Intracardiac tumor: A risk factor for stroke in the young –A case report

  • EO Sanya
  • PM Kolo
  • UG Adamu
  • OG Opadijo
  • KW Wahab
  • AF Mustapha
  • ABO Omotoso

Abstract



Stroke occurs commonly in individuals above 65years, especially in the background of atherosclerosis and other risk factors. In young persons below 45 years it is a rare disorder with devastating sequelae on the affected individual. Presently there are few reports on the aetiology/risk factors for stroke in young adults in Nigeria. This is due to limited facility for thorough investigation; therefore management of such cases poses a diagnostic challenge. In this report we present a case of embolic stroke in a male undergraduate that began with two brief episodes of transient left sided weakness before a completed stroke four hours later. 2-D echocardiography showed that the likely source of emboli to be a non-pedunculated left atria tumour attached to the root of posteriormitral valve leaflet. Intracardiac mass should be considered a possible risk factor for ischemic stroke in young adult, especially in the absence of other risk factors such as connective tissue disorders, HIV/AIDS, hemoglobinopathy or use of recreational drugs. High index of suspicion is required in order not to overlook such source of emboli. Early diagnosis offers the best panacea for a definitive therapy and prevention of stroke recurrence with its devastating sequelae.Intracardic tumour, risk factor, stroke .

Nigerian Journal of Clinical Practice Vol. 11 (1) 2008: pp. 82-85
Published
2008-06-24
Section
Articles

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eISSN: 1119-3077