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KMID : 0359819950240080961
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Journal of Korean Neurosurgical Society
1995 Volume.24 No. 8 p.961 ~ p.968
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Ruptured Intracranial Bacterial Aneurysms
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김민호
한동환/이지영/심기범/홍승관
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Abstract
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Two cases of ruptured bacterial aneurysms involving the distal branches of the middle cerebral artery associated with an intracerebral hematoma are reported. both patients presented with a medical history of valvular heart disease and subacute
bacterial
endocarditis.
The mortality of ruptured intracranial bacterial aneurysms has been reported to be very high and a proper treatment strategy for such aneurysms still remains controversial. Most authors have recommended aggressive antimicrobial therapy. serial
angiographic follow-up studies, and surgery for aneurysms that do not resolve or enlarge even after medical a ment. both of the reported patients were treated with antibiotics and underwent surgical evaes tion for huge-sized intracerebral
hematomas, and
in one patient, the aneurysm was completely resected.
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KEYWORD
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