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Double Direct Injection of Blood into the Cisterna Magna as a Model of Subarachnoid Hemorrhage
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Subarachnoid haemorrhage associated with infectious endocarditis: case report and literature review

F E Chukwudelunzu1, R D Brown, E F M Wijdicks

  • 1Department of Neurology, Mayo Clinic Rochester, Mayo Clinic and Mayo Foundation, Rochester, MN 55905, USA.

European Journal of Neurology
|July 9, 2002
PubMed

Insights

Subarachnoid hemorrhage (SAH) is an uncommon complication of infectious endocarditis (IE). In many IE cases with SAH, the source of bleeding, like a mycotic aneurysm, may remain unidentified.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Cardiology

Background:

  • Infectious endocarditis (IE) can lead to serious neurological complications.
  • Subarachnoid hemorrhage (SAH) is a rare but significant neurological event associated with IE.

Observation:

  • This study reports a case of SAH in a patient with IE.
  • A review of 489 IE patients identified seven additional cases of SAH, totaling eight cases.
  • In six of these eight cases, the source of SAH was not identified through angiography or autopsy.

Findings:

  • Mycotic aneurysms were identified as the source of SAH in only two cases.
  • SAH occurred in various locations, including basal cisterns, sylvian fissures, and hemispheric sulci.
  • A significant proportion of SAH cases in IE patients lacked an identifiable source.

Implications:

  • SAH is an uncommon complication of IE.
  • The source of SAH in IE may not always be a mycotic aneurysm.
  • Further investigation is needed to understand the etiology of SAH in IE when aneurysms are absent.

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