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Surgical treatment of ruptured right middle cerebral artery mycotic aneurysm and centralnervous system aspergillosis: clinical case and literature reviewстатья
Дата последнего поиска статьи во внешних источниках: 8 апреля 2022 г.
- Авторы: Коновалов Антон Николаевич, Шарипов Олег Ильдарович, Шехтман Олег Дмитриевич, Гаджиагаев Вадим Султанбекович, Калинин Павел Львович
- Журнал: Surgical neurology international
- Том: 12
- Номер: 843_2021
- Год издания: 2021
- Издательство: Medknow
- Местоположение издательства: Mumbai, India
- Первая страница: 1
- Последняя страница: 8
- Аннотация: http://dx.doi.org/10.25259/SNI_843_2021 AbstractBackground. Central nervous system (CNS) aspergillosis is more often met inpatients with expressed immune suppression. Still, in 50% of cases of meningitiscaused by Aspergillus spp., it is observed in patients without expressed immunesuppression. The prognosis of CNS aspergillosis is unfavorable with the general rateof lethality around 70%.Case Description. Clinical case of a 58-year old man who developed an Aspergillusabscess in the chiasmosellar region and an associated mycotic aneurysm of the rightmiddle cerebral artery and intracerebral hemorrhage. Microsurgical clipping of thefusiform-ectatic aneurysm of the right MCA in the conditions of rupture wasperformed. An extra-intracranial micro anastomosis (EICMA) was formed on theright. An open biopsy of the neoplasm in the chiasmosellar region was made. Theneoplasm was yellow and destroyed the bone plate of the skull base. Biopsy results:mycotic lesion (aspergillosis). The analysis of surgical treatment for mycoticaneurysms in the acute period of hemorrhage in patients with aspergillosis revealeda high rate of lethality. The issue of the feasibility and effectiveness of complicatedrevascularization interventions in patients with hemorrhage and aspergillosisremains unsolved.Conclusion. The lack of generally accepted tactics of the treatment of this pathologyrequires further studies and systemic analysis. A high risk of the lethal outcome inpatients with invasive mycotic infection and rupture of mycotic aneurysm highlightthe importance of timely diagnostics and the beginning of antimycotic therapy. Theissue of the evaluation of the revascularization methods effectiveness in patientsafter surgical treatment of a mycotic aneurysm associated with cerebral aspergillosisremains poor.
- Добавил в систему: Коновалов Антон Николаевич
Прикрепленные файлы
| № | Имя | Описание | Имя файла | Размер | Добавлен |
|---|---|---|---|---|---|
| 1. | Полный текст | SNI-12-555.pdf | 2,0 МБ | 10 ноября 2021 [osharipov_nsi] |