Is it safe to proceed with thrombolytic therapy for acute ischemic stroke in a patient with cardiac myxoma? case report and review of the literature

摘要

Acute cerebral ischemia can be the first manifestation of an atrial myxoma 1, 2. Myxomas are the most common primary-cardiac tumors and can present as mitral valve dynamic obstruction, constitutional symptoms or embolic phenomena. We currently present the case of a 69-year-old woman with a history of hypertension who presented with sudden left-sided hemiparesis, drowsiness, and left hemineglect, with a National Institutes of Health Stroke Scale (NIHSS) score of 12. She reported having experienced the same symptoms 1 h earlier, with prompt recovery after a few minutes.