Mycotic aneurysm and cerebral infarction resulting from fungal sinusitis: imaging and pathologic correlation.
Publication/Presentation Date
5-1-2001
Abstract
A 73-year-old man was admitted with invasive aspergillus of the sphenoid sinus. Endoscopic debridement of the sphenoid sinus was complicated by rupture of a mycotic cavernous carotid artery aneurysm with severe epistaxis. The aneurysm was closed emergently by endovascular coil placement. Subsequently, the mycotic aneurysm extended intradurally and caused fatal subarachnoid hemorrhage. The radiologic-pathologic data illustrate the mechanism of fungal mycotic aneurysm formation and growth. This case emphasizes the need for rapid diagnosis of potential fungal involvement of the central nervous system and suggests the necessity for aggressive treatment once fungal cerebrovascular involvement is identified.
Volume
22
Issue
5
First Page
858
Last Page
863
ISSN
0195-6108
Published In/Presented At
Hurst, R. W., Judkins, A., Bolger, W., Chu, A., & Loevner, L. A. (2001). Mycotic aneurysm and cerebral infarction resulting from fungal sinusitis: imaging and pathologic correlation. AJNR. American journal of neuroradiology, 22(5), 858–863.
Disciplines
Diagnosis | Medicine and Health Sciences | Other Analytical, Diagnostic and Therapeutic Techniques and Equipment | Radiology
PubMedID
11337328
Department(s)
Department of Radiology and Diagnostic Medical Imaging
Document Type
Article