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Nonbacterial thrombotic endocarditis complicating mitral valve prolapse presenting as Parinaud's syndrome--a case
1Department of Cardiology, St. Joseph's Hospital, Hamilton, Ontario, Canada.
Angiology
|May 1, 1989
Abstract:
Nonbacterial thrombotic endocarditis is the most common form of endocarditis found at autopsy. Systemic embolization may complicate this condition in patients with mitral valve prolapse. The authors report a case of mitral valve prolapse and nonbacterial thrombotic endocarditis in which the presenting feature was Parinaud's syndrome.
Insights
Nonbacterial thrombotic endocarditis, often found at autopsy, can cause systemic embolization in patients with mitral valve prolapse. This case highlights Parinaud's syndrome as a presenting feature of this condition.
Area of Science:
- Cardiology
- Neurology
Background:
- Nonbacterial thrombotic endocarditis (NBTE) is a common autopsy finding.
- Systemic embolization is a known complication of NBTE, particularly in patients with mitral valve prolapse (MVP).
Observation:
- This report details a rare case involving a patient with both MVP and NBTE.
- The initial clinical manifestation in this patient was Parinaud's syndrome.
Findings:
- The study identifies a unique presentation of NBTE associated with MVP.
- Parinaud's syndrome served as the primary indicator of NBTE and MVP in this patient.
Implications:
- This case underscores the importance of considering NBTE and MVP in patients presenting with Parinaud's syndrome.
- Early recognition of this association may lead to timely diagnosis and management of potentially life-threatening embolic events.