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In conclusion, we found that SPMAs were a rare complication of IE that developed only in left-sided IE, and especially in native valves. Intracranial hemorrhage, embolism, multiple embolisms, and diagnostic delay of IE were more common in patient with SPMAs. The microbiologic profile was diverse, but microorganisms of low-medium virulence were predominant, and had a greater delayed diagnosis of IE than those caused by microorganisms of high virulence. SPMAs were often the initial presentation of IE. The most common location of SPMAs was intracranial. Noninvasive radiologic imaging techniques were the initial imaging test in intracranial unruptured SPMAs and in most extracranial SPMAs. Surgical and endovascular treatments were safe and effective. Endovascular treatment could be the first line of treatment in selected cases. Mortality was high in those cases treated only with antibiotics. |
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aneurysm aneurysm,intracranial aneurysm,intracranial,treatment of angiography,cerebral bacterial endocarditis,neurologic manifestations of cerebral embolism cerebral embolism,multiple complications delay in diagnosis drug abuse endocarditis endocarditis,infectious endovascular therapy heralding manifestation intracerebral hemorrhage intravenous drug abuse mortality mycotic aneurysm neurologic disease,diagnoses of prognosis review article treatment of neurologic disorder
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