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Double Direct Injection of Blood into the Cisterna Magna as a Model of Subarachnoid Hemorrhage
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Mycotic aneurysm: an uncommon cause for intra-cranial hemorrhage

Sandip Bartakke1, Ujjwala Kabde, Mamta N Muranjan

  • 1Department of Pediatrics, Seth G.S. Medical College and KEM Hospital, Parel, Mumbai, India. gsmci@bom5.vsnl.net.in

Indian Journal of Pediatrics
|November 27, 2002
PubMed

Insights

Intracranial mycotic aneurysms, rare in children, can cause serious bleeding. This case shows successful treatment of a mycotic aneurysm secondary to infective endocarditis in a child using antibiotics.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Pediatrics

Background:

  • Intracranial mycotic aneurysms are rare, often fatal complications of systemic infections.
  • Mycotic aneurysms secondary to infective endocarditis (IE) are exceptionally uncommon in pediatric populations.

Observation:

  • A seven-year-old girl presented with fever and neurological deficits.
  • Diagnostic imaging, including digital subtraction angiography (DSA), confirmed an intracranial mycotic aneurysm attributed to infective endocarditis.

Findings:

  • Conservative management with intravenous antimicrobial agents led to complete resolution of the mycotic aneurysm.
  • DSA confirmed the aneurysm's disappearance after treatment.

Implications:

  • This case highlights the possibility of successful non-surgical management for pediatric intracranial mycotic aneurysms.
  • Early diagnosis and prompt antimicrobial therapy are crucial for favorable outcomes in children with IE-related mycotic aneurysms.

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