Cardiac myxoma in young patient who presented with left facial palsy and left hand monoparesis: A case report
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Abstract
Primary tumors of the heart are rare. Myxoma is the most common type of primary cardiac tumor in all age groups. Most of patients have no any symptoms, but frequently incidental examination by echocardiography. Some of patients may present with dyspnea, syncope, palpitation, heart failure, valve destruction and valve obstruction. Myxoma may also present with pulmonary and peripheral emboli such as brain, bowel, limb and coronary artery. Cerebral emboli from fragment of tumor lead to cerebral infarction.
A 44-year-old Thai woman presented with sudden left-face and left-hand paresis from acute infarction of high right parietal and right frontal cortex. She was diagnosed stroke in the young and received more investigation. Acute cerebral infarction resulted from emboli of cardiac myxoma fragment. Cardiac myxoma was proved by tissue pathology. This condition is a rare cause of cardio-embolic stroke in the young, but it is the curable disease. Radical tumor removal surgery can prevent patient from recurrent embolic phenomenon.
Keywords: cardiac tumor, myxoma, cardio-embolic stroke, stroke in the young.
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References
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