DOI: 10.36347/sjmcr.2021.v09i04.043

Pages: 459-462

Mycotic aneurysm is a redoubtable complication of infectious endocarditis which is the source of many other complications and is generally difficult to diagnose. They are secondary to the migration vegetations in the cerebral circulation, which, depending on its septic nature or not, can give different clinical pictures: ischemic embolic vascular accidents, meningitis, cerebral hemorrhages and brain abscesses. We report in this article a case of a 2-year-old child admitted to a picture of sudden hemiplegia evolving in a febrile context and in whom radiological exploration objectified ischemic strokes of different ages with individualization of a sacciform aneurysm of the third portion (M3) of the right sylvic artery suggesting a cerebral mycotic aneurysm complicating an infectious endocarditis which was confirmed by transthoracic ultrasound.