두개강내 세균성 동맥류 : 증례 보고 Case Report = Intracranial Mycotic Anurysm

다국어 초록 (Multilingual Abstract)

This case of a ruptured, infected intracranial aneurysm is reported. A 19-year-old female patient was transferred to our hospital due to large intracerebral hematoma in the right posterior parietal area with the marked mass effect. Cerebral angiograms demonstrated, beyond the vascular stretching due to the hematoma, a smal vascular mass situated on the distal parietal branch of the right middle cerebral artery. She was operated on the 3rd day after admission; a small vascular mass, almost thrombosed, was discovered and totally removed after evacuation of the hematoma. Cardiac manifestation including the echocardiogram was negative. Cultures of the blood, hamatoma evacuated during craniotomy and intra-aneurysmal thrombi were also negative at all. Postoperative angiograms revealed no newly developed vascular mass and follow-up course for 10 months has been uneventful. Different treatments of intracranial myctic aneurysms are finally reviewed and a therapeutic approach is discussed.