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Case Reports
. 1976 Aug;33(8):577-9.
doi: 10.1001/archneur.1976.00500080055008.

Fungal aneurysms of intracranial vessels

Case Reports

Fungal aneurysms of intracranial vessels

B C Horten et al. Arch Neurol. 1976 Aug.

Abstract

Intracranial fungal aneurysms arise from major cerebral arteries. Fungi directly invade vessel walls from the luminal surface (fungal emboli) or from the adventitia (fungal meningitis). The vasa vasorum are free of fungi. Aneurysmal rupture is common with extensive hemorrhagic necrosis of the surrounding brain. Aspergillus is the usual causative agent; its sources are nasal sinusitis or endocarditis.

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