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Published on: May 14, 2020
Ruptured mycotic aneurysms: Report and outcomes of two surgically managed patients
Aleena Khan1, Muhammad Waqas1, Waseem M Nizamani1
1Department of Neurosurgery, Aga Khan University Hospital, Karachi, Pakistan.
Background:
Mycotic aneurysm is a rare potentially life-threatening complication of infective endocarditis (IE). Little data is available on the management and outcomes of ruptured mycotic aneurysms with large intracerebral hematoma. Few cases have been described on the management of mycotic aneurysm in the presence of life-threatening hematoma and mass effect.
Case Description:
We are presenting two cases of ruptured mycotic aneurysm with intracerebral hematoma and impending brain herniation. Both patients had signs of high intracranial pressure and required urgent surgical evacuation of clot. One patient survived while the other patient expired soon after surgery.
Conclusion:
Mycotic aneurysm of middle cerebral artery (MCA) in IE with intracranial hemorrhage is rare and urgent surgical decompression, and aneurysmal clipping can be lifesaving.
Insights
Ruptured mycotic aneurysms with large brain hematomas are rare but life-threatening. Urgent surgery, including clot evacuation and clipping, may be lifesaving for patients with infective endocarditis and intracranial hemorrhage.
Area of Science:
- Neurology
- Neurosurgery
- Infectious Diseases
Background:
- Mycotic aneurysms, a rare complication of infective endocarditis (IE), pose significant risks.
- Limited data exists on managing ruptured mycotic aneurysms with large intracerebral hematomas and mass effect.
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