Aspergillus mycotic aneurysm--case report.

Abstract:

:A 61-year-old female developed subarachnoid hemorrhage after trans-sphenoidal surgery for Rathke's cleft cyst. Neuroradiological examination revealed a large aneurysm at the C1 portion of the right internal carotid artery. Autopsy revealed marked proliferation of aspergillus hyphae in the wall of the aneurysm. A review of previously reported cases of fungal aneurysm proposes two developmental processes. Aneurysms secondary to fungal meningitis tend to be large in size and located in the major cerebral artery trunk, but aneurysms following fungal sepsis tend to be small and in peripheral branches. The former aneurysms are probably caused by fungus invasion into the intracranium, usually from the paranasal sinus, and the latter may be due to fungal emboli like bacterial emboli in bacterial endocarditis. Ruptured fungal aneurysms are difficult to treat, so fungal meningitis or sepsis must be eradicated before an aneurysm develops.

authors

Komatsu Y,Narushima K,Kobayashi E,Tomono Y,Nose T

doi

10.2176/nmc.31.346

subject

Has Abstract

pub_date

1991-06-01 00:00:00

pages

346-50

issue

6

eissn

0470-8105

issn

1349-8029

pii

JST.Journalarchive/nmc1959/31.346

journal_volume

31

pub_type

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