Ruptured Intracranial Mycotic Aneurysm in Infective Endocarditis: A Natural History

Mycotic aneurysms are a rare cause of intracranial aneurysms that develop in the presence of infections such as infective endocarditis. They account for a small percentage of all intracranial aneurysms and carry a high-mortality rate when ruptured. The authors report a case of a 54-year-old man who...

Full description

Saved in:
Bibliographic Details
Main Authors: Isabel Kuo, Theodore Long, Nathan Nguyen, Bharat Chaudry, Michael Karp, Nerses Sanossian
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2010/168408
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832560612802035712
author Isabel Kuo
Theodore Long
Nathan Nguyen
Bharat Chaudry
Michael Karp
Nerses Sanossian
author_facet Isabel Kuo
Theodore Long
Nathan Nguyen
Bharat Chaudry
Michael Karp
Nerses Sanossian
author_sort Isabel Kuo
collection DOAJ
description Mycotic aneurysms are a rare cause of intracranial aneurysms that develop in the presence of infections such as infective endocarditis. They account for a small percentage of all intracranial aneurysms and carry a high-mortality rate when ruptured. The authors report a case of a 54-year-old man who presented with infective endocarditis of the mitral valve and acute stroke. He subsequently developed subarachnoid hemorrhage during antibiotic treatment, and a large intracranial aneurysm was discovered on CT Angiography. His lesion quickly progressed into an intraparenchymal hemorrhage, requiring emergent craniotomy and aneurysm clipping. Current recommendations on the management of intracranial Mycotic Aneurysms are based on few retrospective case studies. The natural history of the patient's ruptured aneurysm is presented, as well as a literature review on the management and available treatment modalities.
format Article
id doaj-art-a06874870a614686b110a9f832830e05
institution Kabale University
issn 1687-9627
1687-9635
language English
publishDate 2010-01-01
publisher Wiley
record_format Article
series Case Reports in Medicine
spelling doaj-art-a06874870a614686b110a9f832830e052025-02-03T01:27:11ZengWileyCase Reports in Medicine1687-96271687-96352010-01-01201010.1155/2010/168408168408Ruptured Intracranial Mycotic Aneurysm in Infective Endocarditis: A Natural HistoryIsabel Kuo0Theodore Long1Nathan Nguyen2Bharat Chaudry3Michael Karp4Nerses Sanossian5University of Southern California Keck School of Medicine, Los Angeles, CA 90089, USAUniversity of Southern California Keck School of Medicine, Los Angeles, CA 90089, USADivision of Geriatric, Hospitalist, Palliative, and General Internal Medicine, Department of Medicine, LAC+USC Medical Center, University of Southern California Keck School of Medicine, 1200 N. State St. IRD 310, Los Angeles, CA 90033, USADivision of Geriatric, Hospitalist, Palliative, and General Internal Medicine, Department of Medicine, LAC+USC Medical Center, University of Southern California Keck School of Medicine, 1200 N. State St. IRD 310, Los Angeles, CA 90033, USADivision of Geriatric, Hospitalist, Palliative, and General Internal Medicine, Department of Medicine, LAC+USC Medical Center, University of Southern California Keck School of Medicine, 1200 N. State St. IRD 310, Los Angeles, CA 90033, USADepartment of Neurology, LAC+USC Medical Center, University of Southern California Keck School of Medicine, Los Angeles, CA 90033, USAMycotic aneurysms are a rare cause of intracranial aneurysms that develop in the presence of infections such as infective endocarditis. They account for a small percentage of all intracranial aneurysms and carry a high-mortality rate when ruptured. The authors report a case of a 54-year-old man who presented with infective endocarditis of the mitral valve and acute stroke. He subsequently developed subarachnoid hemorrhage during antibiotic treatment, and a large intracranial aneurysm was discovered on CT Angiography. His lesion quickly progressed into an intraparenchymal hemorrhage, requiring emergent craniotomy and aneurysm clipping. Current recommendations on the management of intracranial Mycotic Aneurysms are based on few retrospective case studies. The natural history of the patient's ruptured aneurysm is presented, as well as a literature review on the management and available treatment modalities.http://dx.doi.org/10.1155/2010/168408
spellingShingle Isabel Kuo
Theodore Long
Nathan Nguyen
Bharat Chaudry
Michael Karp
Nerses Sanossian
Ruptured Intracranial Mycotic Aneurysm in Infective Endocarditis: A Natural History
Case Reports in Medicine
title Ruptured Intracranial Mycotic Aneurysm in Infective Endocarditis: A Natural History
title_full Ruptured Intracranial Mycotic Aneurysm in Infective Endocarditis: A Natural History
title_fullStr Ruptured Intracranial Mycotic Aneurysm in Infective Endocarditis: A Natural History
title_full_unstemmed Ruptured Intracranial Mycotic Aneurysm in Infective Endocarditis: A Natural History
title_short Ruptured Intracranial Mycotic Aneurysm in Infective Endocarditis: A Natural History
title_sort ruptured intracranial mycotic aneurysm in infective endocarditis a natural history
url http://dx.doi.org/10.1155/2010/168408
work_keys_str_mv AT isabelkuo rupturedintracranialmycoticaneurysmininfectiveendocarditisanaturalhistory
AT theodorelong rupturedintracranialmycoticaneurysmininfectiveendocarditisanaturalhistory
AT nathannguyen rupturedintracranialmycoticaneurysmininfectiveendocarditisanaturalhistory
AT bharatchaudry rupturedintracranialmycoticaneurysmininfectiveendocarditisanaturalhistory
AT michaelkarp rupturedintracranialmycoticaneurysmininfectiveendocarditisanaturalhistory
AT nersessanossian rupturedintracranialmycoticaneurysmininfectiveendocarditisanaturalhistory