Intracranial mycotic aneurysm due to infective endocarditis--successful NBCA glue embolisation.
Intracranial mycotic aneurysm due to infective endocarditis--successful NBCA glue embolisation.
复制标题
感染性心内膜炎所致颅内霉菌性动脉瘤——NBCA胶栓塞术成功。
DOI：
10.7196/samj.1669
复制
发表时间：
2005
期刊：
影响因子：
--
通讯作者：
S. Ponnusamy
中科院分区：
文献类型：
--
作者：
S. Misser;S. Lalloo;S. Ponnusamy
症状性颅内真菌性动脉瘤是感染性心内膜炎最严重的神经系统后遗症之一。心脏杂音的变化和神经症状和体征的突然发作是这种致命组合的标志。如果计算机断层扫描（CT）显示患者有脑出血，则必须使用脑血管造影进行进一步成像。主要治疗是抗生素治疗至少6周。在某些情况下，可能需要经导管栓塞或手术干预。我们报告一个患者与脑出血转介从外围医院到神经外科在我们的机构。心脏疾病的诊断，以及颅内动脉瘤可能的真菌基础，是在我们的血管造影组进行血管内治疗的围手术期检查后首次提出的。
Symptomatic intracranial mycotic aneurysms (ICMAs) are one of the most serious neurological sequelae of infective endocarditis. Changing cardiac murmurs and the sudden onset of neurological symptoms and signs are markers of this lethal combination. If computed tomography (CT) scan demonstrates an intracerebral haemorrhage in a patient with such a combination of findings, further imaging using cerebral angiography is essential. The primary treatment is antibiotics for at least 6 weeks. Transcatheter embolisation or surgical intervention may be required in some instances. We report on a patient with an intracerebral haematoma referred from a peripheral hospital to the neurosurgery department at our institution. The diagnosis of the cardiac condition, and probable mycotic basis for the intracranial aneurysm, were first suggested following peri-procedural examination during endovascular therapy in our angiography suite.