Infectious Intracranial Aneurysms: Triage and Management

被引:2
作者
Gulek, Bernice G. [1 ]
Rapport, Richard [1 ]
机构
[1] Univ Washington, Harborview Med Ctr, Dept Neurol Surg, Sch Med, Seattle, WA 98104 USA
关键词
CEREBRAL MYCOTIC-ANEURYSMS; NEUROLOGIC COMPLICATIONS; ENDOVASCULAR TREATMENT; ENDOCARDITIS; HEMORRHAGE;
D O I
10.1097/JNN.0b013e318202982a
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Infectious intracranial aneurysms are a rare but serious potential complication of subacute endocarditis. Early diagnosis and treatment is essential to prevent devastating neurological deficits and mortality. Because nurse practitioners' roles expand into acute care as well as urgent care settings, they are frequently involved in the care of this population. Identifying the patients at risk, ordering appropriate studies, and initiating goal directed therapy are vital to outcomes. For nurse practitioners who are involved in care of neuroscience populations, it is important to be familiar with disease processes. This article provides a literature review of the topic, explores diagnostic methods, discusses management strategies, and presents an illustrative case.
引用
收藏
页码:51 / 56
页数:6
相关论文
共 38 条
[1]  
Ahmadi J, 1993, NEUROSURGERY, V32, P49
[2]  
AHMADI J, 1993, NEUROSURGERY, V32, pY49
[3]   INFECTIOUS INTRACRANIAL ANEURYSMS - COMPARISON OF GROUPS WITH AND WITHOUT ENDOCARDITIS [J].
BARROW, DL ;
PRATS, AR .
NEUROSURGERY, 1990, 27 (04) :562-573
[4]   BACTERIAL INTRACRANIAL ANEURYSM [J].
BOHMFALK, GL ;
STORY, JL ;
WISSINGER, JP ;
BROWN, WE .
JOURNAL OF NEUROSURGERY, 1978, 48 (03) :369-382
[5]  
BULLOCK R, 1981, S AFR MED J, V60, P970
[6]   ANEURYSMS OF THE MIDDLE CEREBRAL ARTERY [J].
CAMPBELL, E ;
BURKLUND, CW .
ANNALS OF SURGERY, 1953, 137 (01) :18-28
[7]  
CAVASSINI M, 2004, INFECT NERVOUS SYSTE
[8]   Endovascular treatment of cerebral mycotic aneurysms [J].
Chapot, R ;
Houdart, E ;
Saint-Maurice, JP ;
Aymard, A ;
Mounayer, C ;
Lot, G ;
Merland, JJ .
RADIOLOGY, 2002, 222 (02) :389-396
[9]   Subarachnoid haemorrhage associated with infectious endocarditis: case report and literature review [J].
Chukwudelunzu, FE ;
Brown, RD ;
Wijdicks, EFM ;
Steckelberg, JM .
EUROPEAN JOURNAL OF NEUROLOGY, 2002, 9 (04) :423-427
[10]   Current multimodality management of infectious intracranial aneurysms [J].
Chun, JY ;
Smith, W ;
Halbach, VV ;
Higashida, LT ;
Wilson, CB ;
Lawton, MT .
NEUROSURGERY, 2001, 48 (06) :1203-1213