Subdural hematoma

Year:  2013        PMID： 24167806      PMCID： PMC3804664          DOI： 10.7461/jcen.2013.15.3.235

Source DB:  PubMed          Journal:  J Cerebrovasc Endovasc Neurosurg        ISSN： 2234-8565


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