Catastrophic Multiple Microbleeds Caused by Infective Endocarditis Following Intravenous Thrombolysis and Endovascular Thrombectomy

Ischemic stroke is one of the most common complications of infective endocarditis (IE). IE must be considered as one of the causes of acute ischemic stroke (AIS) with emergent large vessel occlusion (ELVO), but early diagnosis of IE is difficult. AIS with ELVO must be treated using endovascular thrombectomy (EVT), with or without intravenous thrombolysis (IVT). IVT for AIS due to IE is not well established and remains controversial because of the risk of intracranial hemorrhage. A 42-year-old man suffered from right hemiparesis and disorientation, and AIS with ELVO was diagnosed.

Source: Journal of Stroke and Cerebrovascular Diseases - June 19, 2019 Category: Neurology Authors: Ryosuke Maeoka, Ichiro Nakagawa, Hiroyuki Ohnishi, Kenkichi Takahashi, Hiroyuki Nakase, Hideyuki Ohnishi Tags: Case Report Source Type: research