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Clinical Problem-Solving: 72-Year-Old Woman With Multifocal Strokes and an Intracardiac Mass

Alexis T Roy1, Galina Gheihman1, Aaron L Berkowitz2

  • 1Department of Neurology, Brigham and Women's Hospital, Boston, MA, USA; and Department of Neurology, Massachusetts General Hospital, Boston, MA, USA.

The Neurohospitalist
|June 27, 2022
PubMed

Insights

A 72-year-old female experienced multifocal strokes due to mobile intracardiac masses. This case highlights challenges in diagnosing and managing cardiac masses causing stroke.

Area of Science:

  • Cardiology
  • Neurology
  • Diagnostic Imaging

Background:

  • Intracardiac masses can lead to embolic stroke.
  • Prompt diagnosis and management are crucial for patient outcomes.

Purpose of the Study:

  • To present a case of multifocal strokes caused by intracardiac masses.
  • To discuss the diagnostic and management challenges associated with intracardiac masses as a source of stroke.

Main Methods:

  • Case report of a 72-year-old female patient.
  • Review of diagnostic imaging for intracardiac masses.
  • Discussion of differential diagnoses for cardiac tumors and thrombi.
  • Analysis of stroke etiology and management strategies.

Main Results:

  • Multiple, mobile intracardiac masses were identified as the cause of stroke.
  • The patient's case presented diagnostic and therapeutic complexities.

Conclusions:

  • Intracardiac masses are a critical consideration in patients with cryptogenic stroke.
  • Multidisciplinary management is essential for optimizing outcomes in such cases.

Keywords:
cardiac tumorcardioembolismcerebrovascular accidentfibroelastomavascular neurology

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