Neurological Sciences

, Volume 40, Issue 4, pp 899–903 | Cite as

The imaging features of cerebral septic infarction in two patients with infective endocarditis

  • Jiuwen Li
  • Jingjun ShangguanEmail author
  • Qingguo Ren
  • Jiachen Wang
Quiz Cases



Neurologic complications are frequently seen in infective endocarditis (IE) and were identified in about 70% of patients with IE. However, the imaging features of the cerebral septic infarction were less investigated.


To demonstrate the imaging features of the cerebral septic infarction of IE.

Material and methods

Two patients were clinically diagnosed as IE according to the modified Duke criterion. We studied their imaging profiles and reviewed the literature of the imaging features of neurologic complications of IE.


The critical features are multiple ischemic and hemorrhagic lesions, most of which locate at the cortical-medullary junction. The septic infarctions are irregular patchy in shape and have characteristic imaging features indicating complications of IE.


Magnetic resonance imaging (MRI) with different sequences can detect the features and provide clinical evidence to physicians to make the correct diagnoses and then the treatment plans.


Infarction Abscess Magnetic resonance imaging Infective endocarditis 



We thank Qilu Hospital of Shandong University for providing the MRI facilities.

Funding information

This manuscript was funded by the Natural Science Foundation of Shandong Province (ZR2015HM059) and the Initial Scientific Research Fund of Qilu Hospital of Shandong University (Qingdao) (QDKY2015LH02, QDKY2015QN08).

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants performed by any of the authors.

Informed consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer-Verlag Italia S.r.l., part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of HealthcareQilu Hospital of Shandong University (Qingdao)QingdaoChina
  2. 2.Department of RadiologyQilu Hospital of Shandong University (Qingdao)QingdaoChina
  3. 3.Department of RadiologyThe Affiliated Hospital of Qingdao University Medical CollegeQingdaoChina

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