细菌性心内膜炎的经典临床表现目前已不常见,有部分患者以神经系统障碍为首发症状或主要临床表现,常不易及时确诊。随着诊断技术的提高和抗菌素的广泛应用,尽管心内膜炎的治愈率有较大提高,但神经系统并发症的发生、致残和病死率仍相当高。故及时认识细菌性心内膜炎的神经系统并发症,提高诊断和治愈率,具有重要的临床意义。 Classical clinical manifestations of bacterial endocarditis is uncommon at present, some patients with neurological disorders as the first symptom or the main clinical manifestations, often difficult to timely diagnosis. With the improvement of diagnostic techniques and the extensive use of antibiotics, the incidence of neurological complications, disability and mortality are still quite high, although the cure rate of endocarditis has greatly increased. Therefore, timely understanding of bacterial endocarditis neurological complications and improve the diagnosis and cure rate, has important clinical significance.