Subarachnoid hemorrhage and intracranial hemorrhage from ruptured multiple cerebral mycotic aneurysms managed with neuroendovascular coiling

Inflammatory blood vessel lesions, known as cerebral mycotic aneurysms (CMAs) or infectious intracranial aneurysms (IAAs), represent a small percentage (2.5–4.5%) of all IAAs. Despite their small size, CMAs are prone to rupture due to rapid, dynamic changes in the vessel wall’s fragility, resulting in significant morbidity and disability. Authors have described their experience managing a case of ruptured CMAs with subarachnoid hemorrhage and intracerebral hemorrhage using endovascular coils. Although definitive evidence establishing endovascular treatment as the gold standard for ruptured CMAs is lacking, recent studies demonstrate the frequent use of embolization with coils and onyx.