J Korean Neurosurg Soc.  1977 Dec;6(2):499-506.

Two Cases of Mycotic Aneurysm with Intracerebral Hematoma

Affiliations
  • 1Department of Neurosurgery, Seoul National University, College of Medicine, Seoul, Korea.

Abstract

Mycotic aneurysms are produced by an infected embolus from vegetations on the heart valves in bacterial endocarditis, which breaks off and lodges in the cerebral blood vessels. The wall of the embolized vessel becomes infected, invasion by inflammatory cells and necrosis of the wall are often followed by rupture and formation of a aneurysmal sac. These aneurysms are very are in incidence and are usually located more peripherally in the vascular tree than berry aneurysms, are more irregular in shape and are not necessarily located at bifurcations. Recently we experienced a case of mycotic aneurysm with intracerebral hematoma which had developed in a subacute bacteria endocarditis patient. The patient was 44 years old male patient with dilated right pupil and left hemiplegia. He was treated surgically by evacuation of intracerebral hematoma and excision of mycotic aneurysm. We also experienced another case of mycotic aneurysm with intracerebral hematoma in 17 years old male patient who had been suffered from fever of unknown origin. He was also treated surgically. We now reports 2 cases of mycotic aneurysm with intracerebral hematoma with a brief review of the literatures.


MeSH Terms

Adolescent
Adult
Aneurysm
Aneurysm, Infected*
Bacteria
Blood Vessels
Embolism
Endocarditis
Endocarditis, Bacterial
Fever of Unknown Origin
Heart Valves
Hematoma*
Hemiplegia
Humans
Incidence
Intracranial Aneurysm
Male
Necrosis
Pupil
Rupture
Full Text Links
  • JKNS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr