کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
5629940 | 1580277 | 2017 | 4 صفحه PDF | دانلود رایگان |
- A rare case of rapidly developing infectious intracranial aneurysm is described.
- The patient initially presented with ischemic stroke due to septic embolism.
- Coil embolization successfully treated the ruptured aneurysm.
- The relevant literature is briefly reviewed.
BackgroundInfectious intracranial aneurysms (IIAs) are rare entities and are often associated with septic embolus from infectious endocarditis. They may develop rapidly and carry a higher risk of rupture and mortality compared to noninfectious aneurysms. However, the development and rupture of an IIA within 48Â h in a patient with septic infarction patient is exceedingly rare.Case descriptionIn this report, we describe a 25-year-old male who presented with left-sided hemiparesis and dysarthria from septic embolus to the right middle cerebral artery. Thirty-nine hours after presentation, he became encephalopathic following a witnessed seizure. Angiography demonstrated a new, ruptured aneurysm, which was successfully treated with endovascular coil embolization. Our study documents the first report of coil embolization in a rapidly developed infectious aneurysm.ConclusionsImportantly, this case demonstrates that septic infarction may precede and herald IIA development and rupture. If IIA is detected due to rupture, coil embolization can be a safe and effective therapy.
Journal: Journal of Clinical Neuroscience - Volume 39, May 2017, Pages 95-98