多発性細菌性脳動脈瘤の1例—同一症例における手術的・保存的治療

A Case of Multiple Septic Intracranial Aneurysms: Successful treatment with surgical and conservative therapy in the same case

I．はじめに

　細菌性脳動脈瘤の存在はよく知られているが，抗生物質の発達・使用により，その発生は少なく，報告は稀で，その病態・治療に関しては不明な点が少なくない．今回，私達は，同一症例にて，手術的に，また保存的に治療した多発性細菌性脳動脈瘤症例を経験したので報告する．

Here reported is a case of multiple septic intracranial aneurysms which were successfully treated with surgi-cal and conservative therapy.

A 44-year-old man was admitted to our hospital be-cause of headache, vomiting and visual disturbance. He had had a fever and had been under treatment for a respiratory tract infection during the preceding 3 months.

Physical examination on admission revealed pansys-tolic heart murmur over the cardiac apex. Neurological examination revealed neck stiffness, papilledema and right homonymous hemianopsia. Laboratory data showed the presence of inflammatory process.