Manipal Journal of Medical Sciences


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