Brownlee W J, Anderson N E, Barber P A
Department of Neurology, Auckland City Hospital, Auckland, New Zealand.
Intern Med J. 2014 Feb;44(2):195-7. doi: 10.1111/imj.12343.
Embolic stroke is the most common neurological complication of infective endocarditis and a major source of morbidity and mortality. Septic embolism is considered a contraindication to intravenous thrombolysis in patients with ischaemic stroke because of concerns over an increased risk of intracranial haemorrhage. We describe a patient with occult endocarditis who was treated with thrombolysis for acute stroke and review other cases reported in the literature.
栓塞性中风是感染性心内膜炎最常见的神经并发症，也是发病和死亡的主要原因。由于担心颅内出血风险增加，感染性栓塞被认为是缺血性中风患者静脉溶栓的禁忌症。我们描述了一名隐匿性心内膜炎患者，该患者因急性中风接受了溶栓治疗，并回顾了文献中报道的其他病例。
