Nonbacterial thrombotic endocarditis is the most common form of endocar ditis found at autopsy. Systemic embolization may complicate this condition in patients with mitral valve prolapse. The authors report a case of mitral valve prolapse and nonbacterial thrombotic endocarditis in which the presenting fea ture was Parinaud's syndrome.
Get full access to this article
View all access options for this article.
References
1.
Braunwald EW: Heart Disease: A Textbook of Cardiovascular Medicine, 2nd ed. Philadelphia: WB Saunders Co, 1984, p 1091.
2.
Geyer SJ, Franzini JA: Myxomatous degeneration of the mitral valve complicated by non-bacterial thrombotic endocarditis with systemic embolization. Am J Clin Pathol72:489-491, 1979.
3.
Lehto VP, Stenman S., Somer T.: Immunohistological studies on valvular vegetations in nonbacterial thrombotic endocarditis. Acta Pathol Microbiol Immunol Scand90A:207-211, 1982.
4.
Barnett Hjm, Boughner DR, Taylor DW, et al: Further evidence relating mitral valve prolapse to cerebral ischemic events. N Engl J Med302:139-144, 1980.
5.
Chusid JG: Correlative Neuroanatomy and Functional Neurology, 18th ed. Los Altos, California: Lange Medical Publications, 1982, p 281.
6.
Kostuk WJ, Boughner DR: Strokes: A complication of mitral leaflet prolapse?Lancet2:313-361, 1977.
7.
Pomerance A. : Ballooning deformity (mucoid degeneration) of atrioventricular valves. Br Heart J31:343-351, 1969.
8.
Bidani AK, Roberts JL, Schwartz MM, et al: Immunopathology of cardiac lesions in fatal systemic lupus erythematosus . Am J Med69:849-858, 1980.
9.
Kollef MH, Irvine T., Cragun WH, et al: Nonbacterial thrombotic endocarditis associated with gold-induced pulmonary disease. Ann Intern Med106:904-905, 1988.
Donaldson RM , Ballester M., Olsen E.: Diagnosis of atrial thrombi by ultrasound . Thorax37:507-511, 1982.
12.
Egeblad H., Hesse B.: Mitral valve prolapse with mobile polypoid cul-de-sac thrombus and embolism to brain and lower extremity. Am Heart J114:648-650, 1987.
