Abstract
Introduction: Infective endocarditis can lead to serious neurological complications including ischemic stroke and intracranial hemorrhage. Treatment with intravenous thrombolysis within 3 h of symptom onset has become the standard of care in acute ischemic stroke, but the safety and efficacy of this intervention in patients with infective endocarditis is unknown. Summary of Case: We report the case of a patient with ischemic stroke who experienced substantial neurological improvement after being treated with intravenous thrombolysis (NIH stroke scale score of 15 on admission and 4 after treatment) and was subsequently found to have acute infective mitral endocarditis. Conclusion: Favorable response to thrombolysis may occur in patients with stroke due to infectious endocarditis. The safety of this therapy remains to be established.
Original language | English (US) |
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Pages (from-to) | 117-120 |
Number of pages | 4 |
Journal | Neurocritical care |
Volume | 6 |
Issue number | 2 |
DOIs | |
State | Published - Apr 2007 |
Keywords
- Infective endocarditis
- Stroke
- Thrombolysis
ASJC Scopus subject areas
- Critical Care and Intensive Care Medicine
- Clinical Neurology