측뇌실로 파열된 중대뇌동맥 진균성 동맥류 1예 = A Middle Cerebral Mycotic Aneurysm ruptured into the Lacteral Ventricle

다국어 초록 (Multilingual Abstract)

Approximately 4% of cerebral aneurysms are of mycotic origin. The desination of "mycotic" for arterial lesions of infectious origin was provided by Osier in 1885, and. The relationship of mycotic aneurysms in any location to bacterial endocarditis was made clear by the review of Stengel and Wolferth in 1923. Mycotic aneurysms are abnormalities of the vessel wall resulting from infacted emboli, most commonly arising from the heart as a part of the spectrum of bacterial endocarditis. The middle cerebral artery is most commonly involved, including its proximal division which is a common site for congenital aneurysms also. Recently we experienced a case of middle cerebral mycotic anenrysm ruptured into the lateral ventricle and sucessful removal of the hematoma after clipping of the aneurysm. The patient was discharged uneventhly in mild left hemiplegias we discussed with a brief review of the literature.