CASE REPORT


Unusual Intracranial Manifestation of Infective Endocarditis



Keerthiraj Bele1, Sonali Ullal1, Ajit Mahale1, *, Sriti Rani1
1 Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, India


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Creative Commons License
© 2021 Bele et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, India; Tel: +919844075363; E-mail: ajitmahale137@gmail.com


Abstract

Objective:

The mycotic aneurysm is a rare intracranial pathology seen with pre-existing infective endocarditis. It has a high mortality rate due to its risk of rupture and needs early diagnosis and treatment.

Methods:

A 23-year male patient who presented with infective endocarditis subsequently developed a left parietal-temporal intracranial haemorrhage with suspicion of aneurysm after the course of antibiotic treatment as seen on Computed Tomography (CT) scan. Digital Subtraction Angiography (DSA) revealed a ruptured fusosaccular aneurysm in the distal parietal branches of the left Middle Cerebral Artery (MCA), for which glue embolization of the distal parent artery and aneurysm was done.

Result:

The interventional endovascular procedure was done with complete obliteration of the distal parent artery, mycotic aneurysm, and normal filling of the left internal cerebral artery (ICA) branches.

Conclusion:

Mycotic intracranial aneurysms (MIA) are a rare form of cerebrovascular pathology which needs early diagnosis with endovascular intervention when rupture occurs.

Keywords: Case report, Intracranial, Mycotic, Aneurysm, Infective, Unusual, Endocarditis.