Major Brain Complications of Endocarditis

Abscess:

 • May be macro or micro and occur at site of prior embolism

 • Frequently present with encephalopathy, headache, and recurrent fevers

Mycotic aneurysm:

 • Often found in the distal arterial branches

 • Arise from infective inflammation of the vessel wall. Can present with devastating SAH if ruptured

Meningitis:

 • Inflammation of the meninges due to direct bacterial invasion or due to an inflammatory reaction to blood & infectious products in subarachnoid space

 • Most common with S. aureus

Ischemic stroke caused by septic emboli:

 • *The most common complication*

 • At risk for hemorrhagic transformation Intracranial hemmorrhage

 • Septic emboli can also result intracerebral hemorrhages and cortical subarachnoid hemorrhages



By Dr. Gabriela Figueiredo Pucci @neudrawlogy and Casey Albin, MD @caseyalbin



#endocarditis #complications #brain #neurological #neurology