Middle Cerebral Artery Mycotic Aneurysm From Candida Parapsilosis Following Initial Negative Angiography: A Case Report (P4-3.011)

June 9, 2026Neurology

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Key Points

To present a rare case of a ruptured right middle cerebral artery mycotic aneurysm not visible on initial digital subtraction angiography.
Single case report demonstrating the patient's clinical and imaging findings.
Initial digital subtraction angiography was performed and showed no evidence of aneurysm.
Follow-up imaging revealed a ruptured mycotic aneurysm from Candida parapsilosis.
Ruptured right middle cerebral artery mycotic aneurysm diagnosed after initial angiography showed no results.
Aneurysm attributed to infection from Candida parapsilosis, a rare etiology.

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Case report reveals ruptured mycotic aneurysm in a patient with initial negative angiography, highlighting diagnostic challenges.

To present a rare case of ruptured right MCA mycotic aneurysm that was not present on initial DSA.

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Salim et al. (2026) studied this question.

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