Ruptured mycotic aneurysm presenting as an intraparenchymal hemorrhage and nonadjacent acute subdural hematoma: case report and review of the literature

K Barami; K Ko

doi:10.1016/0090-3019(94)90176-7

Ruptured mycotic aneurysm presenting as an intraparenchymal hemorrhage and nonadjacent acute subdural hematoma: case report and review of the literature

Surg Neurol. 1994 Apr;41(4):290-3. doi: 10.1016/0090-3019(94)90176-7.

Authors

K Barami¹, K Ko

Affiliation

¹ Division of Neurosurgery, New York Hospital-Cornell University Medical College, Aitken Neurosurgical Laboratory, NY 10021.

PMID: 8165497
DOI: 10.1016/0090-3019(94)90176-7

Abstract

The case of a mycotic aneurysm presenting as an intraparenchymal hemorrhage and acute subdural hematoma is described. A 36-year-old man with a history of headaches and fever presented in coma. Brain computed tomography scan revealed a left occipital intraparenchymal hemorrhage and a nonadjacent acute subdural hematoma that was evacuated. Angiography demonstrated an aneurysm on the distal branch of the left posterior cerebral artery consistent with a mycotic aneurysm. This case and a review of the literature are discussed.

Publication types

Case Reports
Review

MeSH terms

Acute Disease
Adult
Aneurysm, Infected / diagnosis*
Aneurysm, Infected / microbiology
Aneurysm, Ruptured / diagnosis*
Aneurysm, Ruptured / microbiology
Cerebral Hemorrhage / etiology*
Endocarditis / complications
Hematoma, Subdural / etiology*
Humans
Intracranial Aneurysm / diagnosis*
Intracranial Aneurysm / microbiology
Male
Mycoses*