Department of Radio-diagnosis and Imaging, PGIMER, Chandigarh, India.
Department of Neurology, PGIMER, Chandigarh, India.
Neurol India. 2021 May-Jun;69(3):707-710. doi: 10.4103/0028-3886.319216.
Myxomas are the most common cardiac tumors and present clinically with cardiac manifestations, systemic constitutional symptoms, and embolic events. Posterior circulation involvement occurs in approximately 20 percent of cerebral ischemic events.The endovascular technique is an established life-saving therapy for eligible patients upto 24 hours from symptom onset. However, the role of endovascular management in embolic atrial myxoma remains unknown with no international consensus guidelines for the management of stroke in such patient population. Here, we present a case report of an embolic posterior circulation stroke in a young female treated with mechanical thrombectomy at 23 hours from symptom onset. To the best of our knowledge, this is the first thrombectomy case in posterior circulation with embolism from myxoma. Further workup confirmed an atrial myxoma which was resected. We also review the previous cases with mechanical thrombectomy done in such cases.
黏液瘤是最常见的心脏肿瘤，临床上常表现为心脏表现、全身系统性症状和栓塞事件。后循环受累约占脑缺血事件的 20%。血管内技术是一种成熟的救生治疗方法，适用于症状发作后 24 小时内的患者。然而，在这种患者人群中，对于卒中的血管内管理作用尚不清楚，也没有国际共识指南。在这里，我们报告了一例年轻女性发生的栓塞性后循环卒中的病例，该患者在症状发作后 23 小时接受了机械血栓切除术治疗。据我们所知，这是首例由黏液瘤栓塞引起的后循环血栓切除术病例。进一步的检查证实存在心房黏液瘤，并对其进行了切除。我们还回顾了以前在这种情况下进行机械血栓切除术的病例。
