Dally S, Michat L, Foncin J F
Ann Med Interne (Paris). 1975 Aug-Sep;126(8-9):627-38.
Clinico-pathological study of 15 cases of cerebral complications of bacterial endocarditis referred to a neurosurgical unit for suspected cerebral abcess. In all cases but one, cerebral symptoms appeared with the cardiac condition undiagnosed, and complete diagnosis was made only at autopsy. Cerebral lesions consisted mainly in focal softening due to embolisms, generally multiple, with in about half the cases histological manifestations of bacterial seeding, without any abcess such as could be amenable to neurosurgical treatment. Surgical treatment of mycotic aneurysms was unsuccessful, due mainly to their multiplicity.
对因疑似脑脓肿而转诊至神经外科的15例细菌性心内膜炎脑并发症患者进行临床病理研究。除1例病例外,所有病例均在心脏疾病未被诊断出来时出现脑部症状,仅在尸检时才做出完整诊断。脑部病变主要表现为栓塞所致的局灶性软化,通常为多发性,约半数病例有细菌播散的组织学表现,未发现任何可进行神经外科治疗的脓肿。真菌性动脉瘤的手术治疗未成功,主要原因是其多发性。