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Chapter 18 - Neurologic Disorders in Endocarditis

Published online by Cambridge University Press:  27 July 2023

Robert Laureno
Robert Laureno
Affiliation:
Georgetown University, Washington DC
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Summary

The neurologic complications of endocarditis fall into three categories: nonspecific, cerebrovascular, and infectious. The nonspecific symptoms are largely those of systemic infection. They include confusion, personality change, and myalgias. The vascular manifestations are embolic cerebral infarction, bland or hemorrhagic, and mycotic cerebral aneurysm. The infectious complications typically occur with aggressive organisms such as staphylococcus. Brain abscesses, usually numerous small ones, and epidural spinal abscesses are not rare. A neurologic manifestation can be the chief complaint leading to the diagnosis of endocarditis.

Keywords

Neurologic complications of endocarditisMycotic aneurysm
Type
Chapter
Information
Insights into Clinical Neurology , pp. 89 - 92
Publisher: Cambridge University Press
Print publication year: 2023

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References

Cooper, H. A., Thompson, E. C., Laureno, R. et al. Subclinical brain embolization in left-sided infective endocarditis: results from the evaluation by MRI of the brains of patients with left-sided intracardiac solid masses (EMBOLISM) pilot study. Circulation 2009; 120: 585–591.CrossRefGoogle ScholarPubMed
Laureno, R., Shields, R. W., Narayan, T.. The diagnosis and management of cerebral embolism and haemorrhagic infarction with sequential computerized cranial tomography. Brain 1987; 110 (Pt 1): 93–105.Google Scholar
Molinari, G. F., Smith, L., Goldstein, M. N. et al. Pathogenesis of cerebral mycotic aneurysms. Neurology 1973; 23: 325–332.CrossRefGoogle ScholarPubMed
Daneshmand, A., Rangel-Castilla, L., Rydberg, C. et al. Ultra-rapid developing infectious aneurysms. Neurocrit Care 2019; 30: 487–489.CrossRefGoogle ScholarPubMed
van de Beek, D., Rabinstein, A. A., Peters, S. G. et al. Staphylococcus endocarditis associated with infectious vasculitis and recurrent cerebral hemorrhages. Neurocrit Care 2008; 8: 48–52.CrossRefGoogle ScholarPubMed
Adams, R. D., Kubik, C. S., Bonner, F. J.. The clinical and pathological aspects of influenzal meningitis. Arch Pediatr 1948; 65: 408–441.Google ScholarPubMed
Chakraborty, T., Rabinstein, A., Wijdicks, E.. Chapter 11 – Neurologic complications of infective endocarditis. In: Biller, J., ed. Heart and Neurologic Disease. Amsterdam, Elsevier, 2021; 125–134.CrossRefGoogle Scholar
Singhal, A. B., Topcuoglu, M. A., Buonanno, F. S.. Acute ischemic stroke patterns in infective and nonbacterial thrombotic endocarditis: a diffusion-weighted magnetic resonance imaging study. Stroke 2002; 33: 1267–1273.CrossRefGoogle ScholarPubMed
Morris, N. A., Matiello, M., Lyons, J. L. et al. Neurologic complications in infective endocarditis: identification, management, and impact on cardiac surgery. Neurohospitalist 2014; 4: 213–222.CrossRefGoogle ScholarPubMed
Weinstein, L., Schlesinger, J. J.. Pathoanatomic, pathophysiologic and clinical correlations in endocarditis (second of two parts). N Engl J Med 1974; 291: 1122–1126.Google ScholarPubMed

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