Salam Hiba, Reddy Mohith K, Ganaraja V H, V Sashikala, Kodapala Suresha
Neurology, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, IND.
General Medicine, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, IND.
Cureus. 2022 Aug 11;14(8):e27890. doi: 10.7759/cureus.27890. eCollection 2022 Aug.
Stroke is one of the leading causes of mortality and disability. It can be rarely caused by cardiac myxoma. Sometimes stroke may be its first clinical manifestation. Here we report a case of posterior circulation stroke in left atrial myxoma. A 45-year-old female patient presented with a history of recurrent episodes of dizziness and headache of three months duration. Neurological examination showed impaired tandem gait. Magnetic resonance imaging (MRI) of the brain revealed infarction in the left posteroinferior cerebellar hemisphere. Echocardiography of the patient revealed a large left atrial mass suggestive of atrial myxoma and an ejection fraction of 60%. The patient was operated on for atrial myxoma two days after the diagnosis, and histopathology confirmed the diagnosis. Postoperatively she remained well and was managed on anti-platelet drugs. Atrial myxoma should be considered as a possible differential while evaluating a case of cardioembolic stroke, and echocardiography detects the presence of an atrial myxoma. It is also essential that atrial myxomas are managed early to prevent recurrent strokes.
中风是导致死亡和残疾的主要原因之一。它很少由心脏黏液瘤引起。有时中风可能是其首发临床表现。在此，我们报告一例左心房黏液瘤导致后循环中风的病例。一名45岁女性患者有持续三个月的反复头晕和头痛病史。神经系统检查显示串联步态受损。脑部磁共振成像（MRI）显示左后下小脑半球梗死。患者的超声心动图显示左心房有一个大肿块，提示心房黏液瘤，射血分数为60%。诊断后两天，患者接受了心房黏液瘤手术，组织病理学确诊。术后她情况良好，接受抗血小板药物治疗。在评估心源性栓塞性中风病例时，应考虑心房黏液瘤作为可能的鉴别诊断，超声心动图可检测到心房黏液瘤的存在。早期处理心房黏液瘤对于预防复发性中风也至关重要。
