A rare neurological infectious manifestation: Remedy accomplished exquisitely

Authors

Amruta V. Rajamanya, Neurology, KMC Hospital, MangaloreFollow
Saumya H. Mittal, Neurology, KMC Hospital, MangaloreFollow
Shivananda Pai, Neurology, KMC Hospital, MangaloreFollow
Keerthiraj B, Radiology, KMC Hospital, MangaloreFollow
Misri Z K, Neurology, KMC Hospital, MangaloreFollow
Rohith Pai, Neurology, KMC Hospital, MangaloreFollow

Abstract

A 23-year-old Indian male with infective endocarditis with embolic infarct was on IV antibiotics. One month later, he presented with convulsions without any significant focal deficit, CT revealed large intraparenchymal bleed, which on Digital Subtraction Angiogram (DSA) showed a leaking intracranial Mycotic Aneurysm (MA). Aneurysm was embolized using 62% histoacryl glue under roadmap guidance following which the leakage was stopped successfully. This case emphasizes the importance of considering the presence of MA in the differential diagnosis in the setting of suspected endocarditis and focal neurological deficits. Endovascular intervention and embolization with gluing is preferred for MA in view of friable nature of MA, thereby maintaining the stability of the patient

Recommended Citation

Rajamanya, Amruta V.; Mittal, Saumya H.; Pai, Shivananda; B, Keerthiraj; Z K, Misri; and Pai, Rohith (2018) "A rare neurological infectious manifestation: Remedy accomplished exquisitely," Manipal Journal of Medical Sciences: Vol. 3: Iss. 2, Article 8.
Available at: https://impressions.manipal.edu/mjms/vol3/iss2/8