RUPTURED INTRACRANIAL MYCOTIC-ANEURYSM - A RARE CAUSE OF INTRACRANIALHEMORRHAGE

Intracranial mycotic aneurysm is a rare complication in patients with infective endocarditis occurring in about 2% to 10% of cases, Although the risk of rupture is about 1.7%, it is usually a catastrophic event with a fatality rate of 80%. Neurological deficits secondary to corti cal involvement are common, given the frequency of intralobar hemorrha ge, We report two cases of intracerebral hemorrhage caused by ruptured intracranial mycotic aneurysms, Both had involvement of the right fro ntoparietal lobes with resultant left hemiparesis, left homonymous hem ianopia, and impairments of cognition and perceptual function, Despite intensive rehabilitation, their functional outcomes were less than sa tisfactory as they needed assistance in self-care activities and mobil ity on discharge.