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Journal of Korean Neurosurgical Society 1995;24(8): 961-968. |
| Ruptured Intracranial Bacterial Aneurysms: Report of Two Cases. |
| Min Ho Kim, Dong Hwan Han, Ji Young Lee, Ki Bum Sim, Seung Kuan Hong |
| Department of Neurosurgery, Seoul Red Cross Hospital, Seoul, Korea. |
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| ABSTRACT |
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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. |
| Key Words:
Intracranial bacterial aneurysm; Intracerebral hematoma; Subacute bacterial endocarditis; Serial angiography; Surgery |
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