ABSTRACT
Infective endocardites are associated with both ischemic and hemorrhagic neurological complications and also with cerebral abscesses and the development of "mycotic" aneurysms, which are detected in about 5 % of patients in the acute and sub-acute phase of the infection. Data about their natural history and their hemorrhagic risk are scarce and fragmented. The therapeutic management is represented by the medical treatment of the infection with interventional abstention, the surgical treatment and the endovascular approach by selective embolization of the aneurysm. No evidence is provided concerning the superiority of a specific approach. Mycotic aneurysms remain a diagnostic and therapeutic challenge and their management is necessarily based on a multidiscplinary approach.
Subject(s)
Aneurysm, Infected/therapy , Intracranial Aneurysm/therapy , Aneurysm, Infected/diagnosis , Aneurysm, Infected/microbiology , Cerebral Hemorrhage/surgery , Endovascular Procedures/methods , Humans , Incidental Findings , Intracranial Aneurysm/diagnosis , Intracranial Aneurysm/microbiologyABSTRACT
We report the cases of 2 patients hospitalized in our intensive care unit with confirmed coronavirus disease 2019 infection in whom brain MR imaging showed an unusual DWI pattern with nodular and ring-shaped lesions involving the periventricular and deep white matter. We discuss the possible reasons for these findings and their relationship to the infection.
