Takeshita M, Izawa M, Kubo O, Tanikawa T, Onda H, Wanifuchi H, Tamura Y, Kagawa M
Department of Neurosurgery, Tokyo Women's Medical College, Japan.
Surg Neurol. 1992 Aug;38(2):146-51. doi: 10.1016/0090-3019(92)90093-3.
A rare case of intracranial aspergillotic aneurysm following neurosurgical operation for facial spasm is presented. Severe meningitis had persisted several days prior to the subarachnoid hemorrhage which occurred on 70th postoperative day. Angiography demonstrated a fusiform aneurysm at the peduncular segment of the superior cerebellar artery on the other side of operation. As the repeated cultures of CSF were negative, the pathogenetic factor causing aneurysm formation could not be identified before second operation of aneurysmal resection. Pathological study of the specimen revealed the arterial wall being deeply invaded by aspergillotic hyphae.
本文报告1例面神经痉挛神经外科手术后发生颅内曲霉菌性动脉瘤的罕见病例。严重脑膜炎在术后第70天蛛网膜下腔出血前已持续数天。血管造影显示在手术对侧小脑上动脉脑桥段有一梭形动脉瘤。由于脑脊液多次培养均为阴性，在第二次动脉瘤切除手术前无法确定导致动脉瘤形成的致病因素。标本的病理研究显示动脉壁被曲霉菌菌丝深度侵袭。
