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Neurointervention 2009;4(1):25-28.
Endovascular Treatment of Large Mycotic Aneurysm in Cavernous Internal Carotid Artery : A Case Report.
Shang Hun Shin, Dae Chul Suh, Sang Ok Park, Jee Hyun Kwon, Seong Hoon Choi, Soon Chan Kwon
1Department of Radiology, Ulsan University Hospital, University of Ulsan College of Medicine, Korea. kimshin@netsgo.com
2Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Korea.
3Department of Neurology, Ulsan University Hospital, University of Ulsan College of Medicine, Korea.
4Department of Neurosurgery, Ulsan University Hospital, University of Ulsan College of Medicine, Korea.
Abstract
Intracranial mycotic aneurysms are secondary to infectious endocarditis, meningoencephalitis, cavernous sinus thrombophlebitis, sinusitis, and bacteremia. Usually mycotic aneurysms are arising on distal cerebral vessels, but rarely on internal carotid artery. We experienced mycotic aneurysm of ICA followed by meningoencephalitis and thrombophlebitis in both cavernous sinuses. We observed occurrence of mycotic aneurysm by sequential image, and good result after endovascular treatment. So we present our case.
Key Words: Intracranial mycotic aneurysm; Cavernous sinus; Endovascular therapy


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