Mycotic aneurysms are rare complications in patients with infective endocarditis, particularly in the pediatric population. We report a case of mycotic aneurysm of the middle cerebral artery complicating bacterial endocarditis in a child with Down's syndrome. The patient was successfully treated medically without the need for surgical intervention. (J Child Neurol 2001;16:868—870).
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References
1.
Osler W.: On malignant endocardotis. BMJ1885 ;1:467.
2.
Harrison Mjg , Hampton JR: Neurologic presentation of bacterial endocarditis . BMJ1967;2:148—151.
3.
Pruitt AA, Rubin RH, Karchmer AW, Duncan GW: Neurologic complications of bacterial endocarditis. Medicine (Baltimore) 1978;57:329—343.
Bingham WF: Treatment of mycotic intracranial aneurysms. J Neurosurg1977;46:428—437.
13.
Leipzig TJ, Brown FD: Treatment of mycotic aneurysms. Surg Neurol1985;23:403—407.
14.
Stilhart B., Aboulker J., Khouadja F., et al: [Should the aneurysms of Osler's disease be investigated and operated on prior to hemorrhage]? Neurochirurgie1986;32:410—417.
15.
Meena AK, Sitajayalakshmi S., Prasad VS, Murthy JM: Mycotic aneurysm on posterior cerebral artery: Resolution with medical therapy . Neurol India2000;48:276—278.
16.
Venkatesh SK , Phadke RV, Kalode RR, et al: Intracranial infective aneurysms presenting with haemorrhage: An analysis of angiographic findings, management and outcome . Clin Radiol2000;55:946—953.
17.
Frizzell RT, Vitek JJ, Hill DL, Fisher WS: Treatment of a bacterial (mycotic) intracranial aneurysm using an endovascular approach. Neurosurgery1993;32:852—854.
18.
Javid M., Kumar SR, Kumar MV, Misra KP: Mycotic pulmonary artery aneurysm complicating bacterial endocarditis . Indian Heart J1996;48:403—404.
19.
Ugazio AG, Maccario R., Notarangelo LD, Burgio GR: Immunology of Down syndrome: A review. Am J Med Genet Suppl 1990;7:204—212.
