Ictus isquémico y oclusión de arteria ciliorretiniana izquierda sincrónicos como forma de presentación de un mixoma auricular incidental

Juan Francisco García-Granado; Carlota Acosta-Guerra; Adrián Torres-Clares; Fernando Haroldo Cabrera-Naranjo; María de la Luz Plaza-Pérez; Hugo Martín-García; Ayoze Nauzet González-Hernández

doi:10.32818/reccmi.a9n2a5

Authors

Juan Francisco García-Granado Neurology Department, Doctor Negrín University Hospital of Gran Canaria, Las Palmas de Gran Canaria, Spain https://orcid.org/0000-0003-0670-7069
Carlota Acosta-Guerra Internal Medicine Department, Doctor Negrín University Hospital of Gran Canaria, Las Palmas de Gran Canaria, Spain https://orcid.org/0009-0007-2490-6287
Adrián Torres-Clares Cardiovascular Surgery Department, Doctor Negrín University Hospital of Gran Canaria, Las Palmas de Gran Canaria, Spain https://orcid.org/0009-0005-7064-8050
Fernando Haroldo Cabrera-Naranjo Neurology Department, Doctor Negrín University Hospital of Gran Canaria, Las Palmas de Gran Canaria, Spain https://orcid.org/0000-0002-3720-5910
María de la Luz Plaza-Pérez Department of Pathological Anatomy, Doctor Negrín University Hospital of Gran Canaria, Las Palmas de Gran Canaria, Spain https://orcid.org/0000-0002-7979-563X
Hugo Martín-García Neurology Department, Doctor Negrín University Hospital of Gran Canaria, Las Palmas de Gran Canaria, Spain https://orcid.org/0009-0002-4207-5062
Ayoze Nauzet González-Hernández Neurology Department, Doctor Negrín University Hospital of Gran Canaria, Las Palmas de Gran Canaria, Spain https://orcid.org/0000-0003-2986-3603

DOI:

https://doi.org/10.32818/reccmi.a9n2a5

Keywords:

ischemic stroke, atrial myxoma, embolic stroke, optical coherence tomography, retinal arterial obstruction

Abstract

We present of a patient with left atrial myxoma who had a synchronous debut with ischemic stroke in multiple territories and an obstruction of the left cilioretinal artery, where surgical excision was curative. The challenges in the
diagnosis of cardioembolic stroke are highlighted, especially in patients with an absence of vascular risk factors, where unusual etiologies enter the differential diagnosis. Surgical excision was curative. This case underlines the importance of establishing a differential diagnosis of unusual etiologies in patients without vascular risk factors and in the presence of multiple and complex neurological symptoms.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Evangelista Masip A, Alonso Gómez AM, Martín Durán R, Moreno Yagüe¬la M, Oliver Ruiz JM, Rodríguez Padial L, et al. Guías de práctica clínica de la Sociedad Española de Cardiología en ecocardiografía. Rev Esp Cardiol. 2000; 53(5): 663-683. Accesible en: https://www.revespcardiol.org/es-pdf- X0300893200097319. (último acceso abr. 2024) DOI: https://doi.org/10.1016/S0300-8932(00)75144-X

Murphy SJ, Werring DJ. Stroke: causes and clinical features. Medicine (Abingdon). 2020; 48(9): 561-566. doi: https://doi.org/10.1016/J.MP¬MED.2020.06.002 (último acceso jun. 2024). DOI: https://doi.org/10.1016/j.mpmed.2020.06.002

Grebenc ML, Rosado-de-Christenson ML, Green CE, Burke AP, Galvin JR. Car¬diac myxoma: imaging features in 83 patients. Radiographics. 2002; 22(3): 673-689. doi: https://doi.org/10.1148/radiographics.22.3.g02ma02673 (últi¬mo acceso jun. 2024). DOI: https://doi.org/10.1148/radiographics.22.3.g02ma02673

Keeling IM, Oberwalder P, Anelli-Monti M, Schuchlenz H, Demel U, Tilz GP, et al. Cardiac myxomas: 24 years of experience in 49 patients. Eur J Car¬diothorac Surg. 2002; 22(6): 971-977. doi: https://doi.org/10.1016/s1010- 7940(02)00592-4 (último acceso jun. 2024). DOI: https://doi.org/10.1016/S1010-7940(02)00592-4

Rafuse P, Nicolle D, Hutnik C, Pringle. Left atrial myxoma causing ophthal¬mic artery occlusion. Eye. 1997; 11: 25-29. doi: https://doi.org/10.1038/ eye.1997.5 (último acceso jun. 2024). DOI: https://doi.org/10.1038/eye.1997.5

Yu Y, Zhu Y, Dong A, Su Z. Retinal artery occlusion as the manifestation of left atrial myxoma: a case report. BMC Ophthalmol. 2014; 14: 164. doi: https://doi.org/10.1186/1471-2415-14-164 (último acceso jun. 2024). DOI: https://doi.org/10.1186/1471-2415-14-164

Porrini G, Scassellati-Sforzolini B, Mariotti C, Giuliani M, Giovannini A. Plu¬rifocal cilioretinal occlusion as the presenting symptom of cardiac myxo¬ma. Retina. 2000; 20(5): 550-552. doi: https://doi.org/10.1097/00006982- 200005000-00022 (último acceso jun. 2024). DOI: https://doi.org/10.1097/00006982-200005000-00022

Mir TA, Megalla MM, Sinard JH, Wang JC. Cilioretinal Artery Occlusion as the Presenting Manifestation of Left Atrial Myxoma. J Vitreoretin Dis. 2021; 6(4): 320-323. doi: https://doi.org/10.1177/24741264211034114 (último acceso jun. 2024). DOI: https://doi.org/10.1177/24741264211034114

Gladstone DJ, Spring M, Dorian P, Panzov V, Thorpe KE, Hall J, et al., for the EMBRACE Investigators and Coordinators. Atrial fibrillation in patients with cryptogenic stroke. N Engl J Med. 2014; 370(26): 2467-2477. doi: https://doi. org/10.1056/NEJMoa1311376 (último acceso jun. 2024). DOI: https://doi.org/10.1056/NEJMoa1311376

Sanna T, Diener HC, Passman RS, Di Lazzaro V, Bernstein RA, Morillo CA, et al., for the CRYSTAL AF Investigators. Cryptogenic stroke and underlying atrial fibrillation. N Engl J Med. 2014; 370(26): 2478-2486. doi: https://doi. org/10.1056/NEJMoa1313600 (último acceso jun. 2024). DOI: https://doi.org/10.1056/NEJMoa1313600