Published: Dec 15, 2016
  
 
     
 
cardiac tumor myxoma cardio-embolic stroke stroke in the young
  
     
 
   
 
 
 
 
 
 
 
 
 
 
 

 

 
   
 
 
 
    Language
  
      English  
      ภาษาไทย  
 
 
    Information
  
      For Readers  
      For Authors  
      For Librarians  
 
 
    Home ThaiJo
  
   
 
 
 
    Manual
  
      For Author  
      For Reviewer  
 
 
   Author Guidelines
  
      Author Guidelines  
       
 
 
    เว็บไซต์
  
      โรงพยาบาล
    เจริญกรุงประชารักษ์		  
      www.ckphosp.go.th  
 
 

 

 
     
    Home / Archives / Vol. 13 No.1 (2017): JAN - JUN / Original Article  
 
   
 

Cardiac myxoma in young patient who presented with left facial palsy and left hand monoparesis: A case report
   
 
   
   
     
 
นิศารัตน์ เจริญศรี
Department of Internal Medicine, Charoenkrung Pracharak Hospital, Medical Service Department, Bangkok Metropolitan Administration.
เฉลิมภักดิ์ ศุภคติธรรม
Department of Pathology, Navamindradhiraj University, Bangkok Metropolitan Administration.

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.


  
     
     
 
    How to Cite  
     
  เจริญศรี น., & ศุภคติธรรม เ. (2016). Cardiac myxoma in young patient who presented with left facial palsy and left hand monoparesis: A case report. Journal of Charoenkrung Pracharak Hospital, 13(1), 59–73. Retrieved from https://he02.tci-thaijo.org/index.php/JCP/article/view/178686  
     

 
 
     
     
 
    Issue  
     
  Vol. 13 No.1 (2017): JAN - JUN  

 
 
     
     
 
    Section  
     
  Case Report  

 
 
     
     
     
 

References

1. Robert OB, Douglas LM, Douglas PZ, Peter L, editors. Braunwald's heart disease a textbook of cardiovascular medicine, vols. 2, 9th ed. Philadelphia; 2012.

2. Valentin F, Richard AW, Robert AH, editors. Hurst's the heart, vols. 2, 13th ed. China; 2011.

3. Eduardo DG, Carlos RC, Carlos V, Julio SM, Jorge NW, Pedro G, et al. Cardiac myxoma: clinical-pathological correlation. Rev Esp Cardiol 2002; 55(5):505-13.

4. Jun A, Tetsuya K, Yuko W, Tianshu Z, Naohiko K, Minoru F, et al. Cardiac myxoma: its origin and tumor characteristics. Ann Thorac Cardiovasc Surg 2003; 9(4): 215-21.

5. Dennis LK, Eugene B, Anthony SF, Stephen LH, Dan LL, editors. Harrison's principles of internal medicine, 2 vols. 16th ed. United States of America; 2005.

6. José MF, Ayrton RM, Jean LM. Aetiological diagnosis of ischaemic stroke in young adults. The Lancet Neurology 2010; 9: 1085-96.

7. Martin PJ, Enevoldson TP, Humphrey PRD. Causes of ischaemic stroke in the young: The Fellowship of Postgraduate Medicine 1997; 73: 8-16.

8. ราชวิทยาลัยอายุรแพทย์. แนวทางการรักษาโรคหลอดเลือดสมองตีบหรืออุดตัน สำหรับแพทย์ พุทธศักราช 2550 (Clinical practice guidelines for ischemic stroke).

9. Maria SC, Maria JA, Joao A, Rosa G. Understanding cardiac myxoma recurrence: a case report. Revista Portuguesa de 2013; 32(3): 239-42 .

10. Jay S., John SO., John SG. Cardiac myxomas with systemic embolization: review of the literature and report of a case. Circulation 1962; 26: 99-103.

11. Mary LG, Melissa LR, Curtis EG, Allen PB, Jeffrey RG. Cardiac myxoma: imaging features in 83 patients. Radiographic 2002; 22(3): 673-89.

12. Andrew WE, Joseph AD, Richard CD, Charles JM, Thomas AO, Francisco JP, et al. Survival after resection of primary cardiac tumors a 48-year experience. Circulation 2008; 118 (1 supp): S7–S15.

13. Denis AB, Enrico F. Surgical treatment for heart myxomas. Multimedia Manual of Cardio-Thoracic Surgery 2012; 1-5.

14. Robert GH, Vincent TM. Cerebral infarction in young adults: a practical approach. American Heart Association 1983; 14: 110-44.

15. Jose FV. Diagnostic work-up and etiology in ischemic stroke in young adults: before and now. J Neurol Neurophysiology 2012; 3: 1-4.

16. Dayna G, Jonathan S. Epidemiology and etiology of young stroke. Stroke Research and Treatment 2011; 9: 1-9.

17. Carmine M, Tommasina R, Giorgio F. Incidence of stroke in young adults: a review. Stroke Research and Treatment 2010; 1-5.

18. Fábio IY. Ischemic stroke in young adults: an overview of etiological aspects. Arq Neuropsiquiatr 2012; 70(6): 462-6.

19. María BN, Adriana O, Ana MU. Ischemic stroke in young adults: a diagnostic challenge. Neuroradiology 2011; 75(2): 1-5.

20. Michael JK, David DM, Tatjana R. Stroke in young. Periodicum Biologorum 2012; 114(3), 347–53.

21. Edward CJ, Jeffrey LS, Harold PA, Askiel B. Guidelines for the early management of patients with acute ischemic stroke. American Heart Association/American Stroke Association 2013; (44); 870-947.

22. Muhamed S, Alicia CA, Samir A, Farooq AC, Richard AG, Itzhak K, et al. Guidelines for the use of echocardiography in the evaluation of a cardiac source of embolism. J Am Soc Echocardiogr 2016; 29:1-42.