학술논문
Symptomatic and Asymptomatic Neurological Complications of Infective Endocarditis: Impact on Surgical Management and Prognosis.
Document Type
article
Author
Christine Selton-Suty; François Delahaye; Pierre Tattevin; Claire Federspiel; Vincent Le Moing; Catherine Chirouze; Pierre Nazeyrollas; Véronique Vernet-Garnier; Yvette Bernard; Sidney Chocron; Jean-François Obadia; François Alla; Bruno Hoen; Xavier Duval; AEPEI (Association pour l'Etude et la Prévention de l'Endocardite Infectieuse)
Source
PLoS ONE, Vol 11, Iss 7, p e0158522 (2016)
Subject
Language
English
ISSN
1932-6203
Abstract
Symptomatic neurological complications (NC) are a major cause of mortality in infective endocarditis (IE) but the impact of asymptomatic complications is unknown. We aimed to assess the impact of asymptomatic NC (AsNC) on the management and prognosis of IE.From the database of cases collected for a population-based study on IE, we selected 283 patients with definite left-sided IE who had undergone at least one neuroimaging procedure (cerebral CT scan and/or MRI) performed as part of initial evaluation.Among those 283 patients, 100 had symptomatic neurological complications (SNC) prior to the investigation, 35 had an asymptomatic neurological complications (AsNC), and 148 had a normal cerebral imaging (NoNC). The rate of valve surgery was 43% in the 100 patients with SNC, 77% in the 35 with AsNC, and 54% in the 148 with NoNC (p