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CASE REPORT
Year : 2008  |  Volume : 11  |  Issue : 1  |  Page : 81-84

Intracardiac tumor : a risk factor for stroke in the young--a case report


Department of Medicine University of Ilorin Teaching Hospital, Ilorin, Kwara State

Correspondence Address:
E O Sanya
Department of Medicine University of Ilorin Teaching Hospital, Ilorin, Kwara State

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Source of Support: None, Conflict of Interest: None


PMID: 18689147

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BACKGROUND: Stroke occurs commonly in individuals above 65 years, especially in the background of atherosclerosis and other risk factors. In young persons below 45 years it is a rare disorder with devastating sequelae on the affected individual. OBJECTIVE: Presently there are few reports on the aetiology/risk factors for stroke in young adults in Nigeria. This is due to limited facility for thorough investigation; therefore management of such cases poses a diagnostic challenge. In this report we present a case of embolic stroke in a male undergraduate that began with two brief episodes of transient left sided weakness before a completed stroke four hours later. 2-D echocardiography showed that the likely source of emboli to be a non-pedunculated left atria tumour attached to the root of posterior mitral valve leaflet. CONCLUSION: Intracardiac mass should be considered a possible risk factor for ischemic stroke in young adult, especially in the absence of other risk factors such as connective tissue disorders, HIV/AIDS, hemoglobinopathy or use of recreational drugs. High index of suspicion is required in order not to overlook such source of emboli. Early diagnosis offers the best panacea for a definitive therapy and prevention of stroke recurrence with its devastating sequelae.


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