J Clin Neurol.  2018 Oct;14(4):601-603. 10.3988/jcn.2018.14.4.601.

Mycotic Cerebral Aneurysms Secondary to Scedosporium Prolificans Infection in a Patient with Multiple Sclerosis

• Guadalajara MCV
• Hernández González A
• Carrasco García de León S
• Rojo MG
• Del Real Francia MA

• KMID: 2424198
• DOI: http://doi.org/10.3988/jcn.2018.14.4.601

Abstract

No abstract available.

MeSH Terms

Humans
Intracranial Aneurysm*
Multiple Sclerosis*
Scedosporium*

Figure

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  Fig. 1 MRI T2-weighted images showing hyperintensities (arrows) in the brainstem and spinal cord. A: Brainstem, sagittal view. B: Brainstem, axial view. C: Spinal cord, sagittal view.

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  Fig. 2 Composition of CT scan (A), MRI (B–D), and anatomical pathology (E–F) images. A: CT image obtained at admission showing thalamic hypodensity (arrow). B: Hyperintensities in MRI long-repetition-time images with (C) restricted diffusion in medial temporal and occipital lobes (arrows). D: MRI gradient-echo images displaying small subarachnoid hemorrhage foci in the interpeduncular cistern and anterior to the right cerebral peduncle (arrow). E: Microscopy image revealing necrosis and rupture of the arterial wall of the basilar artery, in which a ruptured aneurysm dilatation and a vascular thrombus are evident (hematoxylin-eosin stain, ×20). F: Methenamine silver staining showing multiple fungal structures identified as Scedosporium prolificans in the necrotic areas (×400).

Reference

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