Management of intracranial infectious aneurysms: A series of 16 cases

Loi K. Phuong, Michael Link, Eelco Wijdicks, Daniel L. Barrow, Gary K. Steinberg, Steven C. Zielinski, Robert A. Solomon, Arthur L. Day, Philip Theodosopoulos

Research output: Contribution to journalArticle

75 Scopus citations

Abstract

OBJECTIVE: The purpose of this study was to better define the management of intracranial infectious aneurysms. METHODS: We present a retrospective review of the management of 16 patients with intracranial infectious aneurysms. The mean follow-up period was 86 months. RESULTS: None of the patients had a rehemorrhage during antibiotic treatment. The mortality and long-term outcome from ruptured intracranial infectious aneurysms may be better than previously thought. There was no significant difference in long-term outcome between patients with single or multiple infectious aneurysms or between patients who underwent surgical resection and those who were treated only with antibiotics. CONCLUSION: Operative treatment should be pursued for patients with ruptured infectious aneurysms. Patients with unruptured intracranial infectious aneurysms should be observed during antibiotic therapy and followed up with cerebral angiography. Surgical resection should be considered if the aneurysm enlarges and the patient's general medical condition allows general anesthesia to be tolerated.

Original languageEnglish (US)
Pages (from-to)1145-1152
Number of pages8
JournalNeurosurgery
Volume51
Issue number5
DOIs
StatePublished - Nov 1 2002

Keywords

  • Infectious aneurysms
  • Intracranial

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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    Phuong, L. K., Link, M., Wijdicks, E., Barrow, D. L., Steinberg, G. K., Zielinski, S. C., Solomon, R. A., Day, A. L., & Theodosopoulos, P. (2002). Management of intracranial infectious aneurysms: A series of 16 cases. Neurosurgery, 51(5), 1145-1152. https://doi.org/10.1097/00006123-200211000-00008