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A Case of Bacterial Aneurysm Following Hardy's Operation Yoshihiko TAKAHASHI 1 , Minoru SHIGEMORI 1 , Takayuki TOKUNAGA 1 , Satoshi OCHIAI 1 , Masao KUBOYAMA 2 , Shinken KURAMOTO 2 1Department of Neurosurgery, Kurume University School of Medicine 2Kuboyama Neurosurgical Hospital Keyword: Hardy's operation , Bacterial aneurysm , Meningitis pp.665-669
Published Date 1991/7/10
DOI https://doi.org/10.11477/mf.1436900292
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Abstract

Intracranial mycotic aneurysm of extravascular origin is reported. A 64 year-old male developed headache and visual disturbance. Computed Tomography (CT) revealed high density mass lesion with contrast enhance-ment in the intra-and suprasellar lesion.

He was then admitted to our hospital under the dia-gnosis of pituitary adenoma. But he suddenly com-plained of headache and loss of vision during hospitali-zation. An emergency operation using the transsphenoi-dal approach was performed. The pathological diagno-sis was craniopharyngioma.

Postoperative radiation therapy was carried out using a tumor dose of 50Gy. Two months after the operation, he suffered from rhinorrhea and high fever. He was admitted again and treated with high doses of antibio-tics. Two weeks after admission, he suddenly lost con-sciousness. A CT scan revealed an aneurysm of the anterior temporal artery. Immediately, removal of the hematoma and resection of the aneurysm were per-formed.

Microscopic examination showed that inflammatory cells had infiltrated the aneurysmal wall, and lympho-cytes and plasma cells had gathered around the mi-croabscess.

This rare case is discussed with other related cases in the literature.


Copyright © 1991, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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