[Neurologic and ophthalmologic complications of mitral valve prolapse].

The author investigated the incidence of cerebrovascular attacks in a group of 68 patients with mitral valve prolapse. In 10 of them (14.7%) he detected neurological and opthalmological symptoms. In six patients this symptomatology appeared for the first time, in four it had been recorded already in the past. Consistent with data in the literature, the author is in favour of the view that the neurological symptomatology in mitral with mitral valve prolapse is conditioned by a thromboembolic mechanism. The basis for the formation of micro- and marco- thrombi is an impaired continuity of the endothelium of the myxomatously degenerated cusps with subsequent deposition of thrombocyte aggregates and fibrin. In the conclusion the author discusses therapeutic procedures in the prevention of neurological relapses.