Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Different modalities of treatment of intracranial mycotic aneurysms: report of 4 cases
Surgical Neurology, Volume 66, No. 4, Year 2006
Notification
URL copied to clipboard!
Description
Background: Intracranial mycotic aneurysms, although rare neurovascular pathology, represented a neurosurgical challenge that required careful stepwise decision making. Different approaches for their management were used. We present our experience with 4 patients treated in terms of indications and efficacy of different treatment modalities. Methods: Four patients with infective endocarditis and 5 intracranial mycotic aneurysms were treated during the last 5 years. All of the patients were men; their ages ranged between 29 and 62 years (mean, 47.3 years). Distal MCA was the commonest site (3 patients) of aneurysm, 1 was located at the distal PCA, whereas the remaining aneurysm was at the distal ACA. Angiographic studies were done in 2 patients because of neurologic signs and for screening in 2 patients with documented endocarditis. Results: One patient was treated conservatively because of his moribund general condition; 1 patient was treated with direct surgical clipping; 1 patient was treated with surgical trapping and resection of the aneurysm without revascularization; and the remaining patient, harboring 2 distal mycotic aneurysms, was treated with selective embolization for his PCA aneurysm and endovascular trapping for the distal ACA aneurysm. Follow-up angiographic results showed stable occlusion of the aneurysms. No periprocedural technical complications were reported, and none of the patients, including the patient with medical treatment only, has ever experienced new neurologic events after definitive treatment. Conclusions: Prolonged courses of antibiotics are recommended for all patients with mycotic aneurysms. Selective endovascular embolization or trapping with soft and ultrasoft electrolytically detachable coils seems to be an effective technique that should be considered for treatment of dynamic unruptured mycotic aneurysms, with conventional surgical repair restricted for ruptured aneurysms with associated hematoma and high intracranial pressure. © 2006 Elsevier Inc. All rights reserved.
Authors & Co-Authors
Nakahara, Ichiro
Japan, Kitakyushu
Kokura Kinen Hospital
Taha, Mahmoud M.
Egypt, Zagazig
Zagazig University Hospitals
Higashi, Toshio
Japan, Kitakyushu
Kokura Kinen Hospital
Iwamuro, Yasushi
Japan, Kitakyushu
Kokura Kinen Hospital
Iwaasa, Mitsutoshi
Japan, Kitakyushu
Kokura Kinen Hospital
Watanabe, Yoshihiko
Japan, Kitakyushu
Kokura Kinen Hospital
Tsunetoshi, Kenzo
Japan, Kitakyushu
Kokura Kinen Hospital
Munemitsu, Toshihiro
Japan, Kitakyushu
Kokura Kinen Hospital
Statistics
Citations: 80
Authors: 8
Affiliations: 2
Identifiers
Doi:
10.1016/j.surneu.2006.01.021
ISSN:
00903019
Research Areas
Health System And Policy
Study Design
Cohort Study
Participants Gender
Male