Management strategy for infectious cerebral aneurysms: Report of four cases

Akio Soeda, Nobuyuki Sakai, Kenichi Murao, Hideki Sakai, Koji Iihara, Izumi Nagata

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

The surgical and/or endovascular treatment of four patients with infectious cerebral aneurysm associated with infective endocarditis was reported. Two patients presented with intracerebral hemorrhage. One of them, with large hematoma, was treated surgically and the other, with small hematoma, was treated by endovascular surgery. The third patient, with unruptured aneurysm of the distal anterior cerebral artery, was treated by endovascular parent-artery occlusion without neurological deterioration. The fourth patient, with unruptured aneurysm of the distal middle cerebral artery, was initially treated with antibiotics, resulting in stabilization of the aneurysm. However, three weeks after open heart surgery, the aneurysm ruptured, causing a large cerebral hematoma. Despite prompt evacuation of the hematoma and surgical resection of the aneurysm, this patient remained in a vegetative state. Management strategy of intracranial infective aneurysms is discussed.

Original languageEnglish
Pages (from-to)319-324
Number of pages6
JournalNeurological Surgery
Volume31
Issue number3
Publication statusPublished - Mar 1 2003
Externally publishedYes

    Fingerprint

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

Cite this

Soeda, A., Sakai, N., Murao, K., Sakai, H., Iihara, K., & Nagata, I. (2003). Management strategy for infectious cerebral aneurysms: Report of four cases. Neurological Surgery, 31(3), 319-324.