Multiple Cerebral Infarctions From Nonbacterial Thrombotic Endocarditis Mimicking Cerebral Vasculitis Robert Vassallo, MD, Ellen D. Remstein, MD, Joseph.

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Presentation transcript:

Multiple Cerebral Infarctions From Nonbacterial Thrombotic Endocarditis Mimicking Cerebral Vasculitis Robert Vassallo, MD, Ellen D. Remstein, MD, Joseph E. Parisi, MD, John Huston, MD, Robert D. Brown, MD Mayo Clinic Proceedings Volume 74, Issue 8, Pages 798-802 (August 1999) DOI: 10.4065/74.8.798 Copyright © 1999 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 1 Magnetic resonance image of the brain demonstrates abnormally increased T2 signal involving the left caudate nucleus and basal ganglia. Mayo Clinic Proceedings 1999 74, 798-802DOI: (10.4065/74.8.798) Copyright © 1999 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 2 Cerebral angiogram demonstrates diffuse changes involving both large-caliber (arrow) and small-caliber (curved arrow) vessels consistent with vasculitis. Mayo Clinic Proceedings 1999 74, 798-802DOI: (10.4065/74.8.798) Copyright © 1999 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 3 Repeat magnetic resonance image (MRI) of the head performed 3 days after the first MRI showed significant progression with multiple new areas of T2 signal abnormality in both cerebral hemispheres (A) and both occipital lobes (B). Mayo Clinic Proceedings 1999 74, 798-802DOI: (10.4065/74.8.798) Copyright © 1999 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 4 Extensive involvement of the cardiac valves with platelet-fibrin vegetations was seen at autopsy. Mayo Clinic Proceedings 1999 74, 798-802DOI: (10.4065/74.8.798) Copyright © 1999 Mayo Foundation for Medical Education and Research Terms and Conditions