. 2012 Jul;2(3):87–91. doi: 10.1177/1941874412446199

Table 3.

Stroke Subtypes, Severity, Pathogen, Intervention, and Outcomes

Patient #	Presenting Stroke Subtype			Initial NIHSS	Diagnosed IE at Stroke Presentation	Pathogen	Intervention	Follow-Up Imaging	Outcome (mRS)
Patient #	Ischemia	ICH	SAH	Initial NIHSS	Diagnosed IE at Stroke Presentation	Pathogen	Intervention	Follow-Up Imaging	Outcome (mRS)
1^a	X			15	No	S viridans	IV-tPA	HT (ICH)	5
2	X		X	4	Suspected	S viridans	None	Expected evolution	6
3^a	X			16	Suspected	E faecalis	None	Expected evolution	4
4	X			13	Yes	P aeruginosa	None	Expected evolution	6
5^a	X			14	No	Coag-neg Staph	IA-tPA, Merci	HT (ICH), SDH	6
6	X			1	Suspected	None identified	None	Not done	0
7	X			2	No	S lugdunensis	None	Not done	1
8	X		X	–	No	MSSA	None	New ischemia, HT (ICH + IVH)	5
9^a	X			8	No	E faecalis	IV-tPA	ICH, SAH	6
10^a	X			14	No	E Faecalis	IV-tPA, Merci	HT (ICH + IVH), SAH	6
11	X		X	14	No	None identified	None	New ischemia	6
12	X		X	20	Yes	None identified	None	Expected evolution	6
13^b	X		X	–	Yes	Staphylococcus	IA-tPA, angioplasty	Expected evolution	6
14	X			19	No	Enterococcus	None	Expected evolution	4
15		X		1	Yes	S milleri	None	SDH	1
16		X	X	–	No	MSSA	None	Expected evolution	6
17	X			14	Suspected	None identified	None	New ischemia, HT	6
18	X			9	No	MSSA	None	Expected evolution	4

Abbreviations: Coag-neg Staph, coagulase-negative Staphylococcus; E faecalis, Enterococcus faecalis; HT, hemorrhagic transformation; IA-tPA, intra-arterial tissue plasminogen activator; ICH, intracranial hemorrhage; IV-tPA, intravenous tissue plasminogen activator; IVH, intraventricular hemorrhage; mRS, modified Rankin Scale; MSSA, methicillin-sensitive Staphylococcus aureus; NIHSS, National Institute of Health Stroke Scale; P aeruginosa, Pseudomonas aeruginosa; S lugdunensis, Staphylococcus lugdunensis; S milleri, Streptococcus milleri; S viridans, Streptococcus viridans; SAH, subarachnoid hemorrhage; SDH, subdural hematoma.

^a Presented within 6 hours of stroke symptom onset.

^b This patient had known endocarditis and a minor SAH on presentation, but after discussion with the family and in the setting of a disabling left middle cerebral artery stroke, he received IA-tPA and angioplasty. This restored blood flow without worsening SAH on follow-up imaging, but he never regained consciousness and died 3 days later.