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[Cardiac cerebral embolism].

P Berlit

    Der Nervenarzt
    |August 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Cardiogenic brain embolism, often from ischemic heart disease, presents suddenly with neurological symptoms. Early anticoagulant therapy may improve outcomes by preventing further clots.

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    Area of Science:

    • Neurology
    • Cardiology
    • Radiology

    Context:

    • Cardiogenic brain embolism is a significant cause of stroke.
    • Understanding its origins, presentation, and outcomes is crucial for patient management.

    Purpose:

    • To analyze the symptoms, diagnosis, prognosis, and therapy of 135 cases of cardiogenic brain embolism.
    • To identify common cardiac sources and neurological manifestations.

    Summary:

    • Ischemic heart disease with atrial fibrillation was the most frequent cause, followed by valvular heart disease, myocardial infarction, and carditis.
    • Sudden onset of neurological symptoms, often in the morning, characterized presentations. Initial loss of consciousness and seizures were poor prognostic indicators.
    • Angiographic findings included occlusions in the internal carotid artery and middle cerebral artery branches. Computed tomography (CT) and lumbar puncture were not diagnostic.

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    Impact:

    • Mortality was 22%, with 34% experiencing significant neurological deficits, highlighting the serious prognosis.
    • Recommended cardiologic evaluations include chest X-ray, long-term electrocardiogram, and echocardiography.
    • Early anticoagulant therapy, if no cerebral hemorrhage is present on CT, may prevent re-embolization and improve outcomes.