Neurological Complications of Endocarditis: A Multidisciplinary Review with Focus on Surgical Decision Making

被引:16
作者
Carneiro, Thiago Santos [1 ]
Awtry, Eric [2 ]
Dobrilovic, Nikola [3 ]
Fagan, Maura A. [2 ]
Kimmel, Simeon [2 ]
Weinstein, Zoe M. [2 ]
Cervantes-Arslanian, Anna M. [1 ,4 ,5 ]
机构
[1] Boston Med Ctr, Dept Neurol, Shapiro Bldg,7th Floor, Boston, MA 02118 USA
[2] Boston Univ, Sch Med, Dept Med, Boston Med Ctr, Boston, MA 02118 USA
[3] Boston Med Ctr, Dept Cardiac & Thorac Surg, Boston, MA USA
[4] Boston Univ, Sch Med, Dept Neurosurg, Boston Med Ctr, Boston, MA 02118 USA
[5] Boston Univ, Sch Med, Dept Internal Med, Boston Med Ctr, Boston, MA 02118 USA
关键词
infectious endocarditis; infectious intracranial aneurysms; valvular surgery; HEALTH-CARE PROFESSIONALS; ACUTE ISCHEMIC-STROKE; INFECTIVE ENDOCARDITIS; CARDIAC-SURGERY; VALVE-REPLACEMENT; INTRACRANIAL HEMORRHAGE; CEREBRAL COMPLICATIONS; MYCOTIC-ANEURYSM; PROGNOSTIC VALUE; EARLY MANAGEMENT;
D O I
10.1055/s-0039-1688826
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Infective endocarditis (IE) is a systemic disease with many potential neurologic manifestations including ischemic and hemorrhagic strokes, cerebral microbleeding, infectious intracranial aneurysms, meningitis, brain abscesses, and encephalopathy. The majority of left-sided (heart) IE patients have brain lesions that may alter management decisions, warranting the systematic use of magnetic resonance imaging. Many patients require surgical treatment of valvular disease, and central nervous system lesions weigh into decision making. Data regarding the timing of surgery are conflicting, but earlier surgery appears to be safe in most ischemic strokes, while ideally surgery should be delayed for 3 to 4 weeks in patients with hemorrhagic strokes. IE requires a multidisciplinary team to collaboratively care for the patient. In this article, we review the current understanding and management of the neurological complications of IE and their impact on the performance and timing of cardiac surgery.
引用
收藏
页码:495 / 506
页数:12
相关论文
共 73 条
[1]   Mechanical Thrombectomy for Acute Ischemic Stroke Secondary to Infective Endocarditis [J].
Ambrosioni, Juan ;
Urra, Xabier ;
Hernandez-Meneses, Marta ;
Almela, Manel ;
Falces, Carlos ;
Tellez, Adrian ;
Quintana, Eduard ;
Fuster, David ;
Sandoval, Elena ;
Vidal, Barbara ;
Tolosana, Jose M. ;
Moreno, Asuncion ;
Chamorro, Angel ;
Miro, Jose M. .
CLINICAL INFECTIOUS DISEASES, 2018, 66 (08) :1286-1289
[2]   Timing the valve replacement in infective endocarditis involving the brain [J].
Angstwurm, K ;
Borges, AC ;
Halle, E ;
Schielke, E ;
Einhäupl, KM ;
Weber, JR .
JOURNAL OF NEUROLOGY, 2004, 251 (10) :1220-1226
[3]   Intravenous Drug Use Is Novel Predictor of Infectious Intracranial Aneurysms in Patients with Infective Endocarditis [J].
Ares, William J. ;
Cabrera, Elizabeth A. ;
Desai, Shashvat ;
Zussman, Benjamin M. ;
Kenmuir, Cynthia L. ;
Jovin, Tudor G. ;
Jadhav, Ashutosh P. ;
Gross, Bradley A. ;
Jankowitz, Brian T. .
WORLD NEUROSURGERY, 2018, 118 :E813-E817
[4]   Thrombolysis for Ischemic Stroke Associated With Infective Endocarditis Results From the Nationwide Inpatient Sample [J].
Asaithambi, Ganesh ;
Adil, Malik M. ;
Qureshi, Adnan I. .
STROKE, 2013, 44 (10) :2917-2919
[5]   Infective Endocarditis in Adults: Diagnosis, Antimicrobial Therapy, and Management of Complications A Scientific Statement for Healthcare Professionals From the American Heart Association [J].
Baddour, Larry M. ;
Wilson, Walter R. ;
Bayer, Arnold S. ;
Fowler, Vance G., Jr. ;
Tleyjeh, Imad M. ;
Rybak, Michael J. ;
Barsic, Bruno ;
Lockhart, Peter B. ;
Gewitz, Michael H. ;
Levison, Matthew E. ;
Bolger, Ann F. ;
Steckelberg, James M. ;
Baltimore, Robert S. ;
Fink, Anne M. ;
O'Gara, Patrick ;
Taubert, Kathryn A. .
CIRCULATION, 2015, 132 (15) :1435-1486
[6]   Influence of the Timing of Cardiac Surgery on the Outcome of Patients With Infective Endocarditis and Stroke [J].
Barsic, Bruno ;
Dickerman, Stuart ;
Krajinovic, Vladimir ;
Pappas, Paul ;
Altclas, Javier ;
Carosi, Giampiero ;
Casabe, Jose H. ;
Chu, Vivian H. ;
Delahaye, Francois ;
Edathodu, Jameela ;
Fortes, Claudio Querido ;
Olaison, Lars ;
Pangercic, Ana ;
Patel, Mukesh ;
Rudez, Igor ;
Tamin, Syahidah Syed ;
Vincelj, Josip ;
Bayer, Arnold S. ;
Wang, Andrew ;
Clara, Liliana ;
Sanchez, Marisa ;
Nacinovich, Francisco ;
Fernandez Oses, Pablo ;
Ronderos, Ricardo ;
Sucari, Adriana ;
Thierer, Jorge ;
Casabe, Jose ;
Cortes, Claudia ;
Altclas, Javier ;
Kogan, Silvia ;
Spelman, Denis ;
Athan, Eugene ;
Harris, Owen ;
Kennedy, Karina ;
Tan, Ren ;
Gordon, David ;
Papanicolas, Lito ;
Eisen, Damon ;
Grigg, Leeanne ;
Street, Alan ;
Korman, Tony ;
Kotsanas, Despina ;
Dever, Robyn ;
Jones, Phillip ;
Konecny, Pam ;
Lawrence, Richard ;
Rees, David ;
Ryan, Suzanne ;
Feneley, Michael P. ;
Harkness, John .
CLINICAL INFECTIOUS DISEASES, 2013, 56 (02) :209-217
[7]   MAINTENANCE MEDICATION FOR OPIATE ADDICTION: THE FOUNDATION OF RECOVERY [J].
Bart, Gavin .
JOURNAL OF ADDICTIVE DISEASES, 2012, 31 (03) :207-225
[8]   Antibiotic-associated encephalopathy [J].
Bhattacharyya, Shamik ;
Darby, R. Ryan ;
Raibagkar, Pooja ;
Castro, L. Nicolas Gonzalez ;
Berkowitz, Aaron L. .
NEUROLOGY, 2016, 86 (10) :963-971
[9]   BACTERIAL INTRACRANIAL ANEURYSM [J].
BOHMFALK, GL ;
STORY, JL ;
WISSINGER, JP ;
BROWN, WE .
JOURNAL OF NEUROSURGERY, 1978, 48 (03) :369-382
[10]   Infective Endocarditis in the US, 1998-2009: A Nationwide Study [J].
Bor, David H. ;
Woolhandler, Steffie ;
Nardin, Rachel ;
Brusch, John ;
Himmelstein, David U. .
PLOS ONE, 2013, 8 (03)