Singh Divya, Pastrana Francesca, Polhemus Laura, Qaqish Hanan, Rodriguez Wilson, Wang Fajun
Neurology, Saint Louis University School of Medicine, Saint Louis, USA.
Cureus. 2024 Sep 10;16(9):e69082. doi: 10.7759/cureus.69082. eCollection 2024 Sep.
We describe a 31-year-old woman who presented with acute right-sided weakness and was found to have a subarachnoid hemorrhage in the left Sylvian fissure and an ipsilateral frontal intraparenchymal hemorrhage. CT angiography revealed an occlusion of the left middle cerebral artery's M1 segment and a saccular aneurysm at its bifurcation. A cerebral angiogram confirmed these findings, and the patient subsequently underwent microsurgical aneurysm resection, which revealed a partially thrombosed pseudoaneurysm. Further stroke workup identified mitral valve vegetation, confirming the diagnosis of infective endocarditis.
我们描述了一名31岁女性，她出现急性右侧肢体无力，经检查发现左侧外侧裂蛛网膜下腔出血及同侧额叶脑实质内出血。CT血管造影显示左侧大脑中动脉M1段闭塞，其分叉处有一个囊状动脉瘤。脑血管造影证实了这些发现，患者随后接受了显微外科动脉瘤切除术，术中发现为部分血栓形成的假性动脉瘤。进一步的卒中检查发现二尖瓣赘生物，确诊为感染性心内膜炎。
