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Journal of Korean Neurosurgical Society 1999;28(7): 992-996. |
| A Case of Intracranial Infectious Aneurysm with Embolic Cerebral Infarction. |
| Jong Hyun Kim, Taek Hyun Kwon, Ja Kyu Lee, Youn Kwan Park, Heung Seob Chung, Jung Keun Suh |
| Department of Neurosurgery, College of Medicine, Korea University, Seoul, Korea. |
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| ABSTRACT |
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Infectious intracranial aneurysm, so-called mycotic aneurysm, has been rarely reported after era of antibiotics.
Infective endocarditis is the most common cause. It is commonly occurs in patients with valvular heart disease. The authors report a case of infectious intracranial aneurysm in the distal branch of the right middle cerebral artery with embolic cerebral infarction in the contralateral middle cerebral artery territory. The patient underwent surgical excision of the aneurysm after six weeks of antibiotics therapy. The pathological findings demonstrated severe inflammatory change in the adventitial layer but intact intimal layer. The clinical features and the pathogenesis is discussed with review of pertinent literature. |
| Key Words:
Infectious aneurysm; Mycotic aneurysm; Embolic infarction; Infective endocarditis |
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