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Case report
An unusual ischaemic presentation of thrombosed intracranial mycotic aneurysm with subsequent subarachnoid haemorrhage
  1. Patrick Brown1 and
  2. Daniel Fulks2
  1. 1Radiology and Neurological Surgery, Wake Forest Baptist Medical Center, Winston-Salem, North Carolina, USA
  2. 2Radiology, The University of Tennessee Medical Center, Knoxville, Tennessee, USA
  1. Correspondence to Dr Patrick Brown; patrick.a.brown{at}


We present an unusual case of acute ischaemic stroke secondary to thrombosed mycotic aneurysm with subsequent early aneurysmal rupture and subarachnoid haemorrhage, successfully treated with endovascular coil embolisation of the thrombosed segment. Imaging correlates are presented demonstrating successful endovascular management despite vessel occlusion precluding angiographic visualisation of the aneurysmal segment. Imaging and clinical follow-up is provided demonstrating durable occlusion and excellent clinical outcome with full functional recovery.

  • stroke
  • neurosurgery
  • radiology
  • interventional radiology
  • infections

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  • Contributors PB helped in writing manuscript text, figure editing and caption editing. DF helped with the figures.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.