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

机译:真菌性鼻窦炎引起的真菌性动脉瘤和脑梗死:影像学和病理学相关性

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摘要

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.
机译:简介:一名73岁的男子因蝶窦的侵袭性曲霉菌而入院。蝶窦的内镜清创术由于严重的鼻出血导致了真菌性海绵状颈动脉瘤破裂而变得复杂。动脉瘤通过血管内线圈置入而紧急关闭 。随后, 真菌性动脉瘤在硬膜内扩张并引起致命的蛛网膜下腔出血 。放射影像学资料阐明了真菌 真菌性动脉瘤的形成和生长。该案例强调了 需要快速诊断中枢神经系统潜在的真菌侵害 ,并建议一旦真菌性脑血管受侵袭 进行积极治疗的必要性< sup> 被识别。

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  • 来源
    《American Journal of Neuroradiology》 |2001年第5期|858-863|共6页
  • 作者单位

    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.;

    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.;

    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.;

    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.;

    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.;

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