Title: [Mycotic aneurysm in endocarditis lenta as the etiology of intraparenchymatous cerebral hemorrhage]. Author: Würker M, Szelies B, Heindel W, Böhm M, Fischbach R, Heiss WD. Journal: Med Klin (Munich); 1998 May 15; 93(5):307-10. PubMed ID: 9630815. Abstract: CASE REPORT: A 49-year-old male was admitted for left-side headache and mild speech defect. Clinical examination showed a pansystolic murmur of mitral regurgitation and mild Wernicke aphasia. In laboratory studies ESR and CRP were increased. Computed tomography of brain revealed a left temporoparietal hematoma. Echocardiographic examination demonstrated vegetations and mitral valve perforation. In blood cultures grew alpha-streptococci. Cerebral angiography was performed and a fusiform aneurysm on a distal branch of the left middle cerebral artery was identified. Follow-up angiography showed a total resolution of the aneurysm after 6 weeks of intravenous antibiotics. CONCLUSION: This case demonstrate that patients with intracerebral hematomas associated with infectious endocarditis should be investigated for mycotic intracranial aneurysm.[Abstract] [Full Text] [Related] [New Search]
