Abstract

The Sri Lankan Journal of Anaesthesiology is the official journal of the College of Anaesthesiologists of Sri Lanka. It publishes clinical investigations, research articles, audits, case reports, review articles and CME articles relating to anaesthesiology, critical care and pain. It is published bi annually in January and June. Sri Lankan Journal of Anaesthesiology is included on DOAJ and Scopus.

Highlights

  • Infective Endocarditis (IE) may present with devastating neurologic consequences, often manifested as the first sign of illness[1,2,3]

  • The highest incidence of embolic complications is seen with aortic- and mitralvalve infections[2,7].Here we present a case of embolic brain infarction predominantly in the middle cerebral artery territory associated with infective endocarditis, which manifested a month after a head injury

  • Infective endocarditis may present as neurological deficit as the 1st presentation, there was no evidence to suspect infective endocarditis until the 2ndCT scan of the head after 48hours revealed extensive cerebral infarction

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Summary

Introduction

Infective Endocarditis (IE) may present with devastating neurologic consequences, often manifested as the first sign of illness[1,2,3]. The highest incidence of embolic complications is seen with aortic- and mitralvalve infections[2,7].Here we present a case of embolic brain infarction predominantly in the middle cerebral artery territory associated with infective endocarditis, which manifested a month after a head injury. His previous history of head injury and craniotomy and the nature of it unusual presentation might have had significant impact on the diagnosis and the final outcome. On the same day despite intensive treatment he such patients during the initial workup, to treat IE suffered a cardiac arrest and could not be revived. and to avoid devastating complications

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