A Case of Cerebral Mycotic Aneurysm Complicated with Subarachnoid Hemorrhage due to Infective Endocarditis.
10.4070/kcj.1996.26.6.1210
- Author:
Min Seok KIM
;
Seok Hwan KIM
;
Seung Ha LEE
;
Sun Ho AN
;
Seok Kyu OH
;
Su Bin LIM
;
Jin Won JEONG
;
Yang Kyu PARK
;
Ock Kyu PARK
- Publication Type:Case Report
- Keywords:
Cerebral mycotic aneurysm;
Infective endocarditis
- MeSH:
Adult;
Aneurysm;
Aneurysm, Infected*;
Brain;
Cerebral Angiography;
Consensus;
Echocardiography;
Endocarditis*;
Female;
Forearm;
Heart Valves;
Humans;
Intracranial Aneurysm;
Mortality;
Paralysis;
Rupture;
Subarachnoid Hemorrhage*
- From:Korean Circulation Journal
1996;26(6):1210-1217
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The relationship between infective endocarditis and mycotic aneurysm formation appers clear : In about two to ten percent of patients with infective endocarditis harbor septic intracranial aneurysms. But the pathogenesis, natural course and management of these lesions remains controversial. Aggressive medical treatment of the underlying infected cardiac valve or surgical replacement therapy have significantly reduced the morbidity and mortality rates associated with infective endocarditis. Clinical predictors of mycotic aneurysm, especially neurologic prodromes prior to rupture have been ill-defined since most series contain few patients or include patients with infective aneurysms who have no infective endoarditis. Similarly there has been no consensus regarding the indications and timing of cerebral angiography in patients with infective endocarditis. We have experienced a case of cerebral mycotic aneurysm complicated with subarachnoid hemorrhage due to infective endocarditis in a 29 year-old female patient, who admitted to our hospital because of the pain and paralysis of sudden onset in right forearm, which was diagnosed by echocardiography, brain computed tomography and 4-vessel cerebral angiography. The patient died of sudden rupture of mycotic aneurysm in the 7th hospital day despite intensive medical treatment. We report one case of cerebral mycotic aneurysm with a brief of literature.
