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Case Reports
. 2018 Aug 4:2018:bcr2018225093.
doi: 10.1136/bcr-2018-225093.

Embolic stroke, left atrial myxoma and gigantism in a patient with Carney complex with additional features suggestive of Marfan syndrome

Carlo Micelli  1 , Wienta Diarsvitri  1 , Dian Maria Pia  2 , Hindarto Luhur  3
Affiliations
Case Reports

Embolic stroke, left atrial myxoma and gigantism in a patient with Carney complex with additional features suggestive of Marfan syndrome

Carlo Micelli et al. BMJ Case Rep. .

Abstract

A 16-year-old boy presented to the emergency department with a sudden weakness on the right side of the body and was diagnosed as having embolic stroke. Later on, the patient was diagnosed as having Carney complex (CNC). The neurological complication might be caused by left atrial myxoma as a feature of CNC. Surprisingly, the patient showed some additional features such as positive wrist and thumb signs, pectus carinatum deformity and plain flat feet, suggestive of Marfan syndrome. This case demonstrated that both of these syndromes might coexist in the same patient, suggesting that proper diagnostic and management were key factors that affected prognosis. He showed an improved condition after he had received medical treatments, undergone tumour excision and physiotherapy. Further evaluation was needed to improve patient outcomes.

Keywords: cardiovascular medicine; pituitary disorders; stroke.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Embolic stroke as depicted in MRI and MRA. Left: Diffusion weighted imaging (DWI) image. Middle: FLAIR image. Right: MRA AP view; yellow arrow showed left ICA occlusion. ICA, internal carotid artery; MRA, magnetic resonance angiogram.
Figure 2
Figure 2
Erosion on the floor of the pituitary fossa on the right aspect of the pituitary gland. Left: T2-weighted sagittal image. Right: T2-weighted coronal image.
Figure 3
Figure 3
Aortic root and mass as depicted in TTE. Top: TTE on 14 March 2017 showed a mass. Middle and Bottom: TTE on 18 January 2017 and 23 March 2017 showed aortic root progression. TTE, transthoracic echocardiogram.
See this image and copyright information in PMC

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