Angiographically monitored resolution of cerebral mycotic aneurysms.

Abstract

Article abstract Resolution of unruptured cerebral mycotic aneurysms was shown by serial angiographies in two patients with infective endocarditis. Cerebral ernboliza-tion occurred as prodromal manifestations in each case. The pathogenesis of cerebral mycotic aneurysms indicates that patients with endocarditis and cerebral emboli are at high risk for developing septic aneurysms. Cerebral angiography should be undertaken early in patients with these prodromata. If mycotic aneurysms are demonstrated, follow-up angiography provides a significant criterion for electing further medical or surgical therapy.