1 0 0 0 OA 感染性心内膜炎に合併する細菌性脳動脈瘤の血管内治療
- 著者
- 原 淑恵 山下 晴央 山本 浩隆 井上 悟志 松本 優
- 出版者
- 一般社団法人 日本脳卒中の外科学会
- 雑誌
- 脳卒中の外科 (ISSN:09145508)
- 巻号頁・発行日
- vol.40, no.2, pp.112-116, 2012 (Released:2013-03-09)
- 参考文献数
- 9
- 被引用文献数
- 1 2
We report three cases with endocarditis-related mycotic intracranial aneurysms. Two presented with hemorrhage and one with cerebral infarction followed by aneurysm formation in the same territory. All three suffered bacteremia and infectious endocarditis. Two had multiple aneurysms. Ruptured and/or enlarging aneurysms were treated with endovascular coil embolization. For unruptured, asymptomatic aneurysms that were stable in size, systemic antibiotic therapy and a serial follow-up with angiography was done. Embolization was successful in all cases. Two had cardiac surgery uneventfully. Two had untreated unruptured aneurysms that disappeared on the follow-up angiography after long-term systemic antibiotic therapy. There was no reassurance of treated aneurysms.