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E-124 Timing surgery and hemorrhagic complications in endocarditis with concomitant cerebral complications
ConclusionsPatients with radiographic evidence of ischemic stroke from septic emboli can safely undergo valvular surgery for IE without increased risk of symptomatic hemorrhage. We advocate for baseline CTA screening to evaluate for IIA in patients who present with a primary diagnosis of IE and propose a management algorithm.Disclosures B. Lucke-Wold: None.
Source: Journal of NeuroInterventional Surgery - July 23, 2022 Category: Neurosurgery Authors: Lucke-Wold, B. Tags: SNIS 19th annual meeting electronic poster abstracts Source Type: research

Cholangiocarcinoma manifesting as non-bacterial thrombotic endocarditis in a young patient
A 41-year-old female with steroid-dependent rheumatoid arthritis and a recent (four months prior) cerebellar stroke presented with complaints of constant headache and right eye blindness of one day.  At the time of the cerebellar stroke, she had presented with persistent headaches, dizziness and gait instability. That workup, including hypercoagulability evaluation, was unremarkable apart from the radiographic abnormalities diagnosing her left medial cerebellar hemisphere infarct. She was disc harged with a plan for outpatient loop recorder placement and aspirin for secondary stroke prevention.
Source: The American Journal of Medicine - January 23, 2020 Category: General Medicine Authors: Ninad Nadkarni, Young Ju Lee, Ryan Hoefen, Richard Alweis Tags: Diagnostic Dilemma Source Type: research

Intracranial complications of acute bacterial endocarditis.
Conclusion: Here, we reviewed the literature for intracranial pathology accompanying ABE versus SBE. ABE typically results in acute ischemia, septic emboli, stroke/hemorrhagic infarcts, or ICH. SBE more classically produces septic microemboli and mycotic aneurysms that may leak, but rarely producing ICH. We also presented a patient with ABE attributed to S. aureus whose septic emboli/stroke was accompanied by a mycotic aneurysm; the ruptured resulting in a large right occipital ICH. PMID: 29930873 [PubMed]
Source: Surgical Neurology International - June 24, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Early Operation in Patients With Mitral Valve Infective Endocarditis and Acute Stroke Is Safe.
CONCLUSIONS: MV surgery for IE and acute stroke can be performed early with a low risk of postoperative neurologic complications. When indicated, surgical intervention for MV IE complicated by acute stroke should not be delayed. PMID: 29132700 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - November 11, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Ghoreishi M, Foster N, Pasrija C, Shah A, Watkins AC, Evans CF, Maghami S, Quinn R, Wehman B, Taylor BS, Dawood MY, Griffith BP, Gammie JS Tags: Ann Thorac Surg Source Type: research

Early Operation in Patients With Mitral Valve Infective Endocarditis and Acute Stroke Is Safe
Conclusions MV surgery for IE and acute stroke can be performed early with a low risk of postoperative neurologic complications. When indicated, surgical intervention for MV IE complicated by acute stroke should not be delayed.
Source: The Annals of Thoracic Surgery - November 11, 2017 Category: Cardiovascular & Thoracic Surgery Source Type: research

Characterizing Ischemic Stroke and Hemorrhagic Conversion in Infectious Endocarditis (P6.297)
Conclusions:The incidence of acute ischemic stroke in our population was 70.6%, with a third being silent infarcts. Hemorrhagic conversion occurred in 30% and was associated with cerebral microhemorrhages.Disclosure: Dr. Marquardt has nothing to disclose. Dr. Cho has nothing to disclose. Dr. Zhang has nothing to disclose. Dr. Uchino has nothing to disclose. Dr. Wisco has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Marquardt, R., Cho, S.-M., Zhang, L., Uchino, K., Wisco, D. Tags: Cardiovascular Issues in Ischemic Stroke Source Type: research

Enterobacter Cloacae Endocarditis Presenting as an Ischemic Stroke (P2.279)
CONCLUSIONS: This is the first case which demonstrates that ischemic stroke can be the presenting clinical event of E. cloacae endocarditis. Clinicians who provide acute care to patients with stroke should be aware of this rare cause of embolic brain infarction. Our case shows that early diagnosis of E. cloacae endocarditis and appropriate medical management can promote full neurological recovery in these patients. Disclosure: Dr. mannel has nothing to disclose. Dr. Silliman has received personal compensation for activities with Biogen Idec, and Teva Neuroscience as a consultant and/or speaker. Dr. Silliman has received re...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Mannel, R., Silliman, S. Tags: Cerebrovascular Disease and Interventional Neurology: PFO and Other Cardiac Disease Source Type: research

Is necessary to perform a transthoracic echocardiogram in all the patients with cryptogenic stroke during hospitalization?.
CONCLUSIONS. The application of our criteria in undetermined stroke patients help us to identify with high efficiency cardioembolic sources postponing the test to an ambulatory scenario in the rest of the patients. PMID: 23658033 [PubMed - in process]
Source: Revista de Neurologia - May 16, 2013 Category: Neurology Authors: Arias-Rivas S, Rodriguez-Yanez M, Lopez-Ferreiro A, Santamaria-Cadavid M, Fernandez-Pajarin G, Gonzalez-Juanatey JR, Castillo J, Blanco M Tags: Rev Neurol Source Type: research

Case of the Month #181: Iatrogenic Colon Perforation During Epicardial Pacing Wire Placement
A 79-year-old man was admitted to the hospital with Staphylococcal aureus endocarditis. Before surgery, he had a small right hemispheric cardioembolic stroke. He subsequently underwent mitral valve replacement for treatment of a large posterior leaflet valvular vegetation. Two days after surgery, he clinically deteriorated and developed intolerance to nasogastric feeds and significant abdominal distension and tenderness. He was hemodynamically stable, without fever or increasing leukocytosis. Supine frontal chest and abdominal radiographs (not shown) were ordered and demonstrated postsurgical changes related to recent mitr...
Source: Canadian Association of Radiologists Journal - January 25, 2013 Category: Radiology Authors: Justin Haba, Shamir Patel, Robin Gray Tags: Canadian Residents’ Corner / Coin canadien des résidents en radiologie Source Type: research