Prevention of Cerebral Embolism Progression by Emergency Surgery of the Left Atrial Myxoma
A 21-year-old woman developed left hemiparesis during work and was hospitalized. Her National Institutes of Health Stroke Scale score was 4. Hyperintense areas in the left basal ganglia, corona radiata, and cortex of the temporal lobe were found by brain diffusion-weighted magnetic resonance imaging...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2015/151802 |
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| _version_ | 1832561199497084928 |
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| author | Syuichi Tetsuka Kunihiko Ikeguchi |
| author_facet | Syuichi Tetsuka Kunihiko Ikeguchi |
| author_sort | Syuichi Tetsuka |
| collection | DOAJ |
| description | A 21-year-old woman developed left hemiparesis during work and was hospitalized. Her National Institutes of Health Stroke Scale score was 4. Hyperintense areas in the left basal ganglia, corona radiata, and cortex of the temporal lobe were found by brain diffusion-weighted magnetic resonance imaging, indicating acute cerebral infarction. Echocardiography showed a giant mass of diameter 7 × 4 cm in the left atrium. Therefore, she was diagnosed with cerebral embolism due to a left atrial myxoma. Currently, thrombolytic therapy may continue to be effective because the embolic source may be composed of tumor tissue itself. In case of atrial myxoma, we considered that the use of tPA as emergency treatment in all patients with infarction by atrial myxoma may be questioned. Thus, cardiac tumor extraction was performed the next day after hospitalization without thrombolytic therapy. The excised myxoma measured 7 × 6 × 4 cm. The patient recovered and her neurological symptoms also improved. Furthermore, her National Institutes of Health Stroke Scale score improved to 0. Thirteen days after admission, the patient was discharged from our hospital. Cardiac myxoma is often associated with a high risk of embolic episodes, which emphasizes the need for prompt surgical excision as soon as the diagnosis is confirmed. |
| format | Article |
| id | doaj-art-146188311a3b42969254e3898202c467 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-146188311a3b42969254e3898202c4672025-02-03T01:25:38ZengWileyCase Reports in Medicine1687-96271687-96352015-01-01201510.1155/2015/151802151802Prevention of Cerebral Embolism Progression by Emergency Surgery of the Left Atrial MyxomaSyuichi Tetsuka0Kunihiko Ikeguchi1Department of Neurology, Hospital of International University of Health and Welfare, 537-3 Iguchi, Nasushiobara, Tochigi 329-2763, JapanJichi Medical University Station Brain Clinic, 3-2-2 Idaimae, Shimotsuke, Tochigi 329-0403, JapanA 21-year-old woman developed left hemiparesis during work and was hospitalized. Her National Institutes of Health Stroke Scale score was 4. Hyperintense areas in the left basal ganglia, corona radiata, and cortex of the temporal lobe were found by brain diffusion-weighted magnetic resonance imaging, indicating acute cerebral infarction. Echocardiography showed a giant mass of diameter 7 × 4 cm in the left atrium. Therefore, she was diagnosed with cerebral embolism due to a left atrial myxoma. Currently, thrombolytic therapy may continue to be effective because the embolic source may be composed of tumor tissue itself. In case of atrial myxoma, we considered that the use of tPA as emergency treatment in all patients with infarction by atrial myxoma may be questioned. Thus, cardiac tumor extraction was performed the next day after hospitalization without thrombolytic therapy. The excised myxoma measured 7 × 6 × 4 cm. The patient recovered and her neurological symptoms also improved. Furthermore, her National Institutes of Health Stroke Scale score improved to 0. Thirteen days after admission, the patient was discharged from our hospital. Cardiac myxoma is often associated with a high risk of embolic episodes, which emphasizes the need for prompt surgical excision as soon as the diagnosis is confirmed.http://dx.doi.org/10.1155/2015/151802 |
| spellingShingle | Syuichi Tetsuka Kunihiko Ikeguchi Prevention of Cerebral Embolism Progression by Emergency Surgery of the Left Atrial Myxoma Case Reports in Medicine |
| title | Prevention of Cerebral Embolism Progression by Emergency Surgery of the Left Atrial Myxoma |
| title_full | Prevention of Cerebral Embolism Progression by Emergency Surgery of the Left Atrial Myxoma |
| title_fullStr | Prevention of Cerebral Embolism Progression by Emergency Surgery of the Left Atrial Myxoma |
| title_full_unstemmed | Prevention of Cerebral Embolism Progression by Emergency Surgery of the Left Atrial Myxoma |
| title_short | Prevention of Cerebral Embolism Progression by Emergency Surgery of the Left Atrial Myxoma |
| title_sort | prevention of cerebral embolism progression by emergency surgery of the left atrial myxoma |
| url | http://dx.doi.org/10.1155/2015/151802 |
| work_keys_str_mv | AT syuichitetsuka preventionofcerebralembolismprogressionbyemergencysurgeryoftheleftatrialmyxoma AT kunihikoikeguchi preventionofcerebralembolismprogressionbyemergencysurgeryoftheleftatrialmyxoma |