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Ruptured Mycotic Aneurysm of the Distal Middle Cerebral Artery Manifesting as Subacute Subdural Hematoma

Mycotic aneurysms are rare inflammatory neurovascular lesions. Ruptured mycotic aneurysm manifesting as subdural hematoma is extremely rare. A 72-year-old male patient was admitted to our hospital with headache and drowsiness. Computer tomography (CT) of brain and CT angiography revealed subdural he...

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Autores principales: Lee, Sang-min, Park, Hyun-Seok, Choi, Jae-Hyung, Huh, Jae-Taeck
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Cerebrovascular Surgeons; Korean Society of Endovascular Surgery 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3804664/
https://www.ncbi.nlm.nih.gov/pubmed/24167806
http://dx.doi.org/10.7461/jcen.2013.15.3.235
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author Lee, Sang-min
Park, Hyun-Seok
Choi, Jae-Hyung
Huh, Jae-Taeck
author_facet Lee, Sang-min
Park, Hyun-Seok
Choi, Jae-Hyung
Huh, Jae-Taeck
author_sort Lee, Sang-min
collection PubMed
description Mycotic aneurysms are rare inflammatory neurovascular lesions. Ruptured mycotic aneurysm manifesting as subdural hematoma is extremely rare. A 72-year-old male patient was admitted to our hospital with headache and drowsiness. Computer tomography (CT) of brain and CT angiography revealed subdural hematoma and an aneurysm located at the M4 segment of the left middle cerebral artery (MCA). Cerebral angiogram revealed 2 aneurysms; one located at the left distal MCA and the other at the bifurcation of left MCA. Laboratory studies showed leukocytosis and elevated inflammatory factors. The patent was treated with antibiotic therapy for 4 weeks. The follow-up CT and cerebral angiography showed that the mycotic aneurysm was completely resolved, and the patient was nearly free of symptoms.
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spelling pubmed-38046642013-10-28 Ruptured Mycotic Aneurysm of the Distal Middle Cerebral Artery Manifesting as Subacute Subdural Hematoma Lee, Sang-min Park, Hyun-Seok Choi, Jae-Hyung Huh, Jae-Taeck J Cerebrovasc Endovasc Neurosurg Case Report Mycotic aneurysms are rare inflammatory neurovascular lesions. Ruptured mycotic aneurysm manifesting as subdural hematoma is extremely rare. A 72-year-old male patient was admitted to our hospital with headache and drowsiness. Computer tomography (CT) of brain and CT angiography revealed subdural hematoma and an aneurysm located at the M4 segment of the left middle cerebral artery (MCA). Cerebral angiogram revealed 2 aneurysms; one located at the left distal MCA and the other at the bifurcation of left MCA. Laboratory studies showed leukocytosis and elevated inflammatory factors. The patent was treated with antibiotic therapy for 4 weeks. The follow-up CT and cerebral angiography showed that the mycotic aneurysm was completely resolved, and the patient was nearly free of symptoms. Korean Society of Cerebrovascular Surgeons; Korean Society of Endovascular Surgery 2013-09 2013-09-30 /pmc/articles/PMC3804664/ /pubmed/24167806 http://dx.doi.org/10.7461/jcen.2013.15.3.235 Text en © 2013 Journal of Cerebrovascular and Endovascular Neurosurgery http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Lee, Sang-min
Park, Hyun-Seok
Choi, Jae-Hyung
Huh, Jae-Taeck
Ruptured Mycotic Aneurysm of the Distal Middle Cerebral Artery Manifesting as Subacute Subdural Hematoma
title Ruptured Mycotic Aneurysm of the Distal Middle Cerebral Artery Manifesting as Subacute Subdural Hematoma
title_full Ruptured Mycotic Aneurysm of the Distal Middle Cerebral Artery Manifesting as Subacute Subdural Hematoma
title_fullStr Ruptured Mycotic Aneurysm of the Distal Middle Cerebral Artery Manifesting as Subacute Subdural Hematoma
title_full_unstemmed Ruptured Mycotic Aneurysm of the Distal Middle Cerebral Artery Manifesting as Subacute Subdural Hematoma
title_short Ruptured Mycotic Aneurysm of the Distal Middle Cerebral Artery Manifesting as Subacute Subdural Hematoma
title_sort ruptured mycotic aneurysm of the distal middle cerebral artery manifesting as subacute subdural hematoma
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3804664/
https://www.ncbi.nlm.nih.gov/pubmed/24167806
http://dx.doi.org/10.7461/jcen.2013.15.3.235
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