An unusual case of ruptured distal anterior cerebral artery aneurysm associated with brucellosis

Erdoğan, Bülent; Sener, Levent; Özşahin, Kürşat; Savas, Lutfu; Caner, Hakan

doi:10.1016/j.jinf.2004.08.029

Cited by 12 publications

(8 citation statements)

References 26 publications

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“…[12] reported a thrombosed distal dissecting aneurysm of the basilar artery without surgical intervention; and unsuccessful medical management in neurobrucellosis in a 61-year-old man led to exploration and clipping of an aneurysm located on the callosomarginal artery and wrapping of an adjacent aneurysmal dilatation reported by Erdogan et al . [6]…”

Section: Resultsmentioning

confidence: 99%

“…This last choice has been considered only in special situations such as mycotic aneurysm occurring in the setting of severe endocarditis which could not be managed by surgical intervention. [135678121315] The most important factors in choosing between the two approaches are: the morphology and location of the aneurysm, whether it is possible or not to sacrifice the parent artery, whether the patient needs or has received valve replacement surgery, the degree of vasospasm, the amount and location of ICH, and lastly, the patient's overall health status. There is no randomized controlled trial (RCT) comparing endovascular and open surgery in treating mycotic aneurysms, and they are being treated in either way considering the available facilities and feasibilities as in our case.…”

Section: Discussionmentioning

confidence: 99%

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Brucella - related multiple cerebral aneurysms: Report of a case and review of the literature

et al. 2014

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Background:Mycotic cerebral aneurysms are uncommon. We intend to report the first case of multiple mycotic cerebral aneurysms due to Brucella infection that were treated surgically.Case Description:A 34-year-old man with neurobrucellosis presented with intracerebral haemorrhage (ICH). Three mycotic aneurysms were detected in the vicinity of middle cerebral artery (MCA). Medical treatment failed to treat them and aneurysms had to be managed surgically.Conclusion:Brucella-related cerebral mycotic aneurysm has rarely been reported. This is the first report of three mycotic aneurysms occurring in a young man with neurobrucellosis treated surgically.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Brucella - related multiple cerebral aneurysms: Report of a case and review of the literature

et al. 2014

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“…Intracranial aneurysm formation and subarachnoid hemorrhage associated with brucellosis are very rare. According to our literature review, there are only 2 reported cases of subarachnoid hemorrhage due to Brucella -related aneurysm rupture [ 15 , 16 ]. The underlying mechanisms of Brucella -related cerebral aneurysm formation are unclear and may be multifactorial.…”

Section: Discussionmentioning

confidence: 99%

“…Although there is still controversy about the optimal treatment [ 20 ], dual- or triple-agent therapy should be initiated immediately upon diagnosis. Effective early treatment of brucellosis can prevent the development and rupture of aneurysms and improve the patient’s neurological status [ 15 , 16 ].…”

Section: Discussionmentioning

confidence: 99%

Subarachnoid hemorrhage secondary to Brucella-induced cerebral aneurysm: a case report

Yanyan

Yao

et al. 2021

BMC Infect Dis

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Background Brucellosis is a common zoonotic disease that is prevalent in many areas worldwide. This infectious disease can occasionally affect the central nervous system but intracranial arteries are rarely involved. Case presentation A 17-year-old female who had a history of recurrent fever for 1 month was admitted for subarachnoid hemorrhage due to cerebral aneurysm rupture. Surgery was performed to fix the aneurysm, but the patient had persistent fever after the surgery. Cerebrospinal fluid testing showed a high white blood cell count and elevated protein level but no pathogen was identified in the first two tests. Brucella melitensis was identified in the third cerebrospinal fluid culture, and a diagnosis of brucellosis was finally rendered. The patient was subsequently treated with anti-Brucella medications and her symptoms improved significantly at the last follow-up. Conclusion Although extremely rare, Brucella-induced cerebral aneurysms can occur and this should be considered in the differential diagnosis of cerebrovascular accidents, especially in Brucella epidemic areas.

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“…When a vascular lesion is suspected, MR angiography might help to demonstrate the lesion without an invasive procedure. When invasive aspergillosis is suspected, aggressive antifungal agents should be started immediately without waiting for culture results and histological confirmation (10). In addition, a more aggressive treatment than simple intravenous treatment, and the possible application of the present treatment modality, including embolization of the affected aneurysm, should be considered.…”

Section: Discussionmentioning

confidence: 99%

An aspergillotic aneurysm of the internal carotid artery following allogeneic bone marrow transplantation: successful management with catheter coil embolization and long‐term antifungal agents

Watanabe

Okada

et al. 2009

Transplant Infectious Dis

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We report a case of a mycotic aneurysm of the internal carotid artery and cerebral hemorrhagic infarction resulting from Aspergillus middle ear infection in a patient with severe aplastic anemia who received unrelated bone marrow transplantation. Although a mycotic aneurysm is a rare complication, and most often fatal, the patient was successfully treated with catheter coil embolization of the internal carotid artery and long‐term systemic antifungal therapy. This case emphasizes the need for the rapid diagnosis of potential fungal involvement of the vascular system and suggests the necessity for aggressive treatment, such as with the modality illustrated in this case.

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An unusual case of ruptured distal anterior cerebral artery aneurysm associated with brucellosis

Cited by 12 publications

References 26 publications

Brucella - related multiple cerebral aneurysms: Report of a case and review of the literature

Brucella - related multiple cerebral aneurysms: Report of a case and review of the literature

Subarachnoid hemorrhage secondary to Brucella-induced cerebral aneurysm: a case report

An aspergillotic aneurysm of the internal carotid artery following allogeneic bone marrow transplantation: successful management with catheter coil embolization and long‐term antifungal agents

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