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Improved Turnaround Times | Median time to first decision: 12 days

Research ArticleNeurointervention

Retrospective Review of Cerebral Mycotic Aneurysms in 26 Patients: Focus on Treatment in Strongly Immunocompromised Patients with a Brief Literature Review

L.M. Allen, A.M. Fowler, C. Walker, C.P. Derdeyn, B.V. Nguyen, A.N. Hasso, B.V. Ghodke, G.J. Zipfel, D.T. Cross and C.J. Moran
American Journal of Neuroradiology April 2013, 34 (4) 823-827; DOI: https://doi.org/10.3174/ajnr.A3302
L.M. Allen
aFrom the Department of Radiological Sciences (L.M.A., B.V.N., A.N.H.), University of California, Irvine, Orange, California
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A.M. Fowler
bMallinckrodt Institute of Radiology and Neurointerventional Radiology (A.M.F., C.P.D., G.J.Z., D.T.C., C.J.M.), Washington University, St. Louis, Missouri
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C. Walker
cDepartments of Radiology and Neurological Surgery, (C.W., B.V.G.), University of Washington Medical Center, Seattle, Washington.
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C.P. Derdeyn
bMallinckrodt Institute of Radiology and Neurointerventional Radiology (A.M.F., C.P.D., G.J.Z., D.T.C., C.J.M.), Washington University, St. Louis, Missouri
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B.V. Nguyen
aFrom the Department of Radiological Sciences (L.M.A., B.V.N., A.N.H.), University of California, Irvine, Orange, California
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A.N. Hasso
aFrom the Department of Radiological Sciences (L.M.A., B.V.N., A.N.H.), University of California, Irvine, Orange, California
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B.V. Ghodke
cDepartments of Radiology and Neurological Surgery, (C.W., B.V.G.), University of Washington Medical Center, Seattle, Washington.
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G.J. Zipfel
bMallinckrodt Institute of Radiology and Neurointerventional Radiology (A.M.F., C.P.D., G.J.Z., D.T.C., C.J.M.), Washington University, St. Louis, Missouri
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D.T. Cross III
bMallinckrodt Institute of Radiology and Neurointerventional Radiology (A.M.F., C.P.D., G.J.Z., D.T.C., C.J.M.), Washington University, St. Louis, Missouri
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C.J. Moran
bMallinckrodt Institute of Radiology and Neurointerventional Radiology (A.M.F., C.P.D., G.J.Z., D.T.C., C.J.M.), Washington University, St. Louis, Missouri
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    Fig. 1.

    Aneurysm response to antibiotic treatment as depicted in a before-and-after graph. The thin solid line represents aneurysms with a last known angiographic follow-up of 0–6 months. The thick solid line represents aneurysms with a last known angiographic follow-up of 6 months to 1 year. The dashed line represents aneurysms with a last known angiographic follow-up of >1 year. There was no apparent relationship between initial aneurysm size and aneurysm persistence.

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    Fig. 2.

    Catheter angiograms from patient 7 with AIDS and coccidioidal meningitis. A, Right 8-mm M1 MCA aneurysm that was successfully coiled (arrow). B, A 13-mm anterior communicating artery aneurysm (arrow) that developed 7 days later. It was not treated invasively and ruptured, causing death.

  • Fig. 3.
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    Fig. 3.

    Catheter angiograms from patient 22 with Crohns disease on steroid immunosuppression therapy. A, Left M1 MCA multilobed 6-mm aneurysm (arrow). B, Image obtained 13 days later demonstrates growth of this aneurysm to 14 mm (arrow). C, Image obtained immediately postcoiling shows successful exclusion of the aneurysm (arrow).

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American Journal of Neuroradiology: 34 (4)
American Journal of Neuroradiology
Vol. 34, Issue 4
1 Apr 2013
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L.M. Allen, A.M. Fowler, C. Walker, C.P. Derdeyn, B.V. Nguyen, A.N. Hasso, B.V. Ghodke, G.J. Zipfel, D.T. Cross, C.J. Moran
Retrospective Review of Cerebral Mycotic Aneurysms in 26 Patients: Focus on Treatment in Strongly Immunocompromised Patients with a Brief Literature Review
American Journal of Neuroradiology Apr 2013, 34 (4) 823-827; DOI: 10.3174/ajnr.A3302

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Retrospective Review of Cerebral Mycotic Aneurysms in 26 Patients: Focus on Treatment in Strongly Immunocompromised Patients with a Brief Literature Review
L.M. Allen, A.M. Fowler, C. Walker, C.P. Derdeyn, B.V. Nguyen, A.N. Hasso, B.V. Ghodke, G.J. Zipfel, D.T. Cross, C.J. Moran
American Journal of Neuroradiology Apr 2013, 34 (4) 823-827; DOI: 10.3174/ajnr.A3302
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