PMID: 9541921May 23, 1998Paper

Imaging of the neurological complications of infective endocarditis

Neuroradiology
S J KimW S Choi

Abstract

We describe the findings on CT or MRI in five patients with neurological symptoms and underlying infective endocarditis (IE). We noted the size, number, and distribution of lesions, the presence or absence of haemorrhage, and contrast enhancement patterns. The number of lesions ranged from 4 to more than 10 in each patient. Their size varied from punctate to 6 cm; they were distributed throughout the brain. The lesions could be categorized into four patterns based on imaging features. A cortical infarct pattern was seen in all patients. Patchy lesions, which did not enhance, were found in the white matter or basal ganglia in three. Isolated, tiny, nodular or ring-enhancing white matter lesions were seen in three patients, and parenchymal haemorrhages in four. In addition to the occurrence of multiple lesions with various patterns in the same patient, isolated, tiny, enhancing lesions in the white matter seemed to be valuable features which could help to differentiate the neurological complications of IE from other thromboembolic infarcts.

Citations

May 22, 2008·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Ulrika Snygg-MartinLars Olaison
Mar 15, 2011·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·V NouyrigatG Chéron
Jan 23, 2010·AJNR. American Journal of Neuroradiology·V CuvinciucF Bonneville
Nov 17, 2015·Infectious Diseases·Julia ChampeyPatrice Francois
Nov 21, 2015·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·J ChampeyP Francois
Sep 8, 2016·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·J ChampeyUNKNOWN and the investigator groups
May 4, 2002·Stroke; a Journal of Cerebral Circulation·Aneesh B SinghalFerdinando S Buonanno
Jul 24, 2020·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Lucio D'Anna
Dec 7, 2018·Neurocritical Care·Ibrahim MigdadySung-Min Cho

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