Abstract
Intra-cranial mycotic aneurysms due to an infective process elsewhere in the body constitute an uncommon cause of intra-cranial hemorrhage. The condition carries a grave prognosis. Mycotic aneurysms secondary to infective endocarditis (IE) rarely occur in children. This communication describes a seven-year-old girl who presented with fever and neurological abnormalities. She was diagnosed to have a mycotic aneurysm secondary to IE. Digital subtraction angiography (DSA) confirmed the diagnosis, delineated anatomical details and later detected the complete resolution of the aneurysm following conservative management with intravenous antimicrobial agents.
This is a preview of subscription content, log in via an institution to check access.
References
Oohara K, Yamazaki T, Kanou H., Kobayashi A. Infective endocarditis complicated by mycotic cerebral aneurysm: Two case reports.Eur J Cardiothorac Surg 1998; 14: 533–535.
Kaye D. Infective Endocarditis. In Fauci AS, Braunwald E, Isselbacher KJ, eds.Harrison’s Principles of Internal Medicine. 14th edn, New York, McGraw-Hill, 1998; 785–791.
Durack DT, Lukes AS, Bright DK. New Criteria for the Diagnosis of Infective Endocarditis: Utilization of specific echocardiographic findings. Duke Endocarditis Service.Am J Med 1994; 96: 200–209.
Kong KH, Chan KF. Ruptured intracranial mycotic aneurysm: a rare cause of intracranial haemorrhage.Arch Phys Med Rehabil 1995; 76: 287–289.
Monsuez JJ, Vittecoq D, Rosenbaum A, Goujon C, Wolf M, Witchitz S, Modai J. Prognosis of ruptured intracranial mycotic aneurysms: a review of 12 cases.Eur Heart J 1989; 10: 821–825
Smith RL. Aneurysm and Carotid Cavernous Fistula. In Rosenberg RN, Grossman RG, Schocher Jr. SS, Heinz WE, Willis Jr. WD, eds.The Clinical Neurosciences, 1st edn. New York, Churchill Livingstone, 1983; 1071.
Meena AK, Sitajayalakshmi S, Prasad VS, Murthy JM. Mycotic Aneurysm on posterior cerebral artery: Resolution with medical therapy.Neurol India 2000; 48: 276–278.
Corr P, Wright M, Handler JC. Endocarditis related cerebral aneurysms: Radiological changes with treatment.Am J Neuroradiol 1995; 16: 745–748.
Molinari GF, Lewis S, Goldstein M, Satran R. Pathogenesis of cerebral mycotic aneursyms.Neurology 1972; 23: 325–332.
Salgado AV, Furlan AJ, Keys TF. Mycotic aneurysm, Subarachnoid haemorrhage and indicating for cerebral angiography in infective endocarditis.Stroke 1987; 18: 1057–1060
Allison JW, Davis PC, Sato Y, James CA, Hague SS, Angtuaco EJ, Glasier CM. Intracranial aneurysms in infants and children.Pediatr Radiol 1998; 28: 223–229.
Tunkel AR, Kaye D. Neurologic complications of infective endocarditis.Neurol Clin 1993; 11: 419–440.
Scotti G, Li MH, Righi C, Simionato F, Rocca A. Endovascular treatment of bacterial intracranial aneurysms.Neuroradiology 1996; 38: 186–189.
Cloft HJ, Kallmes DF, Jensen ME, Lanzino G, Dion JE. Endovascular treatment of ruptured, peripheral cerebral aneurysms: parent artery occlusion with short Guglielmi detachable coils.Am J Neuroradiol 1999; 20: 308–310.
Frazee JG, Cahan LD, Winter J. Bacterial intracranial aneurysms.J Neurosurg 1980; 53: 633–641.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Bartakke, S., Kabde, U., Muranjan, M.N. et al. Mycotic aneurysm: An uncommon cause for intra-cranial hemorrhage. Indian J Pediatr 69, 905–907 (2002). https://doi.org/10.1007/BF02723719
Issue Date:
DOI: https://doi.org/10.1007/BF02723719