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題 名 | Successful Treatment of Three Intracranial Mycotic Aneurysms with a Combination of Antibiotics, Endovascular, and Surgical Therapies: A Case Report=利用抗生素、經血管線圈栓塞及手術合併療法成功治療三個顱內細菌性動脈瘤:病例報告 |
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作 者 | 洪恭誠; 李國維; 洪東源; 蔣永孝; 劉敏英; 林欣榮; 陳冠助; | 書刊名 | Journal of Medical Sciences |
卷 期 | 22:1 2002.02[民91.02] |
頁 次 | 頁49-52 |
分類號 | 415.938 |
關鍵詞 | 抗生素; 經血管線圈栓塞; 手術合併療法; 顱內細菌性動脈瘤; Endocarditis; GDCs; Mycotic aneurysm; |
語 文 | 英文(English) |
英文摘要 | The treatment of a 29-year-old male heroin addict having multiple and bilateral bacterial (mycotic) intracranial aneurysms with a combination of antibiotics, endovascular obliteration with Guglielmi detachable coils (GDCs) and surgery is reported. The patient presented with high spiking fever, severe headache, followed by receptive dysphagia and mild right hemiparesis. Computed tomography revealed an intracerebral hemorrhage (ICH) over left occipito-parietal region with mass effect. He underwent an emergent craniotomy with partial removal of hematoma. A medical workup revealed endocarditis and associated with mitral regurgitation, but no evidence of heart failure. Blood culture grew viridans streptococci and the antibiotics were followed. A cerebral angiogram showed three aneurysms; one ruptured at the second branch of left middle cerebral artery (MCA), and 2 other unruptured at the 2nd and 3rd branches of right MCA. The ruptured aneurysm was successfully packed with GDCs. One of the other 2 unruptured aneurysms was clipped by surgical clips. After 6 weeks of antibiotics treatment, his neurological conditions improved. Then, he had open heart surgery for mitral valve replacement. Eight months later, he was followed at outpatient clinic and showed no neurological deficits. |
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