A rare aetiology of stroke; myxomatous aneurysm caused by atrial myxoma


Acar E. , Ozdemir Z., Selcuk H. H. , Coban E., Soysal A.

Ideggyogyaszati Szemle-Clinical Neuroscience, ss.141-144, 2018 (SCI Expanded İndekslerine Giren Dergi)

  • Basım Tarihi: 2018
  • Dergi Adı: Ideggyogyaszati Szemle-Clinical Neuroscience
  • Sayfa Sayısı: ss.141-144

Özet

Atrial myxoma is a rare cause of stroke. In this report we present the case of a 52-year-old female patient who went to hospital suffering from a headache. Her neurological examination was normal except for a positive Babinski sign on the left. In the superolateral of ihe right, a Sylvian fissure consistent with a thrombosed aneurysm was detected using computerised tomography (CT). Diffusion MRI showed on acute infarction on the right MCA area. Transthorasic Echocardiography and ECG were normal. A -16x4 mm- sized fusiform perpendicular aneurysm on the M2 segment Sylvian curve of right MCA and a -6x4 mm-sized dissecting aneurysm on P3 segment of the left posterior cerebral artery (PCA) were observed in cerebral angiography. Transesophageal echocardiography (TEE) demonsrated a large mass with a suspected size of 2x2x 1.5 cm on the left atrium. The mass was resected and on the eighth day after the operation, she had a temporary vision loss and hyperin- tensity on the T1 sequence was interpreted as laminary necrosis suspected on Cranial MRI. In follow up, she was stable with 300mg acetylsalicylic acid treatment. The main treatment is surgical resection in stroke caused by atrial myxoma