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Acta Neurológica Colombiana
Print version ISSN 0120-8748
Abstract
CANTILLO MACKENZIE, Germán; ROZO A., Andersson L and SUAREZ-ESCUDERO, Juan Camilo. Aphasia post unilateral cerebral media stroke associated to infectious embolism in acute bacterial endocarditis. Acta Neurol Colomb. [online]. 2014, vol.30, n.2, pp.118-123. ISSN 0120-8748.
We present a clinical report of a patient with infective endocarditis who suffered an ischemic stroke at the parietal occipital and posterior insula, with aphasic demonstrations including mixed features, primordially exhibiting fluency and repetition problems, aggression, dysgraphia, and reading difficulties. It is a striking case because of the uniqueness of the findings and the functional improvement after the event. There are few previous reports describing an association between these bacteria and this injury and the patient's improvement. The cause of the endocarditis was attributed to an endodontic procedure because other paraclinical tests made during medical care showed no other apparent cause. Currently the patient only has difficulty with expressive language and understanding certain commands.
Keywords : Aphasia; Bacterial endocarditis; Intracranial Embolism and Thrombosis; Stroke.