[Bacterial cerebral aneurysms without infectious endocarditis: analysis of a case and review of the literature]

Rev Med Interne. 2001 Sep;22(9):867-71. doi: 10.1016/s0248-8663(01)00437-4.
[Article in French]

Abstract

Introduction: Bacterial intracerebral aneurysms, which are a common complication of infectious endocarditis, are unusual without Osler's disease.

Exegesis: From the case report of a man with a bilateral bacterial intracranial aneurysm without endocarditis resulting in an hypopituitarism, we undertook a literature review of bacterial intracerebral aneurysms without endocarditis.

Conclusion: Although this review has found few cases, this kind of aneurysms seems to have different features from those secondary to infective endocarditis: younger age of incidence, majority of Staphylococcus aureus, clinical presentation as a thrombophlebitis of the cavernous sinus, location of aneurysm on bigger cerebral artery.

Publication types

  • Case Reports
  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Bacterial Infections* / diagnosis
  • Bacterial Infections* / drug therapy
  • Cerebral Angiography
  • Child
  • Child, Preschool
  • Female
  • Follow-Up Studies
  • Humans
  • Hypopituitarism / etiology
  • Imipenem / administration & dosage
  • Imipenem / therapeutic use
  • Infant
  • Intracranial Aneurysm / diagnostic imaging
  • Intracranial Aneurysm / drug therapy
  • Intracranial Aneurysm / microbiology*
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Prognosis
  • Staphylococcal Infections / diagnosis
  • Staphylococcal Infections / drug therapy
  • Streptococcal Infections / diagnosis
  • Streptococcal Infections / drug therapy
  • Thienamycins / administration & dosage
  • Thienamycins / therapeutic use
  • Time Factors
  • Tomography, X-Ray Computed

Substances

  • Thienamycins
  • Imipenem