To report a rare case of unruptured infectious basilar artery aneurysms successfully managed with conservative medical therapy.
Key Findings:
Infectious intracranial aneurysms (IIAs) are rare, accounting for 0.5–6.5% of all intracranial aneurysms, emphasizing the need for awareness in clinical settings.
Infective endocarditis is a common predisposing factor for IIAs, which should be considered in patients with systemic infections.
Conservative medical management can lead to complete resolution of unruptured infectious basilar artery aneurysms, suggesting a viable alternative to surgical intervention.
Interpretation:
Cerebrovascular imaging is recommended for patients with systemic infections and neurological symptoms, as management strategies must be individualized to optimize patient outcomes.
Limitations:
The case presents a single patient experience, limiting generalizability to broader populations.
The family declined recommended surgical interventions, which may affect outcomes and highlight the importance of patient involvement in treatment decisions.
Conclusion:
This case illustrates that unruptured infectious aneurysms can achieve complete resolution with pharmacological therapy, reinforcing the need for individualized treatment strategies.
