Neurology Asia 2019;24(3):259-261

doi:7.2019my0103

Bihemispheric cerebral abscesses from infected anterior communicating artery aneurysmal coil

Peter Chei-way Pan 1 ; Gregory Youngnam Chang 1

Affiliations

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Country

Malaysia

Language

English

Abstract

This is the report of an anterior communicating artery aneurysmal coil as the likely source of septic emboli resulting in bilateral hemispheric abscesses sparing the medial frontal, parietal and occipital lobes and brainstem. Cessation of antegrade anterior cerebral artery flow and resulting turbulent flow into the distal cortical arterial watershed of middle cerebral artery territory bilaterally is the probable mechanism for this unusual pattern.