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We describe a man aged 42 years with mitral valve regurgitation who suffered from subacute bacterial endocarditis caused by Streptococcus morbillorum.The clinical picture began with a toxic syndrome.Five months later,the patient had an embolic episode and a right rostral pontine stroke,which was followed a few days later by an adversive focal seizure on the right.Despite antibiotic treatment,he suffered complete third nerve palsy.Arteriography,magnetic resonance imaging,and computed tomography of the brain showed a giant aneurysm in the rostral end of the basilar artery;the aneurysm was clipped.We discuss the clinical features, radiology,and characteristics of this aneurysm as a unique case of giant bacterial aneurysm in the vertebrobasilar system. |
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aneurysm
aneurysm,giant cerebral
aneurysm,intracranial
aneurysm,vertebral basilar system
bacterial endocarditis,neurologic manifestations of
CAT scan
CAT scan,abnormal
endocarditis,neurologic manifestations with
endocarditis,subacute bacterial
mycotic aneurysm
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