Skip to main content Accessibility help
×
Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2024-12-29T05:21:03.921Z Has data issue: false hasContentIssue false

Chapter 18 - Neurologic Disorders in Endocarditis

Published online by Cambridge University Press:  27 July 2023

Robert Laureno
Affiliation:
Georgetown University, Washington DC
Get access

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.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

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: 585591.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): 93105.Google Scholar
Molinari, G. F., Smith, L., Goldstein, M. N. et al. Pathogenesis of cerebral mycotic aneurysms. Neurology 1973; 23: 325332.CrossRefGoogle ScholarPubMed
Daneshmand, A., Rangel-Castilla, L., Rydberg, C. et al. Ultra-rapid developing infectious aneurysms. Neurocrit Care 2019; 30: 487489.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: 4852.CrossRefGoogle ScholarPubMed
Adams, R. D., Kubik, C. S., Bonner, F. J.. The clinical and pathological aspects of influenzal meningitis. Arch Pediatr 1948; 65: 408441.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; 125134.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: 12671273.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: 213222.CrossRefGoogle ScholarPubMed
Weinstein, L., Schlesinger, J. J.. Pathoanatomic, pathophysiologic and clinical correlations in endocarditis (second of two parts). N Engl J Med 1974; 291: 11221126.Google ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×