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American Journal of Neuroradiology 22:858-863 (5 2001)
© 2001 American Society of Neuroradiology

ARTICLE

Mycotic Aneurysm and Cerebral Infarction Resulting from Fungal Sinusitis: Imaging and Pathologic Correlation

Robert W. Hurst,a, Alex Judkinsa, William Bolgera, Albert Chua and Laurie A. Loevnera

a From the Departments of Radiology (R.W.H., L.A.L.), Pathology (A.J., A.C.), and Otrorhinolaryngology (W.B.), Hospital of the University of Pennsylvania, Philadelphia, PA.

Summary: A 73-year-old man was admitted with invasive aspergillus of the sphenoid sinus. Endoscopic debridement of the sphenoid sinus was complicated by rupture of a mycotic cavernous carotid artery aneurysm with severe epistaxis. The aneurysm was closed emergently by endovascular coil placement. Subsequently, the mycotic aneurysm extended intradurally and caused fatal subarachnoid hemorrhage.

The radiologic-pathologic data illustrate the mechanism of fungal mycotic aneurysm formation and growth. This case emphasizes the need for rapid diagnosis of potential fungal involvement of the central nervous system and suggests the necessity for aggressive treatment once fungal cerebrovascular involvement is identified.




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Copyright © 2008 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X