Fungal Aneurysm

Author:

Mielke Bruce1,Weir Bryce1,Oldring Derald1,von Westarp Christian1

Affiliation:

1. Divisions of Neurosurgery, Otolaryngology, and Endocrinology and Department of Pathology, University of Alberta, Edmonton, Alberta

Abstract

Abstract We report a 58-year-old woman with acromegaly whose invasive adenoma was treated by trans-sphenoidal removal and radiation. Six months after therapy, she experienced progressive headache and retro-orbital pain. At 10 months she developed unilateral blindness, mild proptosis, opthalmoplegia. and trigeminal sensory loss. Studies failed to show an expanding mass lesion. About 1 year after her operation, she suddenly became comatose and died. An autopsy examination revealed subarachnoid hemorrhage from a ruptured fungal aneurysm of the basilar artery. The literature on such aneurysms is reviewed.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Clinical Neurology,Surgery

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