Kong K H, Chan K F
Department of Rehabilitation Medicine, Tan Tock Seng Hospital, Singapore.
Arch Phys Med Rehabil. 1995 Mar;76(3):287-9. doi: 10.1016/s0003-9993(95)80618-0.
Intracranial mycotic aneurysm is a rare complication in patients with infective endocarditis occurring in about 2% to 10% of cases. Although the risk of rupture is about 1.7%, it is usually a catastrophic event with a fatality rate of 80%. Neurological deficits secondary to cortical involvement are common, given the frequency of intralobar hemorrhage. We report two cases of intracerebral hemorrhage caused by ruptured intracranial mycotic aneurysms. Both had involvement of the right frontoparietal lobes with resultant left hemiparesis, left homonymous hemianopia, and impairments of cognition and perceptual function. Despite intensive rehabilitation, their functional outcomes were less than satisfactory as they needed assistance in self-care activities and mobility on discharge.
颅内真菌性动脉瘤是感染性心内膜炎患者中一种罕见的并发症，发生率约为2%至10%。尽管破裂风险约为1.7%，但通常是灾难性事件，死亡率达80%。鉴于脑叶内出血的发生率，继发于皮质受累的神经功能缺损很常见。我们报告两例由颅内真菌性动脉瘤破裂引起的脑出血病例。两例均累及右侧额顶叶，导致左侧偏瘫、左侧同向性偏盲以及认知和感知功能障碍。尽管进行了强化康复治疗，但他们的功能结局仍不尽人意，出院时在自我护理活动和行动方面仍需协助。
