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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.

We present a 14-year-old female with a massive aneurysm of the pulmonary trunk occurring secondary to bacterial endocarditis of the patent arterial duct. Echo Doppler imaging, magnetic resonance and angiography confirmed the diagnosis. On intermediate follow-up after surgical correction, the echo studies and cardiac catheterization disclosed no residual lesions. The patient is now asymptomatic.

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Chapter 18 - Neurologic Disorders in Endocarditis

Summary

Aneurysm of the pulmonary trunk with patent arterial duct

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2 results

Chapter 18 - Neurologic Disorders in Endocarditis

Summary

Aneurysm of the pulmonary trunk with patent arterial duct