Document Detail

Mycotic vasculitis with repeated intracranial aneurysmal hemorrhage. Case report.
MedLine Citation:
PMID:  3183737     Owner:  NLM     Status:  MEDLINE    
A case of repeated intracranial aneurysmal rupture occurring despite successful treatment of infective endocarditis is reported. While the valvular source of emboli was eradicated and serial angiograms documented no further aneurysms after resection of the primary lesion, the formation and rupture of multiple septic aneurysms occurred 9 months later in the opposite hemisphere. A relationship to damage of the cerebral vasculature by immune complexes is suggested as one possible explanation for this unusual occurrence. This implies that some patients with infective endocarditis may be at permanent risk for the formation and rupture of mycotic intracranial aneurysms, despite successful treatment of the primary cardiac lesion.
B H Venger; A E Aldama
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  69     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  1988 Nov 
Date Detail:
Created Date:  1988-12-02     Completed Date:  1988-12-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  775-9     Citation Subset:  AIM; IM    
Department of Neurosurgery, Baylor College of Medicine, Houston, Texas.
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MeSH Terms
Aneurysm, Infected / etiology*,  radiography
Anti-Bacterial Agents / therapeutic use
Cerebral Angiography
Cerebral Hemorrhage / etiology*,  radiography
Endocarditis, Bacterial / complications,  drug therapy
Intracranial Aneurysm / etiology*,  radiography
Rupture, Spontaneous
Streptococcal Infections* / complications
Tomography, X-Ray Computed
Vasculitis / etiology*
Reg. No./Substance:
0/Anti-Bacterial Agents

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