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KMID : 0858420080100010062
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Korean Journal of Stroke
2008 Volume.10 No. 1 p.62 ~ p.64
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The Role of T2-Gradient Echo MRI in a Case of Infective Endocarditis
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Erm Gwan-Hee
Kwon Hyung-Min
Lee Yong-Seok
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Abstract
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T2*-gradient echo (GRE) MRI frequently detects multiple asymptomatic cerebral microbleeds in infective endocarditis (IE) patients that have developed cerebral infarction or other neurologic complications. A 63-year-old was admitted to hospital be-cause of left hemiplegia and dysarthria accompanied by fever. MRI showed multiple cerebral infarctions. GRE MRI showed mul-tiple microbleeds in areas of cerebral infraction, adjacent to ischemic lesions, and higher cortical lesions. Blood culture revealed group-D streptococcus, and he was diagnosed as having multiple cerebral infarctions due to IE. After antibiotics therapy, he under-went open heart surgery for severe mitral regurgitation without sequelae. We suggest that GRE MRI provides a noninvasive means of diagnosing cerebral infarction associated with IE. (Korean J Stroke 2008;10:62-64)
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KEYWORD
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Endocarditis, Cerebralinfarction, Magneticresonanceimaging
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