Journal of Nepal Medical Association (Nov 2022)

Recurrent Ischemic Stroke in a Patient with Atrial Myxoma: A Case Report

  • Gentle Sunder Shrestha,
  • Ankit Rimal,
  • Shubha Kalyan Shrestha,
  • Pramesh Sunder Shrestha,
  • Subhash Prasad Acharya

DOI
https://doi.org/10.31729/jnma.6693
Journal volume & issue
Vol. 60, no. 255

Abstract

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Cardiac myxoma is an infrequent but curable cause of ischemic stroke. There are no guidelines addressing the timing of surgery to excise the tumour or for the use of thrombolysis or thrombectomy. We present a case with an ischemic stroke which was diagnosed to have atrial myxoma. She was planned for surgical excision of the tumour but suffered from a second ischemic stroke while awaiting surgery. This article aims to highlight vital aspects of this rare phenomenon and discuss the prospects of the timing of surgery and neurosurgical intervention. The importance of a proper cardiac evaluation in all cases of stroke is highlighted.

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