Ruptured mycotic aneurysms: Report and outcomes of two surgically managed patients
Background: Mycotic aneurysm is a rare potentially life-threatening complication of infective endocarditis (IE). Little data is available on the management and outcomes of ruptured mycotic aneurysms with large intracerebral hematoma. Few cases have been described on the management of mycotic aneurys...
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| Veröffentlicht in: | Surgical neurology international 2017-01, Vol.8 (1), p.144-144 |
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| creator | Khan, Aleena Waqas, Muhammad Nizamani, Waseem Bari, Muhammad |
| description | Background: Mycotic aneurysm is a rare potentially life-threatening complication of infective endocarditis (IE). Little data is available on the management and outcomes of ruptured mycotic aneurysms with large intracerebral hematoma. Few cases have been described on the management of mycotic aneurysm in the presence of life-threatening hematoma and mass effect.
Case Description: We are presenting two cases of ruptured mycotic aneurysm with intracerebral hematoma and impending brain herniation. Both patients had signs of high intracranial pressure and required urgent surgical evacuation of clot. One patient survived while the other patient expired soon after surgery.
Conclusion: Mycotic aneurysm of middle cerebral artery (MCA) in IE with intracranial hemorrhage is rare and urgent surgical decompression, and aneurysmal clipping can be lifesaving. |
| doi_str_mv | 10.4103/sni.sni_78_17 |
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Case Description: We are presenting two cases of ruptured mycotic aneurysm with intracerebral hematoma and impending brain herniation. Both patients had signs of high intracranial pressure and required urgent surgical evacuation of clot. One patient survived while the other patient expired soon after surgery.
Conclusion: Mycotic aneurysm of middle cerebral artery (MCA) in IE with intracranial hemorrhage is rare and urgent surgical decompression, and aneurysmal clipping can be lifesaving.</description><identifier>ISSN: 2152-7806</identifier><identifier>ISSN: 2229-5097</identifier><identifier>EISSN: 2152-7806</identifier><identifier>DOI: 10.4103/sni.sni_78_17</identifier><identifier>PMID: 28781921</identifier><language>eng</language><publisher>India: Wolters Kluwer India Pvt. Ltd</publisher><subject>Aneurysms ; Antibiotics ; Blood pressure ; Endocarditis ; Evacuations & rescues ; Gangrene ; Heart ; Hemorrhage ; Literature reviews ; Neurosurgery ; Neurovascular: Case Report ; NMR ; Nuclear magnetic resonance ; Patients ; Surgery</subject><ispartof>Surgical neurology international, 2017-01, Vol.8 (1), p.144-144</ispartof><rights>Copyright Medknow Publications & Media Pvt. Ltd. 2017</rights><rights>Copyright: © 2017 Surgical Neurology International 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c353d-bc3a17ee5db86116b77092e2d8414c5e19a1d6efd04f92b73b733072239772193</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5523478/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5523478/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28781921$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Khan, Aleena</creatorcontrib><creatorcontrib>Waqas, Muhammad</creatorcontrib><creatorcontrib>Nizamani, Waseem</creatorcontrib><creatorcontrib>Bari, Muhammad</creatorcontrib><title>Ruptured mycotic aneurysms: Report and outcomes of two surgically managed patients</title><title>Surgical neurology international</title><addtitle>Surg Neurol Int</addtitle><description>Background: Mycotic aneurysm is a rare potentially life-threatening complication of infective endocarditis (IE). Little data is available on the management and outcomes of ruptured mycotic aneurysms with large intracerebral hematoma. Few cases have been described on the management of mycotic aneurysm in the presence of life-threatening hematoma and mass effect.
Case Description: We are presenting two cases of ruptured mycotic aneurysm with intracerebral hematoma and impending brain herniation. Both patients had signs of high intracranial pressure and required urgent surgical evacuation of clot. One patient survived while the other patient expired soon after surgery.
Conclusion: Mycotic aneurysm of middle cerebral artery (MCA) in IE with intracranial hemorrhage is rare and urgent surgical decompression, and aneurysmal clipping can be lifesaving.</description><subject>Aneurysms</subject><subject>Antibiotics</subject><subject>Blood pressure</subject><subject>Endocarditis</subject><subject>Evacuations & rescues</subject><subject>Gangrene</subject><subject>Heart</subject><subject>Hemorrhage</subject><subject>Literature reviews</subject><subject>Neurosurgery</subject><subject>Neurovascular: Case Report</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Patients</subject><subject>Surgery</subject><issn>2152-7806</issn><issn>2229-5097</issn><issn>2152-7806</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkV1LBCEUhiWKiuqy2xjoesqjzjp2UUT0BUGw1LU4jrNNzYyTHy3773PZbSlIFEUfnnPwRegY8BkDTM_90J6lJXkpgW-hfQIFyXmJJ9u_znvoyPt3nAalAFjsoj1S8hIEgX00ncYxRGfqrF9oG1qdqcFEt_C9v8imZrQupJs6szFo2xuf2SYLc5v56GatVl23yHo1qFkSjCq0Zgj-EO00qvPmaL0foNe725ebh_zp-f7x5vop17SgdV5pqoAbU9RVOQGYVJxjQQypSwZMFwaEgnpimhqzRpCK0zQp5oRQwTkBQQ_Q5co7xqo3tU61nerk6NpeuYW0qpV_X4b2Tc7slywKQhkvk-B0LXD2Mxof5LuNbkg9SxAMCwZQQKLyFaWd9d6ZZlMBsFymIJcJbFJI_Mnvtjb0z58n4GoFzG0XjPMfXZwbJxP7Mdj5_1YJjMmfqOg3hLGcXw</recordid><startdate>20170101</startdate><enddate>20170101</enddate><creator>Khan, Aleena</creator><creator>Waqas, Muhammad</creator><creator>Nizamani, Waseem</creator><creator>Bari, Muhammad</creator><general>Wolters Kluwer India Pvt. 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Little data is available on the management and outcomes of ruptured mycotic aneurysms with large intracerebral hematoma. Few cases have been described on the management of mycotic aneurysm in the presence of life-threatening hematoma and mass effect.
Case Description: We are presenting two cases of ruptured mycotic aneurysm with intracerebral hematoma and impending brain herniation. Both patients had signs of high intracranial pressure and required urgent surgical evacuation of clot. One patient survived while the other patient expired soon after surgery.
Conclusion: Mycotic aneurysm of middle cerebral artery (MCA) in IE with intracranial hemorrhage is rare and urgent surgical decompression, and aneurysmal clipping can be lifesaving.</abstract><cop>India</cop><pub>Wolters Kluwer India Pvt. Ltd</pub><pmid>28781921</pmid><doi>10.4103/sni.sni_78_17</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aneurysms Antibiotics Blood pressure Endocarditis Evacuations & rescues Gangrene Heart Hemorrhage Literature reviews Neurosurgery Neurovascular: Case Report NMR Nuclear magnetic resonance Patients Surgery |
| title | Ruptured mycotic aneurysms: Report and outcomes of two surgically managed patients |
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