Juvenile ischemic stroke secondary to cardiogenic embolism: a rare case report

Abstract

Myxomas, the most common primary cardiac tumors, are known as a source of cardiogenic emboli. The possibility of their early detection has made them of great importance for emergency medicines. Detection of the disease is probable at early stages using echocardiography and associate complications such as syncope, cerebral embolic ischemic strokes, and sudden death. We report experience of a rare case of juvenile acute stroke in a patient with cardiac myxoma affecting all cardiac chambers presenting to the emergency department. In young stroke patients with signs and symptoms compatible with cardiovascular involvement, cardiogenic emboli should be taken into consideration; early echocardiographic studies are highly recommended. Prompt myxoma resection is required in both asymptomatic and stroke patients in whom intravenous thrombolysis course has not been implemented due to any limitations.

Keywords: Cerebral embolic ischemic stroke; emergency department; emergency medicines; myxomas.

Figure 1

Patient's computed tomography scan in admission

Figure 2

Patient's echocardiography in admission

Figure 3

Patient's postoperation magnetic resonance imaging

Figure 4

Patient's computed tomography scan in 2 months after admission

Figure 5

Patient's magnetic resonance imaging 12 months after admission