Universität zu Köln

Leuenhagen, S., Burghaus, L., Kukolja, J., Rosenkranz, S., Kabbasch, C., Fink, G. R. and Onur, O. A. (2016). The Therapeutic Dilemma in Treatment of Intracranial Infectious Aneurysm in Patients with Infective Endocarditis: Proposal for a Patient-Centered, Interdisciplinary Treatment Concept. Forschritte Neurol. Psychiatr., 84 (7). S. 411 - 419. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1439-3522

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Abstract

Intracranial infectious aneurysms are rare but hazardous complications of an infective endocarditis. To date, there are no evidence-based recommendations for the treatment of patients with this condition. Therefore, it remains an interdisciplinary challenge to decide which treatment steps are required and in which order they should be carried out. To illustrate the interdisciplinary dilemma in the treatment of these patients, we here present a case of a 23-year-old, drug-addicted woman with infectious endocarditis. While antibiotic treatment of the streptococcus-mitis-induced endocarditis stabilized the overall status of the patient, rupture of a basilar artery aneurysm caused her sudden death. We discuss the decision-making processes of the treatment, potential difficulties and dilemmas when dealing with patients suffering from infectious endocarditis and infectious intracranial aneurysm. Based upon case reports, studies and reviews, we present the options and risks of conservative, neurosurgical, endovascular, and cardiosurgical treatment of intracranial infectious aneurysms, and propose a patient-centered, interdisciplinary treatment concept.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Leuenhagen, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Burghaus, L. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kukolja, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Rosenkranz, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kabbasch, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Fink, G. R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Onur, O. A. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-271450
DOI:	10.1055/s-0042-110850
Journal or Publication Title:	Forschritte Neurol. Psychiatr.
Volume:	84
Number:	7
Page Range:	S. 411 - 419
Date:	2016
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1439-3522
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language MYCOTIC-ANEURYSMS; MANAGEMENT; DIAGNOSIS; COMPLICATIONS; GUIDELINES Multiple languages Clinical Neurology; Psychiatry Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/27145