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Infectious mid basilar artery aneurysm from Pseudomonas meningitis

Wengui Yu1, Kim Rickert, Bruno Flores

  • 1Department of Neurological Surgery, University of Texas Southwestern Medical Center, Dallas, Texas 75390-8855, USA. wengui.yu@utsouthwestern.edu

Journal of Neurointerventional Surgery
|October 13, 2011
PubMed

Insights

This case report details a rare instance of Pseudomonas aeruginosa meningitis causing an infectious aneurysm in the basilar artery. Prompt antibiotic treatment led to the aneurysm

Area of Science:

  • Neurology
  • Infectious Diseases
  • Vascular Surgery

Background:

  • Pseudomonas aeruginosa meningitis is a rare but serious complication following neurosurgery or head trauma.
  • Infectious aneurysms, particularly those associated with meningitis, pose significant clinical challenges.

Observation:

  • A patient developed an infectious aneurysm of the mid basilar artery secondary to Pseudomonas aeruginosa meningitis.
  • Cerebral angiography was utilized to diagnose and monitor the aneurysm.

Findings:

  • The infectious basilar artery aneurysm showed complete angiographic remission.
  • Timely and appropriate antibiotic therapy was credited with achieving the remission.

Implications:

  • This case highlights the importance of early diagnosis and aggressive antibiotic management for Pseudomonas meningitis.
  • Successful non-surgical management of infectious intracranial aneurysms is possible with prompt intervention.
  • Highlights the potential for antibiotic therapy alone to resolve certain infectious intracranial aneurysms.

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