World Neurosurg
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Pneumocephalus is a life-threatening event associated with different infectious diseases and trauma. Klebsiella pneumoniae is a gas-forming organism that can cause pneumocephalus. A woman aged 56 years presented with a history of septic shock and community-acquired pneumonia. ⋯ The computed tomography scan of the brain revealed abundant pneumocephalus entities. Multidrug-resistant K. pneumoniae was found in her cerebrospinal fluid while on appropriate antibiotic therapy. She died from acute stroke during her treatment.
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Giant, previously coiled basilar tip aneurysms are difficult to cure. ⋯ Until endovascular treatment is proven on a long-term basis to cure similar aneurysms, surgery should remain an option.