Fig. 1.

Imaging of 5 patients with IE and neurological complications (a) Case 1: An 11-year-old boy, post-aortic valve replacement developed brucellosis IE that was complicated with multifocal infections in the left frontal lobe with abscess formation and adjacent gliosis.(b) Case 2: A 9-year-old boy, known to have congestive heart failure and multiple congenital heart diseases (Arcade mitral valve, severe mitral regurgitation, and atrial septal defect). He presented with symptoms of IE along with left-sided weakness and right facial weakness. Imaging was performed, which indicated a right thalamic infarct. (c) Case 3: A 4-year-old boy with coarctation of the aorta and atrial septal defect. He was diagnosed with fungal IE complicated with left-sided weakness and left middle cerebral artery stroke. (d) Case 4: Represents a 2-month-old boy known to have atrial septal defect diagnosed with MRSA sepsis IE, complicated with left frontal and partial subarachnoid hemorrhage. (e) Case 5: A 1-year-old girl, with Treacher Collins syndrome with bilateral anotia, Swiss cheese ventricular septal defects, and transposition of great arteries. The patient developed IE complicated with multiple septic infarctions and stenotic cavernous segment of the right carotid artery. (f) Case 6: A 5-year-old girl, not known to have any cardiac diseases, diagnosed with IE and complicated with right subclavian thrombosis. The patient developed seizure and hypotonia. Delayed myelination and hypoplasia of the corpus callosum were observed in her brain imaging.