J Korean Neurosurg Soc.
1995 Aug;24(8):961-968.
Ruptured Intracranial Bacterial Aneurysms: Report of Two Cases
- Affiliations
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- 1Department of Neurosurgery, Seoul Red Cross Hospital, Seoul, Korea.
Abstract
- Two Cases of ruptured bacterial aneurysms involving the distal branches of the middle cerebral artery associated with an intracerebral hematoma are reported. Both patients presented with a medical history of valvular heart disease and subacute bacterial endocarditis. The mortality of ruptured intracranial bacterial aneurysms has been reported to be very. High and a proper treatment strategy for such aneurysms still remains controversial. Most authors have recommended aggressive antimicrobial therapy, serial antiographic follow-up studies, and surgery for aneurysm's that do not resolve or enlarge even after medical treatment. Both of the reported patients were treated with antibiotics and underwent surgical evacuation for huge-sized intracerebral hematomas, and in one patient, the aneurysm was completely resected.
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