Ruptured Intracranial Bacterial Aneurysms: Report of Two Cases.
- Author:
Min Ho KIM
1
;
Dong Hwan HAN
;
Ji Young LEE
;
Ki Bum SIM
;
Seung Kuan HONG
Author Information
1. Department of Neurosurgery, Seoul Red Cross Hospital, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Intracranial bacterial aneurysm;
Intracerebral hematoma;
Subacute bacterial endocarditis;
Serial angiography;
Surgery
- MeSH:
Aneurysm;
Aneurysm, Infected*;
Anti-Bacterial Agents;
Endocarditis, Subacute Bacterial;
Follow-Up Studies;
Heart Valve Diseases;
Hematoma;
Humans;
Middle Cerebral Artery;
Mortality
- From:Journal of Korean Neurosurgical Society
1995;24(8):961-968
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Two Cases of ruptured bacterial aneurysms involving the distal branches of the middle cerebral artery associated with an intracerebral hematoma are reported. Both patients presented with a medical history of valvular heart disease and subacute bacterial endocarditis. The mortality of ruptured intracranial bacterial aneurysms has been reported to be very. High and a proper treatment strategy for such aneurysms still remains controversial. Most authors have recommended aggressive antimicrobial therapy, serial antiographic follow-up studies, and surgery for aneurysm's that do not resolve or enlarge even after medical treatment. Both of the reported patients were treated with antibiotics and underwent surgical evacuation for huge-sized intracerebral hematomas, and in one patient, the aneurysm was completely resected.
