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Low NIHSS score large vessel occlusion caused by infective endocarditis treated with thrombectomy
A 24-year-old woman had undergone dental treatment 3 weeks before and had a mild fever for a week. She presented to the emergency department with the chief complaint of weakness in the right upper limb after waking up. She had mild paralysis of the right upper limb (National Institutes of Health Stroke Scale [NIHSS] score 1). Head magnetic resonance imaging (MRI) showed scattered infarcts in the left frontal and parietal lobes and left internal cerebral artery (ICA) occlusion (Fig. 1A, B). Cerebral angiography showed that the left ICA was occluded immediately after its origin (Fig.
Source: Journal of Stroke and Cerebrovascular Diseases - December 17, 2022 Category: Neurology Authors: So Matsukawa, Kohichi Go, Tao Yang, Takahisa Katsuki, Yohei Takenobu, Kenji Hashimoto Tags: Case Report Source Type: research

Timing of surgery in infective endocarditis with cerebral complications: Time to think outside the nonexistent box
In the April 2017 issue of the Journal, Murai and coworkers1 report on the effect of the interaction between stroke severity and timing of surgery on clinical outcomes in patients with active infective endocarditis (IE) and cerebral complications with moderate neurologic deficits. Their retrospective study cohort consisted of 170 consecutive patients from a single institution during a 24-year period starting in 1990. The National Institutes of Health Stroke Scale was used to evaluate the severity of stroke.
Source: The Journal of Thoracic and Cardiovascular Surgery - August 12, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Maroun Yammine, Tsuyoshi Kaneko, Sary Aranki Tags: Editorial commentary Source Type: research

Assessment of clinical severity in patients with infective endocarditis with cardio-embolic strokes
We sincerely thank Biteker et al. for their interest in our study to suggest a possible association of stroke severity with clinical outcomes in patients with infective endocarditis (IE) with cerebral complications regardless of whether early surgery or conventional treatment. They recommended us to use National Institutes of Health Stroke Scale (NIHSS) score to evaluate this issue as recently reported by Murai et al. [1], while a necessity of patient's answer to several inquiries for a measurement of NIHSS score had imposed major limitations on analyzing our data retrospectively.
Source: International Journal of Cardiology - March 10, 2017 Category: Cardiology Authors: Makoto Suzuki, Shuichiro Takanashi Tags: Correspondence Source Type: research

Complex decision-making in stroke: preoperative mechanical thrombectomy of septic embolus for emergency cardiac valve surgery
We report a case of cardioembolic stroke in a patient with enterococcal endocarditis, with National Institutes of Health Stroke Scale score of 3. A middle-aged patient with bacterial endocarditis exhibited mild intermittent left hemiparesis and dysarthria in the setting of severe aortic insufficiency requiring urgent aortic valve replacement. Cerebrovascular imaging revealed a partially occlusive thrombus in the M1 segment of the right middle cerebral artery, which became symptomatic during relative hypotension. Given the expected hypotension during the urgently needed aortic valve replacement, there was a significant risk...
Source: Journal of NeuroInterventional Surgery - November 13, 2015 Category: Neurosurgery Authors: Ladner, T. R., Davis, B. J., He, L., Kirshner, H. S., Froehler, M. T., Mocco, J. Tags: Electronic pages Source Type: research