Neurologic Complications of Infective Endocarditis:Retrospective Review of 100 Cases
Journal of the Korean Neurological Association
;
: 202-206, 2001.
Article
in Korean
| WPRIM
| ID: wpr-87691
ABSTRACT
BACKGROUND:
Neurological syndromes often complicate the management of infective endocarditis.METHODS:
We reviewed the neurological complications in 100 patients with infective endocarditis in a tertiary care hospital.RESULTS:
Neurological complications occurred in 25 patients (25%). Ischemic infarctions occurred in 15 patients, hemorrhagic infarctions in 5, intracerebral hemorrhages in 12, subarachnoid hemorrhages in 4, and subdural hemorrhages in 2. Brain abscess was detected in 4 and seizures in 2 patients. Staphylococcus aureus endocarditis (p=0.01) and mitral valvular heart disease (p=0.015) correlated statistically with the development of neurological complications. The mortality rate was significantly higher in patients with neurological complications than those without neurological complications (p=0.00). Age, sex, and type of valve (native versus prosthetic) were not related to the complication rate.CONCLUSIONS:
We concluded that (1) hemorrhagic complications occurred at a higher rate in this study than previous reports; (2) S.aureus infection and mitral valvular disease predicted the occurrence of neurological complications; and (3) neurological complications were related to mortality rates. (J Korean Neurol Assoc 19(3)202~206, 2001)
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Seizures
/
Staphylococcus aureus
/
Subarachnoid Hemorrhage
/
Tertiary Healthcare
/
Brain Abscess
/
Cerebral Hemorrhage
/
Mortality
/
Endocarditis
/
Heart Diseases
/
Heart Valve Diseases
Type of study:
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Neurological Association
Year:
2001
Type:
Article
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