Histologic examination of the central nervous system in malignant endocarditis reveals a rather common involvement of the brain which is The present study comprises twelve cases of malignant endocarditis that were placed at my disposal by Dr. R. H. Jaffe from his necropsy material at the Cook County Hospital and one case of rheumatic endocarditis from the Research and Educational Hospitals of the University of Illinois. They all showed manifest circumscribed, as well as diffuse, lesions which, though they varied to some extent, had certain common features which will be described.
REPORT OF CASES
—Malignant endocarditis of several months' duration following rheumatic endocarditis; glial nodules in the pons, optic thalamus and subcortical white matter; diffuse glial proliferation; areas of rarefaction around blood vessels; degenerative changes of ganglion cells; hyperemia and mild perivascular infiltration of the pons; hyperplasia of the leptomeninges.
—A white man, aged 42, a goldsmith,
DIAMOND IB. BRAIN CHANGES IN MALIGNANT ENDOCARDITIS. Arch NeurPsych. 1932;27(5):1175–1208. doi:https://doi.org/10.1001/archneurpsyc.1932.02230170191006
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