• J Stroke Cerebrovasc Dis · Nov 2012

    Case Reports

    A case of embolic stroke imitating atherothrombotic brain infarction before massive hemorrhage from an infectious aneurysm caused by Streptococci.

    • Ryuichi Kanai, Jun Shinoda, Seiichiro Irie, Koji Inoue, Teiko Sato, and Yutaka Tsutsumi.
    • Department of Neurosurgery, Eiju General Hospital, Tokyo, Japan. ryuichi@kj9.so-net.ne.jp
    • J Stroke Cerebrovasc Dis. 2012 Nov 1;21(8):910.e13-6.

    AbstractEarly detection followed by treatment with antibiotics in conjunction with direct or endovascular surgery is integral in the management of patients with intracranial infectious aneurysms. These aneurysms often manifest as massive intracranial hemorrhages, which severely deteriorate the outcome. It is very important to detect infectious aneurysms before they rupture. Although usually associated with infective endocarditis, these aneurysms can occur in a variety of clinical settings. We present a case of α-Streptococcus-provoked infectious aneurysm in a patient without infective endocarditis, initially presenting as atherothrombotic-like brain infarction, before massive intracranial hemorrhage. The present case alerts clinicians to keep in mind possible development of infectious aneurysms, even in patients who appear to be suffering from atherothrombotic stoke, especially in patients presenting with signs of infection.Copyright © 2012 National Stroke Association. Published by Elsevier Inc. All rights reserved.

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