Tijdschrift voor geneeskunde vol:58 issue:12 pages:836-839
A young woman with recurrent cerebral aneurysms
A case of recurrent subarachnoid hemorrhage due to evolving cerebral mycotic aneurysms is presented. Cerebral mycotic aneurysms are a rare but potentially life-threatening complication of infective endocarditis. Infective endocarditis is diagnosed according to the Duke criteria.
The diagnosis of cerebral mycotic aneurysms relies on imaging by CT-scan, nuclear magnetic resonance or angiography.
Cerebral mycotic aneurysms may rupture and bleed, but they can also disappear during antibiotic treatment for infective endocarditis.
In case of enlargement or complications a neurosurgical treatment is indicated.