Ischemic stroke as the first manifestation of severe ventricular hypertrabeculation/non-compaction.
A rare congenital myocardial defect, known as left ventricular hypertrabeculation/non-compaction (LVHT), has been occasionally described associated with thrombus formation with a potential systemic embolic risk, but its association with ischemic strokes remains controversial. We report a case of ischemic stroke in a patient with severe LVHT and ventricular dysfunction as a possible etiologic synergistic association. In absence of other embolic sources, a severe LVTH associated with ventricular dysfunction could constitute a potential source of brain embolism, especially in patients with high suspicion of an embolic mechanism of ischemic stroke.
Jaramillo
Arturo
A
Departamento de Neurologia e Neurocirurgia, Hospital de Clínicas, Escola de Medicina, Universidade do Chile, Independencia, Santiago, Chile. arturo.jaramillo@gmail.com
Ramírez
Alfredo
A
Galleguillos
Lorna
L
Vallejos
José
J
Illanes
Sergio
S
D002545:Brain Ischemia / Q000209:etiology; D006801:Humans; D017379:Hypertrophy, Left Ventricular / Q000150:complications* / Q000000981:diagnostic imaging; D020766:Intracranial Embolism / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D020521:Stroke / Q000209:etiology*; D014463:Ultrasonography; D018487:Ventricular Dysfunction, Left / Q000150:complications*