Natural history and management of mycotic intracranial aneurysm
mycotic intracranial aneurysms are a rare complication of infectious endocarditis. We report four cases of patients with endocarditis, complicated by an acute stroke, revealing a mycotic intracranial aneurysm. four men (aged range 24 to 63 year old) were admitted for endocarditis, complicated by isc...
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| Veröffentlicht in: | Journal of neuroradiology 2005-09, Vol.32 (4), p.258-265 |
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| container_title | Journal of neuroradiology |
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| creator | Koch, P Desal, H A Auffray-Calvier, E De Kersaint-Gilly, A |
| description | mycotic intracranial aneurysms are a rare complication of infectious endocarditis. We report four cases of patients with endocarditis, complicated by an acute stroke, revealing a mycotic intracranial aneurysm.
four men (aged range 24 to 63 year old) were admitted for endocarditis, complicated by ischemic stroke in two cases and hemorrhagic stroke in the two other cases, including one with subarachnoid hemorrhage. Neuroimaging disclosed a mycotic cerebral aneurysm in all four cases.
we will discuss the natural history and the management of mycotic intracranial aneurysm based on a review of the literature and our experience. Three therapeutic options are possible: medical treatment, surgery and endovascular embolisation.
management of mycotic intracranial aneurysms is still controversial, frequently requiring a multidisciplinary strategy with priority given to endovascular interventions. |
| doi_str_mv | 10.1016/S0150-9861(05)83148-7 |
| format | Article |
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four men (aged range 24 to 63 year old) were admitted for endocarditis, complicated by ischemic stroke in two cases and hemorrhagic stroke in the two other cases, including one with subarachnoid hemorrhage. Neuroimaging disclosed a mycotic cerebral aneurysm in all four cases.
we will discuss the natural history and the management of mycotic intracranial aneurysm based on a review of the literature and our experience. Three therapeutic options are possible: medical treatment, surgery and endovascular embolisation.
management of mycotic intracranial aneurysms is still controversial, frequently requiring a multidisciplinary strategy with priority given to endovascular interventions.</description><identifier>ISSN: 0150-9861</identifier><identifier>DOI: 10.1016/S0150-9861(05)83148-7</identifier><identifier>PMID: 16237365</identifier><language>fre</language><publisher>France</publisher><subject>Adult ; Aneurysm, Infected - diagnosis ; Aneurysm, Infected - etiology ; Aneurysm, Infected - therapy ; Endocarditis, Bacterial - complications ; Endocarditis, Bacterial - diagnosis ; Endocarditis, Bacterial - therapy ; Humans ; Intracranial Aneurysm - diagnosis ; Intracranial Aneurysm - etiology ; Intracranial Aneurysm - therapy ; Male ; Middle Aged ; Streptococcal Infections - complications ; Streptococcal Infections - diagnosis ; Streptococcal Infections - therapy</subject><ispartof>Journal of neuroradiology, 2005-09, Vol.32 (4), p.258-265</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16237365$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Koch, P</creatorcontrib><creatorcontrib>Desal, H A</creatorcontrib><creatorcontrib>Auffray-Calvier, E</creatorcontrib><creatorcontrib>De Kersaint-Gilly, A</creatorcontrib><title>Natural history and management of mycotic intracranial aneurysm</title><title>Journal of neuroradiology</title><addtitle>J Neuroradiol</addtitle><description>mycotic intracranial aneurysms are a rare complication of infectious endocarditis. We report four cases of patients with endocarditis, complicated by an acute stroke, revealing a mycotic intracranial aneurysm.
four men (aged range 24 to 63 year old) were admitted for endocarditis, complicated by ischemic stroke in two cases and hemorrhagic stroke in the two other cases, including one with subarachnoid hemorrhage. Neuroimaging disclosed a mycotic cerebral aneurysm in all four cases.
we will discuss the natural history and the management of mycotic intracranial aneurysm based on a review of the literature and our experience. Three therapeutic options are possible: medical treatment, surgery and endovascular embolisation.
management of mycotic intracranial aneurysms is still controversial, frequently requiring a multidisciplinary strategy with priority given to endovascular interventions.</description><subject>Adult</subject><subject>Aneurysm, Infected - diagnosis</subject><subject>Aneurysm, Infected - etiology</subject><subject>Aneurysm, Infected - therapy</subject><subject>Endocarditis, Bacterial - complications</subject><subject>Endocarditis, Bacterial - diagnosis</subject><subject>Endocarditis, Bacterial - therapy</subject><subject>Humans</subject><subject>Intracranial Aneurysm - diagnosis</subject><subject>Intracranial Aneurysm - etiology</subject><subject>Intracranial Aneurysm - therapy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Streptococcal Infections - complications</subject><subject>Streptococcal Infections - diagnosis</subject><subject>Streptococcal Infections - therapy</subject><issn>0150-9861</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9j0tLxDAYRbNQnHH0JyhdiS6q-ZLmtRIZfMGgC2dfkjbRSNPWJF3038-Ao6sLl8PhXoQuAN8CBn73gYHhUkkO15jdSAqVLMURWv7XC3Sa0jfGBKAiJ2gBnFBBOVui-zedp6i74sunPMS50H1bBN3rTxtsn4vBFWFuhuybwvc56ibq3u9x3dspzimcoWOnu2TPD7lC26fH7fql3Lw_v64fNuUIVOXSKSE4q4wzyirnnKGOc8ywI7TBpGKVNkRyxkBS1eAWgFMjeGucaltDFV2hq1_tGIefyaZcB58a23X7HcOUai4FVkzQPXh5ACcTbFuP0Qcd5_rvMd0BHARXYA</recordid><startdate>200509</startdate><enddate>200509</enddate><creator>Koch, P</creator><creator>Desal, H A</creator><creator>Auffray-Calvier, E</creator><creator>De Kersaint-Gilly, A</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200509</creationdate><title>Natural history and management of mycotic intracranial aneurysm</title><author>Koch, P ; Desal, H A ; Auffray-Calvier, E ; De Kersaint-Gilly, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p139t-f977654bfb9e9fffb3f66050f23c02454ab286551839c0d1163b76dbf9ddb393</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>fre</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Aneurysm, Infected - diagnosis</topic><topic>Aneurysm, Infected - etiology</topic><topic>Aneurysm, Infected - therapy</topic><topic>Endocarditis, Bacterial - complications</topic><topic>Endocarditis, Bacterial - diagnosis</topic><topic>Endocarditis, Bacterial - therapy</topic><topic>Humans</topic><topic>Intracranial Aneurysm - diagnosis</topic><topic>Intracranial Aneurysm - etiology</topic><topic>Intracranial Aneurysm - therapy</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Streptococcal Infections - complications</topic><topic>Streptococcal Infections - diagnosis</topic><topic>Streptococcal Infections - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Koch, P</creatorcontrib><creatorcontrib>Desal, H A</creatorcontrib><creatorcontrib>Auffray-Calvier, E</creatorcontrib><creatorcontrib>De Kersaint-Gilly, A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of neuroradiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Koch, P</au><au>Desal, H A</au><au>Auffray-Calvier, E</au><au>De Kersaint-Gilly, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Natural history and management of mycotic intracranial aneurysm</atitle><jtitle>Journal of neuroradiology</jtitle><addtitle>J Neuroradiol</addtitle><date>2005-09</date><risdate>2005</risdate><volume>32</volume><issue>4</issue><spage>258</spage><epage>265</epage><pages>258-265</pages><issn>0150-9861</issn><abstract>mycotic intracranial aneurysms are a rare complication of infectious endocarditis. We report four cases of patients with endocarditis, complicated by an acute stroke, revealing a mycotic intracranial aneurysm.
four men (aged range 24 to 63 year old) were admitted for endocarditis, complicated by ischemic stroke in two cases and hemorrhagic stroke in the two other cases, including one with subarachnoid hemorrhage. Neuroimaging disclosed a mycotic cerebral aneurysm in all four cases.
we will discuss the natural history and the management of mycotic intracranial aneurysm based on a review of the literature and our experience. Three therapeutic options are possible: medical treatment, surgery and endovascular embolisation.
management of mycotic intracranial aneurysms is still controversial, frequently requiring a multidisciplinary strategy with priority given to endovascular interventions.</abstract><cop>France</cop><pmid>16237365</pmid><doi>10.1016/S0150-9861(05)83148-7</doi><tpages>8</tpages></addata></record> |
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| language | fre |
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| source | MEDLINE; Elsevier ScienceDirect Journals; EZB-FREE-00999 freely available EZB journals |
| subjects | Adult Aneurysm, Infected - diagnosis Aneurysm, Infected - etiology Aneurysm, Infected - therapy Endocarditis, Bacterial - complications Endocarditis, Bacterial - diagnosis Endocarditis, Bacterial - therapy Humans Intracranial Aneurysm - diagnosis Intracranial Aneurysm - etiology Intracranial Aneurysm - therapy Male Middle Aged Streptococcal Infections - complications Streptococcal Infections - diagnosis Streptococcal Infections - therapy |
| title | Natural history and management of mycotic intracranial aneurysm |
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