Two Cases of Surgical and Medical Treatment of Infectious Intracranial Aneurysms - Case Report -

감염성 두개강내 동맥류의 수술 및 내과적 치험 2례 - 증 례 보 고 -

  • Ban, Sung Soo (Department of Neurosurgery, Kangnam General Hospital, Public Corporation) ;
  • Ahn, Chi Sung (Department of Neurosurgery, Kangnam General Hospital, Public Corporation) ;
  • Jung, Myung Hun (Department of Neurosurgery, Kangnam General Hospital, Public Corporation) ;
  • Choe, Il Seung (Department of Neurosurgery, Kangnam General Hospital, Public Corporation) ;
  • Choi, Sun Wook (Department of Neurosurgery, Kangnam General Hospital, Public Corporation) ;
  • Song, Kwan Young (Department of Neurosurgery, Kangnam General Hospital, Public Corporation) ;
  • Kang, Dong Soo (Department of Neurosurgery, Kangnam General Hospital, Public Corporation)
  • 반성수 (지방공사 강남병원 신경외과) ;
  • 안치성 (지방공사 강남병원 신경외과) ;
  • 정명훈 (지방공사 강남병원 신경외과) ;
  • 최일승 (지방공사 강남병원 신경외과) ;
  • 최선욱 (지방공사 강남병원 신경외과) ;
  • 송관영 (지방공사 강남병원 신경외과) ;
  • 강동수 (지방공사 강남병원 신경외과)
  • Received : 1999.11.15
  • Accepted : 2000.09.25
  • Published : 2001.01.28

Abstract

Object : To determine whether to use surgical or medical therapy in treatment of infectious intracranial aneurysms, we reviewed two recent cases of infectious intracranial aneurysms and others known previous reports of aforementioned cases. Hence, we attempted to compare the validity and effectiveness of surgical and medical treatment. Method : Recently, we treated two cases of ruptured infectious intracranial aneurysms. In former case, the aneurysm was located distal to the middle cerebral artery in a patient with mild mitral regurgitation of the heart. In latter case, the aneurysm was multiple with varying hemorrhage. The hemorrhage was located bilaterally and a moderate mitral regurgitation and infective endocarditis were accompanied in this patient. Result : Due to the large size of the intracranial hematoma, stable medical condition, and easy resectability, we treated the former patient surgically. And, because of successive hemorrhage by multiple aneurysmal rupture, and the risk of heart failure, we treated the latter patient medically with serial follow-up angiography. Both patients are at present in good health. Conclusion : Because of the variability in associated factors, such as the patient's health, the number of lesions, location, anatomy of the aneurysms and the causative organism, each patient's care must be individualized and tailored to the patient's particular clinical situation.

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