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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

Published on: October 20, 2017

[Natural history and management of mycotic intracranial aneurysm]

P Koch1, H A Desal, E Auffray-Calvier

  • 1Service de Neuroradiologie Diagnostique et Interventionnelle, Hôpital G&R Laënnec, CHU de Nantes, Bd Jacques Monod - St Herblain, 44093 Nantes Cedex 1, France.

Journal of Neuroradiology = Journal De Neuroradiologie
|October 21, 2005
PubMed
Abstract

Insights

Mycotic intracranial aneurysms, a rare complication of infectious endocarditis, can cause acute stroke. Early diagnosis and a multidisciplinary approach, prioritizing endovascular interventions, are crucial for managing these complex cases.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Vascular Surgery

Background:

  • Mycotic intracranial aneurysms are uncommon but serious complications of infectious endocarditis.
  • Infectious endocarditis can lead to cerebrovascular events, including ischemic and hemorrhagic strokes.

Observation:

  • This study reports on four male patients diagnosed with infectious endocarditis.
  • All patients presented with acute stroke (ischemic or hemorrhagic), with one experiencing subarachnoid hemorrhage.
  • Neuroimaging confirmed the presence of a mycotic cerebral aneurysm in all four cases.

Findings:

  • The cases highlight the association between endocarditis, stroke, and mycotic intracranial aneurysms.
  • Management strategies for mycotic intracranial aneurysms include medical treatment, surgery, and endovascular embolization.

Implications:

  • The optimal management of mycotic intracranial aneurysms remains debated, often necessitating a collaborative, multidisciplinary approach.
  • Endovascular interventions are frequently favored as a primary treatment modality for these aneurysms.

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