A Rare Cause of Pediatric Stroke.

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A Rare Cause of Pediatric Stroke.

World J Pediatr Congenit Heart Surg. 2017 Mar;8(2):220-223

Authors: Juaneda I, Peirone A, Contreras A, Díaz J, Roca F

Abstract
We describe a case of sudden-onset left-sided hemiparesis and dysarthria in a five-year-old boy. Acute vascular malformation bleeding or ischemic stroke was suspected. Neurological examination three weeks after the initial event revealed mild residual facial paresis. Brain angiography ruled out a vascular malformation. A work-up echocardiogram revealed a 4-cm left atrial mass compatible with cardiac myxoma. Urgent surgical resection of the mass under cardiopulmonary bypass confirmed the diagnosis. Uneventful recovery followed surgical resection. In this report, we present a partially embolized left atrial myxoma that caused an acute ischemic stroke, which is rarely considered and encountered in the pediatric population.

PMID: 27549734 [PubMed - indexed for MEDLINE]

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