title: Effective intravenous thrombolytic therapy in a patient with cerebral infarction associated with left atrial myxoma.
abstract: A 70-year-old man presented with sudden onset of global aphasia and right hemiplegia. Brain MRI revealed occlusion of the left middle cerebral artery. He was diagnosed as having a hyperacute cerebral infarction. Intravenous thrombolytic therapy was started, and the neurological symptoms were resolved after 11 h. Echocardiography showed a mobile mass in the left atrium, suspicious of a myxoma. The tumor was resected and pathologically diagnosed as a myxoma. In this patient, intravenous thrombolytic therapy was effective, and no adverse effects were observed. This suggests that, even with complications of myxoma, thrombolytic therapy can be considered if there are no contraindications.
authors: Department of Neurology, Tokyo Women's Medical University, Yachiyo Medical Center, Japan. abe_tymc@yahoo.co.jp
authors: Mayumi
authors: M
authors: Abe
authors: Ai
authors: A
authors: Kohama
authors: Takahiro
authors: T
authors: Takeda
authors: Akimi
authors: A
authors: Ishikawa
authors: Yuichiro
authors: Y
authors: Yamada
authors: Yasuhiro
authors: Y
authors: Kawase
authors: Yosuke
authors: Y
authors: Ishii
authors: Ryuzo
authors: R
authors: Bessho
authors: Yoshiharu
authors: Y
authors: Oaki
authors: Shoji
authors: S
authors: Haruta
authors: Takashi
authors: T
authors: Ohashi
mesh_terms: D000368:Aged; D002544:Cerebral Infarction / Q000188:drug therapy* / Q000209:etiology*; D005343:Fibrinolytic Agents / Q000008:administration & dosage*; D006325:Heart Atria; D006338:Heart Neoplasms / Q000150:complications*; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D009232:Myxoma / Q000150:complications*; D015912:Thrombolytic Therapy / Q000379:methods*; D010959:Tissue Plasminogen Activator / Q000008:administration & dosage*
chemical_list: D005343:Fibrinolytic Agents; D010959:Tissue Plasminogen Activator