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Journal of Korean Neurosurgical Society > Volume 20(9); 1991 > Article
Journal of Korean Neurosurgical Society 1991;20(9): 829-833.
Intracranial Mycotic Aneurysm: Case Report.
Young Il Ha, Hong Jae Rim, Choong Hyun Kim
Departments of Neurosurgery, Kangnam General Hospital, Public Corporation, Seoul, Korea.
This case of a ruptured, infected intracranial aneurysm is reported. A 19-year-old female patient was transferred to our hospital dure to large intracerebral hematoma in the right posterior parietal area with the marked mass effect. Cerebral angiograms demonstrated, beyond the vascular streching due to the hematoma, a smal vascular mass situated onthe distal parietal branch of the right middle cerebral artery. She was operated on the 3rd day after admission; a small vascular mass, almost thrombosed, was discovered and totally removed after evacuation of the hematoma. Cardiac manifestation including the echocardiogram was negative. Cultures of the blood, hamatoma evacuated during craniotomy and intra-aneurysmal thrombi were also negative at all. Postoperative angiograms revealed no newly developed vascular mass and follow-up couse for 10 months has been uneventful. Different treatments of intracranial mytic aneurysms are finally reviewed and a therapeutic approach is discussed.
Key Words: Cerebral aneurysm; Intracranial aneurysm; Mycotic aneurysm; Bacterial aneurysm; Intracerebral hematoma
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