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Facial Drooping, Aphasia, and an Incidental Lung Mass in a Nonsmoker
Justin K Lui1, Lacey J McIntosh2, Jorge Escobar Valle1
11 Department of Medicine, University of Massachusetts Medical School, Worcester, MA, USA.
Background:
Atrial fibrillation and atrial flutter are atrial tachycardias associated with embolic strokes. To date, there have only been a few reports highlighting the incidence of these atrial tachycardias due to mechanical compression of myocardial structures and the pulmonary vasculature in certain mediastinal masses and cysts.
Case:
We present a case of a 75-year-old gentleman who is a nonsmoker with a history of hypertension who presents with an acute embolic stroke due to atrial flutter likely from mechanical compression from an underlying squamous cell carcinoma of the lung.
Conclusion:
This case represents, to the best of our knowledge, a rare case of squamous cell carcinoma of the lung in a nonsmoker likely leading to mechanical compression and a resultant atrial tachycardia with an embolic stroke.
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