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Infectious Intracranial Aneurysms: Triage and Management

Gulek, Bernice G.; Rapport, Richard

Journal of Neuroscience Nursing: February 2011 - Volume 43 - Issue 1 - p 51-56
doi: 10.1097/JNN.0b013e318202982a

ABSTRACT Infectious intracranial aneurysms are a rare but serious potential complication of subacute endocarditis. Early diagnosis and treatment is essential to prevent devastating neurological deficits and mortality. Because nurse practitioners' roles expand into acute care as well as urgent care settings, they are frequently involved in the care of this population. Identifying the patients at risk, ordering appropriate studies, and initiating goal directed therapy are vital to outcomes. For nurse practitioners who are involved in care of neuroscience populations, it is important to be familiar with disease processes. This article provides a literature review of the topic, explores diagnostic methods, discusses management strategies, and presents an illustrative case.

Richard Rapport, MD, is a neurosurgeon and a clinical professor at the University of Washington School of Medicine, and actively working with the Neurosurgical Population, Department of Neurological Surgery, Harborview Medical Center, University of Washington School of Medicine, Seattle, WA.

Questions or comments about this article may be directed to Bernice G. Gulek, MS ARNP, at She is an acute care nurse practitioner and is currently working at the Harborview Medical Center Department of Neurological Surgery, University of Washington, Seattle, WA.

© 2011 American Association of Neuroscience Nurses