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[A case presenting brain abscess with multiple infectious aneurysms]
Kensuke Murakami1, Noboru Takahashi, Nobuhisa Matumura
1Department of Neurosurgery, Aomori Prefectural Central Hospital, 2-1-1 Higashi-tsukurimichi, Aomori-city, Aomori 030-8553, Japan.
No Shinkei Geka. Neurological Surgery
|October 31, 2002
Summary
This case study highlights a rare brain abscess with multiple infectious aneurysms. Cerebral angiography is crucial for diagnosing cerebrovascular complications in atypical brain abscess cases.
Area of Science:
- Neurology
- Neurosurgery
- Radiology
Background:
- Brain abscesses are serious intracranial infections.
- Typical neuroimaging findings can sometimes be atypical.
- Infectious aneurysms are a rare but critical complication.
Observation:
- A 59-year-old man presented with left hemiparesis and a right frontal lobe mass on MRI.
- Diffusion-weighted imaging showed heterogeneous intensity, atypical for a brain abscess.
- Preoperative cerebral angiography revealed multiple infectious aneurysms.
Findings:
- Surgical resection of the aneurysms and total removal of the brain abscess were performed.
- The patient experienced an uneventful postoperative recovery.
- Neurological deficits resolved, with no ischemic lesions on follow-up MRI.
Implications:
- Cerebral angiography is vital for detecting cerebrovascular complications like infectious aneurysms.
- This is particularly important in brain abscess cases with atypical neuroimaging findings.
- Angiography aids in comprehensive diagnosis and surgical planning for complex brain abscesses.