切换至 "中华医学电子期刊资源库"

中华脑血管病杂志(电子版) ›› 2023, Vol. 17 ›› Issue (01) : 70 -73. doi: 10.11817/j.issn.1673-9248.2023.01.014

病例报告

急性脑梗死后出血转化合并感染性心内膜炎一例及文献复习
杨逸昊1, 陈浩1, 陈蓉1, 马琳1, 李其富1,()   
  1. 1. 570102 海口,海南医学院第一附属医院神经内科
  • 收稿日期:2022-09-07 出版日期:2023-02-01
  • 通信作者: 李其富
  • 基金资助:
    海南省临床医学中心建设项目(2021); 海南医学院研究生创新科研课题(HYYS2021A34)

A case of post-acute cerebral infarction hemorrhagic transformation combined with infective endocarditis and literature review

Yihao Yang1, Hao Chen1, Rong Chen1   

  • Received:2022-09-07 Published:2023-02-01
引用本文:

杨逸昊, 陈浩, 陈蓉, 马琳, 李其富. 急性脑梗死后出血转化合并感染性心内膜炎一例及文献复习[J]. 中华脑血管病杂志(电子版), 2023, 17(01): 70-73.

Yihao Yang, Hao Chen, Rong Chen. A case of post-acute cerebral infarction hemorrhagic transformation combined with infective endocarditis and literature review[J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2023, 17(01): 70-73.

表1 患者入院来感染相关指标变化情况
图1 急性脑梗死患者住院期间颅脑CT及磁共振图像。图a为入院时颅脑CT,示未见明显异常;图b为入院第3天头颅磁共振弥散加权成像,显示右侧额顶叶、右侧背侧丘脑脑梗死;图c为入院第3天头颅磁共振弥散加权成像,显示右侧大脑脚、右侧颞叶、左侧枕叶多发脑梗死;图d为入院第3天磁共振血管成像,示未见大血管闭塞或狭窄;图e为入院第8天颅脑CT,示右侧颞叶梗死灶高密度影,提示出血转化;图f为入院第14天颅脑CT,示出血转化量增加
1
Sotero FD, Rosário M, Fonseca AC, et al. Neurological complications of infective endocarditis [J]. Curr Neurol Neurosci Rep, 2019, 19(5): 23.
2
Klein CF, Gørtz S, Wohlfahrt J, et al. Increased risk of ischemic stroke after treatment of infective endocarditis: a Danish, nationwide, propensity score-matched cohort study [J]. Clin Infect Dis, 2020, 70(6): 1186-1192.
3
Bettencourt S, Ferro JM. Acute ischemic stroke treatment in infective endocarditis: systematic review [J]. J Stroke Cerebrovasc Dis, 2020, 29(4): 104598.
4
Cao GF, Liu W, Bi Q. Stroke in patients with infective endocarditis: a 15-year single-center cohort study [J]. Eur Neurol, 2018, 80(3-4): 171-178.
5
Valenzuela I, Hunter MD, Sundheim K, et al. Clinical risk factors for acute ischaemic and haemorrhagic stroke in patients with infective endocarditis [J]. Intern Med J, 2018, 48(9): 1072-1080.
6
Jiad E, Gill SK, Krutikov M, et al. When the heart rules the head: ischaemic stroke and intracerebral haemorrhage complicating infective endocarditis [J]. Pract Neurol, 2017, 17(1): 28-34.
7
王加璐, 胡畔, 何振巍, 等. 感染性心内膜炎合并脑出血临床特点分析 [J]. 中西医结合心脑血管病杂志, 2018, 16(14): 2083-2087.
8
Klein CF, Gørtz S, Wohlfahrt J, et al. Long-term risk of hemorrhagic stroke in patients with infective endocarditis: a Danish nationwide cohort study [J]. Clin Infect Dis, 2019, 68(4): 668-675.
9
Shah B, Jagtap P, Sarmah D, et al. Cerebro-renal interaction and stroke [J]. Eur J Neurosci, 2021, 53(4): 1279-1299.
10
Wyld M, Webster AC. Chronic kidney disease is a risk factor for stroke [J]. J Stroke Cerebrovasc Dis, 2021, 30(9): 105730.
11
Dawod J, Coull BM. Chronic kidney disease is a biomarker rather than a risk factor for stroke [J]. J Stroke Cerebrovasc Dis, 2021, 30(9): 105869.
12
Gopal M, Lakhani S, Lee VH. Intravenous thrombolysis in acute ischemic stroke patients with unsuspected infective endocarditis [J]. J Stroke Cerebrovasc Dis, 2021, 30(3): 105502.
13
Habib G, Lancellotti P, Antunes MJ, et al. 2015 ESC Guidelines for the management of infective endocarditis: The Task Force for the Management of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by: European Association for Cardio-Thoracic Surgery (EACTS), the European Association of Nuclear Medicine (EANM) [J]. Eur Heart J, 2015, 36(44): 3075-3128.
14
Powers WJ, Rabinstein AA, Ackerson T, et al. 2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association [J]. Stroke, 2018, 49(3): e46-e110.
15
Scharf EL, Chakraborty T, Rabinstein A, et al. Endovascular management of cerebral septic embolism: three recent cases and review of the literature [J]. J Neurointerv Surg, 2017, 9(5): 463-465.
16
Marnat G, Sibon I, Gory B, et al. Safety and outcomes of mechanical thrombectomy for acute stroke related to infective endocarditis: A case–control study [J]. Int J Stroke, 2021, 16(5): 585-592.
17
Feil K, Küpper C, Tiedt S, et al; Investigators GSR. Safety and efficacy of mechanical thrombectomy in infective endocarditis: A matched case-control analysis from the German Stroke Registry-Endovascular Treatment [J]. Eur J Neurol, 2021, 28(3): 861-867.
18
Ambrosioni J, Urra X, Hernández-Meneses M, et al. Mechanical thrombectomy for acute ischemic stroke secondary to infective endocarditis [J]. Clin Infect Dis, 2018, 66(8): 1286-1289.
19
Sloane KL, Raymond SB, Rabinov JD, et al. Mechanical thrombectomy in stroke from infective endocarditis: case report and review [J]. J Stroke Cerebrovasc Dis, 2020, 29(1): 104501.
20
Staessens S, François O, Brinjikji W, et al. Studying stroke thrombus composition after thrombectomy: what can we learn? [J]. Stroke, 2021, 52(11): 3718-3727.
21
Bhaskar S, Cordato D, Cappelen-Smith C, et al. Clarion call for histopathological clot analysis in "cryptogenic" ischemic stroke: implications for diagnosis and treatment [J]. Ann Clin Transl Neurol, 2017, 4(12): 926-930.
22
Distefano M, Calandrelli R, Arena V, et al. A puzzling case of cryptogenic stroke [J]. J Stroke Cerebrovasc Dis, 2019, 28(4): e33-e35.
23
Otto CM, Nishimura RA, Bonow RO, et al. 2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines [J]. J Am Coll Cardiol, 2021, 77(4): e25-e197.
No related articles found!
阅读次数
全文


摘要