Short-term aneurysm formation and rupture due to septic embolism diagnosed with a thrombus retrieved from another occluded artery.

Autor:	Nukata R; Department of Neurology, Kurashiki Central Hospital, Kurashiki, Japan., Ikeda H; Department of Neurosurgery, Kurashiki Central Hospital, Kurashiki, Japan., Akaike N; Department of Neurosurgery, Kurashiki Central Hospital, Kurashiki, Japan., Kurosaki Y; Department of Neurosurgery, Kurashiki Central Hospital, Kurashiki, Japan., Fujiwara T; Department of Neurosurgery, Kurashiki Central Hospital, Kurashiki, Japan., Uezato M; Department of Neurosurgery, Kurashiki Central Hospital, Kurashiki, Japan., Kinosada M; Department of Neurosurgery, Kurashiki Central Hospital, Kurashiki, Japan., Shindo K; Department of Neurology, Kurashiki Central Hospital, Kurashiki, Japan., Chin M; Department of Neurosurgery, Kurashiki Central Hospital, Kurashiki, Japan.
Jazyk:	angličtina
Zdroj:	Surgical neurology international [Surg Neurol Int] 2022 Oct 14; Vol. 13, pp. 474. Date of Electronic Publication: 2022 Oct 14 (Print Publication: 2022).
DOI:	10.25259/SNI_727_2022
Abstrakt:	Background: In rare cases, septic embolism is diagnosed on the basis of pathological findings of retrieved thrombi. Infected aneurysms can rapidly form and rupture after septic embolism, leading to a poor prognosis. We report a case of subcortical hemorrhage due to an infected aneurysm forming shortly after septic embolism in the left anterior cerebral artery. Case Description: In this case, the diagnosis of septic embolism was made on the basis of pathological findings of a thrombus retrieved from the simultaneously occluded left middle cerebral artery, and endovascular embolization of the infected aneurysm was performed. Conclusion: The pathological findings of a retrieved thrombus were useful for making a diagnosis of septic embolism. The possibility of short-term formation and rupture of an infected aneurysm after septic embolism should be noted. Endovascular embolization of occluded vessels due to septic embolism may prevent aneurysm formation and subsequent bleeding. Competing Interests: There are no conflicts of interest. (Copyright: © 2022 Surgical Neurology International.)
Databáze:	MEDLINE
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