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Journal of Korean Neurosurgical Society > Volume 24(8); 1995 > Article
Journal of Korean Neurosurgical Society 1995;24(8): 961-968.
Ruptured Intracranial Bacterial Aneurysms: Report of Two Cases.
Min Ho Kim, Dong Hwan Han, Ji Young Lee, Ki Bum Sim, Seung Kuan Hong
Department 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.
Key Words: Intracranial bacterial aneurysm; Intracerebral hematoma; Subacute bacterial endocarditis; Serial angiography; Surgery
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