scholarly journals An elderly woman presents with a “Transient Ischemic Attack”: A curable cause

2021 ◽  
Vol 11 (1) ◽  
pp. 27-39
Author(s):  
Catherine A Kronfol ◽  
Shashank Shekhar ◽  
Juebin Huang
Keyword(s):  
Transient Ischemic Attack ◽  
Cardiac Myxoma ◽  
Brain Magnetic Resonance Imaging ◽  
The Elderly ◽  
Atrial Myxoma ◽  
Left Carotid Artery ◽  
Resonance Imaging ◽  
Left Atrial Myxoma ◽  
Sensorimotor Deficit ◽  
Ischemic Attack

We report a 78-year-old female who presented to the Emergency department after a 10-minute episode of transient ischemic attack (TIA)-like symptoms of right side sensorimotor deficit, presumably due to a left carotid artery ischemia syndrome, only to be found surprisingly to have bilateral multifocal acute infarcts of cardioembolic pattern by brain magnetic resonance imaging, and, even more surprisingly, to have a rare, but curable embolic source from a large left atrial myxoma. This case report emphasizes the importance of following existing guidelines to timely and thoroughly investigate the potential management-changing causes for all TIA patients. Rare but curable causes of stroke or TIA in young adults such as cardiac myxoma can also occur in the elderly patient population.

scholarly journals Gadolinium-DTPA Magnetic Resonance Imaging in the Diagnosis of Left Atrial Myxoma in the Elderly.

1993 ◽  
Vol 30 (11) ◽  
pp. 990-996 ◽  
Author(s):  
Hitoshi Koito ◽  
Naohiko Ohkubo ◽  
Yuka Wakayama ◽  
Hisato Nakamori ◽  
Junichi Suzuki ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Left Atrial ◽  
The Elderly ◽  
Atrial Myxoma ◽  
Resonance Imaging ◽  
Gadolinium Dtpa ◽  
Left Atrial Myxoma

scholarly journals Protruding left atrial myxoma presented with congestive heart failure and transient ischemic attack

2004 ◽  
Vol 27 (11) ◽  
pp. 605-605
Author(s):  
Mi-Seung Shin ◽  
Wook-Jin Chung ◽  
Kwang Kon Koh ◽  
Young Mi Yun ◽  
Kyu Jin Oh ◽  
...  
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Transient Ischemic Attack ◽  
Left Atrial ◽  
Atrial Myxoma ◽  
Left Atrial Myxoma ◽  
Ischemic Attack

Transient Ischemic Attack in the Elderly

2015 ◽  
Vol 16 (2) ◽  
pp. 56-62
Author(s):  
Meyung-Kug Kim ◽  
Bong-Goo Yoo
Keyword(s):  
Transient Ischemic Attack ◽  
The Elderly ◽  
Ischemic Attack

Altered Functional Connectivity within Default Mode Network in Patients with Transient Ischemic Attack: A Resting-State Functional Magnetic Resonance Imaging Study

2019 ◽  
Vol 48 (1-2) ◽  
pp. 61-69 ◽  
Author(s):  
Tingting Zhu ◽  
Lingyu Li ◽  
Yulin Song ◽  
Yu Han ◽  
Chengshu Zhou ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Functional Connectivity ◽  
Functional Magnetic Resonance Imaging ◽  
Transient Ischemic Attack ◽  
Default Mode Network ◽  
Resting State ◽  
Functional Magnetic Resonance ◽  
Resonance Imaging ◽  
Ischemic Attack

Default mode network (DMN) is an important functional brain network that supports aspects of cognition. Stroke has been reported to be associated with functional connectivity (FC) impairments within DMN. However, whether FC within DMN changes in transient ischemic attack (TIA), an important risk factor for stroke, remains unclear. Forty-eight TIA patients and 41 age- and sex-matched healthy controls (HCs) were recruited in this study. Using resting-state functional magnetic resonance imaging seed-based FC methods, we examined FC alterations within DMN in TIA patients, tested its associations with clinical information, and further explored the ability of FC abnormalities to predict follow-up ischemic attacks. We found significantly decreased FC of left middle temporal gyrus/angular gyrus both with medial prefrontal cortex (mPFC) and posterior cingulate cortex/precuneus (PCC/Pcu) and significantly decreased FC among each pair of mPFC, left PCC, and right Pcu in patients with TIA as compared with HCs. Moreover, the connectivity between mPFC and left PCC could predict future ischemic attacks of the patients. Collectively, these findings may provide insights into further understanding of the underlying pathological mechanism in TIA, and aberrant FC between the hubs within DMN may provide a reference for the imaging diagnosis and early intervention of TIA.

scholarly journals Paroxysmal hemicrania masquerading as a stroke in an elderly gentleman: case report

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Boon Hian Tan ◽  
Astrid Melani Suantio ◽  
Yeow Hoay Koh
Keyword(s):  
Brain Magnetic Resonance Imaging ◽  
The Elderly ◽  
Severe Headache ◽  
Paroxysmal Hemicrania ◽  
Horner’S Syndrome ◽  
Conjunctival Injection ◽  
Resonance Imaging ◽  
Horner's Syndrome ◽  
Case Presentation ◽  
Chinese Male

Abstract Background Paroxysmal hemicrania has not been associated with ipsilateral weakness, loss of sensation and Horner’s syndrome. This report is the first of its kind documented in literature. Case presentation This was an elderly, sixty-five-year-old Chinese male who presented with a headache fulfilling criteria of paroxysmal hemicrania and was found to have signs of ipsilateral conjunctival injection, Horner’s syndrome, weakness and loss of sensation; with resolution of the patient’s physical signs after relief of the headache. Brain magnetic resonance imaging did not show any strokes or other headache mimics. The patient had a marked response to indomethacin and a decrease of headache intensity and frequency with indomethacin prophylaxis. Conclusions Paroxysmal hemicrania has joined the list of stroke chameleons and that it would be one of the differentials in a patient with hemiplegia, hemisensory loss, autonomic signs and severe headache. It suggests that paroxysmal hemicrania in the elderly present atypically.

scholarly journals P853 Bilateral lower limb ischemia in a healthy young man what if the heart was hiding the etiology

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
M Mouadili ◽  
A Tamdy ◽  
B El Fatmi ◽  
S Elkarimi
Keyword(s):  
Popliteal Artery ◽  
Lower Limb ◽  
Cardiac Myxoma ◽  
Clinical Manifestations ◽  
Limb Ischemia ◽  
Atrial Myxoma ◽  
Surgical Removal ◽  
Left Atrial Myxoma ◽  
Tibial Arteries ◽  
The Right

Abstract Cardiac myxoma is the most common benign cardiac tumor with diverse nonspecific clinical manifestations; moreover, atrial myxoma embolization to the peripheral vessels is rare. A 24-year-old man presented tothe emergency departement complaining ofpain and coldness of his two lower extremities. The right femoral pulse was normally felt while the pulses of the left lower limb from the femoral down to the posterior and anterior tibial arteries were not felt. Bilateral thrombectomy was performed on emergency basisand a fatty-like mass from the left femoral artery was removed. The histological examination of this mass was suggestive of myxoma.So, transthoracic echocardiography was done and confirmed the diagnosis of myxoma that was seen in the left atrium and measuring about 10X6 cm in its maximal dimensions. Surgical removal of the myxoma was done later and the patient recovered uneventfully. Conclusion Although myxomas are rare, they should be considered in the differential diagnosis of peripheral embolic disease, especially when an embolic event occurs in a young adult without evidence of endocarditis or arrhythmia. Echocardiography is the modality of choice for diagnosis and follow-up of this type of tumors. FIGURE 1: CTA (computed tomography angiography) showing Occlusion of the left popliteal artery and occlusion of the distal part of the right popliteal artery FIGURE 2: macroscopic view of gelatinous left atrial myxoma

Transient Ischemic Attack Patients Do Have Magnetic Resonance Imaging Proven Infarcts (P04.051)

Neurology ◽  
2012 ◽  
Vol 78 (Meeting Abstracts 1) ◽  
pp. P04.051-P04.051
Author(s):  
H. Zacharatos ◽  
A. Hassan ◽  
S. Chaudhry ◽  
A. Qureshi
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Transient Ischemic Attack ◽  
Resonance Imaging ◽  
Ischemic Attack
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