Document Detail

Mycotic aneurysm and cerebral infarction resulting from fungal sinusitis: imaging and pathologic correlation.
MedLine Citation:
PMID:  11337328     Owner:  NLM     Status:  MEDLINE    
A 73-year-old man was admitted with invasive aspergillus of the sphenoid sinus. Endoscopic debridement of the sphenoid sinus was complicated by rupture of a mycotic cavernous carotid artery aneurysm with severe epistaxis. The aneurysm was closed emergently by endovascular coil placement. Subsequently, the mycotic aneurysm extended intradurally and caused fatal subarachnoid hemorrhage. The radiologic-pathologic data illustrate the mechanism of fungal mycotic aneurysm formation and growth. This case emphasizes the need for rapid diagnosis of potential fungal involvement of the central nervous system and suggests the necessity for aggressive treatment once fungal cerebrovascular involvement is identified.
R W Hurst; A Judkins; W Bolger; A Chu; L A Loevner
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  AJNR. American journal of neuroradiology     Volume:  22     ISSN:  0195-6108     ISO Abbreviation:  AJNR Am J Neuroradiol     Publication Date:  2001 May 
Date Detail:
Created Date:  2001-05-04     Completed Date:  2001-07-05     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  8003708     Medline TA:  AJNR Am J Neuroradiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  858-63     Citation Subset:  IM    
Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104, USA.
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MeSH Terms
Aneurysm, Infected / diagnosis,  microbiology*
Aspergillosis / complications*,  diagnosis
Carotid Artery Diseases / diagnosis,  microbiology*
Cerebral Angiography
Cerebral Infarction / diagnosis,  microbiology*
Intracranial Aneurysm / diagnosis,  microbiology*
Magnetic Resonance Angiography
Sinusitis / diagnosis,  microbiology*
Tomography, X-Ray Computed

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