Abstract
Cerebral mycotic or infective aneurysms are a rare complication of infectious illness, and such aneurysms of the intracavernous portion of the internal carotid artery are rare. They have been described as a consequence of cavernous sinus infection in an immunocompromised host, but not previously in a renal transplant recipient. We present such a case with serial MRI showing progression from arterial narrowing to aneurysm formation. Transcranial Doppler sonography of the middle cerebral artery showed distal asymptomatic embolisation from the aneurysm.
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Acknowledgments
We thank Dr S. Nelson and the Department of Renal Medicine at St George's Hospitals NHS Trust, for help in the management of this patient. Dr Cloud is a Clinical Fellow funded by the Stroke Association.
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Cloud, G.C., Rich, P.M. & Markus, H.S. Serial MRI of a mycotic aneurysm of the cavernous carotid artery. Neuroradiology 45, 546–549 (2003). https://doi.org/10.1007/s00234-003-1021-1
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DOI: https://doi.org/10.1007/s00234-003-1021-1