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KMID : 0359819770060020595
Journal of Korean Neurosurgical Society
1977 Volume.6 No. 2 p.595 ~ p.598
A Middle Cerebral Mycotic Aneurysm ruptured into the Lateral Ventricle



Abstract
Approximately 4% of cerebral aneurysms are of mycotic origin. The desination of "mycotic" for arterial lesions of infectious origin was provided by Osler in 1885, and the relationship of mycotic aneurysms in any location to bacterial endocarditis was made clear by the review of Stengel and Wolferthyin 1923. Mycotic aneurysms are abnormalities of the vessel wall, resulting from infacted emboli,most commonly -arising ftom the heart as a part of the spectrum of bacterial endocarditis. The middle cerebral artery is most commonly involved, including its proximal division which is a comInon site for congenital aneurysms also. Recently we experienced a case of middle cerebral mycotic aneurysm ruptured into the lateral ventricle and sucessful removal of the hematoma after clipping of the aneurysm. The patient was discharged uneventhly in mild left hemiplegias we discussed with a brief review of the literature.
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