Intracranial Mycotic Aneurysm in a Patient with Abdominal Actinomycosis

Ryu, Jiwook; Lee, Kyung Mi

doi:10.1016/j.wneu.2020.11.069

Cited by 5 publications

(2 citation statements)

References 4 publications

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“…[12] Rarely, patients develop mycotic aneurysms and these typically occur in the elderly age group. [13] Common locations for saccular types of aneurysms include bifurcations of the cerebral vasculature, such as the carotid bifurcation or other branching points of the circle of Willis. These locations are screened during imaging of berry aneurysms.…”

Section: Pathologymentioning

confidence: 99%

Evaluation of the Role of Angiography in Diagnosis and Management of Brain Aneurysm

Aldosari¹,

Alharbi²,

Alharbi³

et al. 2021

Int j pharm res allied sci

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Introduction : In the population, there is a notable prevalence of unruptured intracranial aneurysms. These can only be detected early using high-resolution imaging modalities. A discussion of the different imaging modalities is warranted, and an intracranial aneurysm can often be fatal if left undetected. Methodology : PubMed database was used for article selection, and papers were obtained and reviewed. PubMed database was used for article selection, and the following keys terms: magnetic resonance angiography, computerized tomography angiography, digital subtraction angiography, aneurysms, imaging in cerebrovascular hemorrhage. Review : Patients with subarachnoid hemorrhage should initially be investigated by CT angiography as it is quick and accurate for the diagnosis of early hemorrhage. Further imaging by magnetic resonance angiography and digital subtraction angiography could be useful in late presentations, or to have more detailed images of CT confirmed aneurysms. Conclusion: The physician should utilize their clinical judgment of intracranial aneurysms combined with specific case presentations to decide upon the best imaging choice. The imaging modality chosen should help in identifying the aneurysm, following up unruptured aneurysms, and alerting the radiologist to any recurrence of a previously treated ruptured aneurysm.

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Section: Pathologymentioning

confidence: 99%

Evaluation of the Role of Angiography in Diagnosis and Management of Brain Aneurysm

Aldosari¹,

Alharbi²,

Alharbi³

et al. 2021

Int j pharm res allied sci

View full text Add to dashboard Cite

show abstract

“…The current mortality rate of microsurgery has dropped to less than 2% [3] . However, due to the difficulty of the operation and the long operation time, the incidence of intracranial infection after craniotomy for intracranial aneurysms ranges from 2.6% to 30.0%, and the mortality is over 30.0% [4,5] . Therefore, the early control of intracranial infection and the improvement of patient prognosis are of positive significance, and the early indicators of intracranial infection should be comprehensively analyzed in clinical treatment.…”

Section: Introductionmentioning

confidence: 99%

Risk factors of intracranial infection in patients after intracranial aneurysm surgery

Guo¹,

Fang²,

Wu³

2021

Medicine

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Postoperative intracranial infection after intracranial aneurysm is relatively common in clinical setting; it is necessary to analyze the clinical risk factors of postoperative intracranial infection, to provide reliable evidence to the management of aneurysm. Patients with intracranial aneurysm admitted from January 1, 2016, to November 30, 2020, are included. We collected the patient's personal and treatment data, and analyzed the risk factors of intracranial infection by multivariate logistic regression analysis. We compared the cerebrospinal fluid (CSF) indicators and serological indicators and analyzed their correlation with intracranial infection by spearman analysis. A total of 236 patients with intracranial aneurysm were included; the incidence of postoperative intracranial infection was 12.71%. There were significant differences in the diabetes, intraoperative aneurysm rupture, intraoperative CSF leakage, duration of surgery, and estimated blood loss between infection and non-infection group. Logistic regression indicated that diabetes [odds ratio (OR) 2.053, 95% confidence interval (95% CI) 1.092∼3.385], intraoperative aneurysm rupture (OR 2.239, 95% CI 1.173∼4.312), intraoperative CSF leakage (OR 2.168, 95% CI 1.033∼3.451), duration of surgery ≥360 minutes (OR 1.926, 95% CI 1.108∼2.655), and estimated blood loss ≥125 mL (OR 2.459, 95% CI 1.854∼3.447) were the independent risk factors of postoperative intracranial infection in patients with aneurysm surgery (all P < .05). Klebsiella pneumoniae , Escherichia coli , and Staphylococcus epidermidis were the top 3 commonly seen pathogens. Spearman analyses indicated that PCT, CRP, LA, LDH were all correlated with intracranial infection (all P < .05). There are multiple factors for the postoperative intracranial infection in patients with aneurysm. Coping strategies should be formulated targeted on those risks to improve the prognosis of patients.

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Intracranial vessel wall magnetic resonance imaging features of infectious vasculitis

et al. 2023

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Intracranial Mycotic Aneurysm in a Patient with Abdominal Actinomycosis

Cited by 5 publications

References 4 publications

Evaluation of the Role of Angiography in Diagnosis and Management of Brain Aneurysm

Evaluation of the Role of Angiography in Diagnosis and Management of Brain Aneurysm

Risk factors of intracranial infection in patients after intracranial aneurysm surgery

Intracranial vessel wall magnetic resonance imaging features of infectious vasculitis

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