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Perianeurysmal abscess and meningitis after endovascular coil placement for an intracranial aneurysm

Ricardo Diaz-Romero1, Marco Zenteno, Jorge-Arturo Santos-Franco

  • 1Department of Neurological Endovascular Therapy, Instituto Nacional de Neurología, México City, México.

Surgical Infections
|June 3, 2009
PubMed
Abstract

Insights

Central nervous system infections from intracranial devices are rare but serious. Careful handling of endovascular devices and patient screening can minimize risks.

Area of Science:

  • Neurology
  • Neurosurgery
  • Infectious Diseases

Background:

  • Central nervous system (CNS) infections associated with intracranial permanent devices are infrequently reported.
  • Only five such cases involving coils or cyanacrylate have been documented.

Observation:

  • A case involving perianeurysmal abscess, cavernous sinus syndrome, and bacterial meningitis following intracranial aneurysm coil placement is detailed.
  • Both intrinsic and extrinsic factors contributing to the infection were analyzed.

Findings:

  • Successful medical management was achieved without the need for device removal.
  • This case highlights a rare but significant complication of endovascular procedures.

Implications:

  • Minimizing CNS infection risk requires meticulous handling of endovascular devices during procedures.
  • Screening patients for concurrent infections is crucial to prevent such complications.

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