Author/Authors :
KHALILI، HOSSEINALI نويسنده Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz, Iran , , Derakhshan، Nima نويسنده Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz, Iran , , Malekmohammadi، Zahed نويسنده Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran , , Ghaffarpasand، Fariborz نويسنده Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran ,
Abstract :
Mycotic aneurysm of external carotid artery is extremely rare. We herein report a case of external carotid artery
(ECA) aneurysm following severe traumatic brain injury. A 24-year-old man with severe traumatic brain injury
(TBI) following a car accident was referred to Rajaee Trauma Center Emergency Room affiliated to Shiraz
University of Medical Sciences in Shiraz, Iran. He underwent ventriculostomy on arrival for intracerebral
pressure (ICP) monitoring and for a second time due to hydrocephalus following decompressive craniectomy.
He developed fulminant meningitis and ventriculitis during his hospital course. A bulged pulsatile lesion under
the frontotemporal scalp resulted into the suspicion to underlying vascular pathology. Six-vessel angiography of
brain was done which revealed mycotic aneurysm of external carotid artery. The patient underwent a two-week
course of a combination of intravenous antibiotics. Follow-up angiography was performed which confirmed
successful treatment of mycotic aneurysm of ECA. Mycotic aneurysm of ECA is extremely rare. To our
knowledge, this is the first report of mycotic aneurysm of ECA following severe TBI which was successfully
treated with antimicrobial therapy.
