Vincent F M, Zimmerman J E, Auer T C, Martin D B
Neurosurgery. 1980 Nov;7(5):488-90. doi: 10.1227/00006123-198011000-00013.
The case of a patient who suffered a nontraumatic subarachnoid hemorrhage (SAH) associated with normal angiography is reported. Three weeks later he developed an embolic stroke secondary to a nonhemolytic Staphylococcus epidermidis endocarditis of the mitral valve; thus, the SAH was the initial manifestation of bacterial endocarditis. Bacterial endocarditis should be considered a possible cause of SAH, especially in the 7% of patients with angiographically negative SAH.
报告了一例非创伤性蛛网膜下腔出血（SAH）且血管造影正常的患者病例。三周后，他继发于二尖瓣非溶血性表皮葡萄球菌性心内膜炎而发生栓塞性中风；因此，SAH是细菌性心内膜炎的初始表现。细菌性心内膜炎应被视为SAH的可能病因，尤其是在血管造影阴性的SAH患者中的7%。
