Intracranial Mycotic Aneurysm in a Patient with Abdominal Actinomycosis

Intracranial Mycotic Aneurysm in a Patient with Abdominal Actinomycosis

Actinomycosis of the central nervous system is extremely rare. A 73-year-old woman with a history of abdominal actinomycosis presented with sudden-onset headache. Magnetic resonance imaging demonstrated a nodular lesion at the left precentral gyrus. A cerebral angiogram confirmed a fusiform aneurysm...

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Veröffentlicht in:World neurosurgery 2021-03, Vol.147, p.161-163
Hauptverfasser: Ryu, Jiwook, Lee, Kyung Mi
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CNS actinomycosis
Mycotic aneurysm
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description Actinomycosis of the central nervous system is extremely rare. A 73-year-old woman with a history of abdominal actinomycosis presented with sudden-onset headache. Magnetic resonance imaging demonstrated a nodular lesion at the left precentral gyrus. A cerebral angiogram confirmed a fusiform aneurysm arising from the precentral branch of the left middle cerebral artery. High-resolution vessel wall imaging revealed circumferential wall enhancement of the aneurysm and multifocal enhancement of the M3 and M4 segments of both middle cerebral arteries. The patient had received a 4-week course of antibiotics, but follow-up angiography demonstrated no shrinkage or resolution of the aneurysm. Trapping combined with revascularization was successfully performed for refractory mycotic aneurysms.
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subjects CNS actinomycosis
Mycotic aneurysm
title Intracranial Mycotic Aneurysm in a Patient with Abdominal Actinomycosis
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