title: A Rare Cause of Pediatric Stroke.
abstract: We describe a case of sudden-onset left-sided hemiparesis and dysarthria in a five-year-old boy. Acute vascular malformation bleeding or ischemic stroke was suspected. Neurological examination three weeks after the initial event revealed mild residual facial paresis. Brain angiography ruled out a vascular malformation. A work-up echocardiogram revealed a 4-cm left atrial mass compatible with cardiac myxoma. Urgent surgical resection of the mass under cardiopulmonary bypass confirmed the diagnosis. Uneventful recovery followed surgical resection. In this report, we present a partially embolized left atrial myxoma that caused an acute ischemic stroke, which is rarely considered and encountered in the pediatric population.
authors.affiliation: 1 Division of Congenital Heart Surgery, Hospital Privado Universitario de Córdoba, Córdoba, Argentina.
authors.forename: Ignacio
authors.initials: I
authors.lastname: Juaneda
authors.affiliation: 2 Division of Pediatric Cardiology, Hospital Privado Universitario de Córdoba, Córdoba, Argentina.
authors.forename: Alejandro
authors.initials: A
authors.lastname: Peirone
authors.affiliation: 3 Division of Cardiology, Hospital Privado Universitario de Córdoba, Córdoba, Argentina.
authors.forename: Alejandro
authors.initials: A
authors.lastname: Contreras
authors.affiliation: 4 Division of Pediatric Cardiac Intensive Care, Hospital Privado Universitario de Córdoba, Córdoba, Argentina.
authors.forename: Juan
authors.initials: J
authors.lastname: Díaz
authors.affiliation: 5 Division of Diagnostic and Interventional Neuroradiology, Hospital Privado Universitario de Córdoba, Córdoba, Argentina.
authors.forename: Federico
authors.initials: F
authors.lastname: Roca
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods; D002675:Child, Preschool; D003937:Diagnosis, Differential; D015150:Echocardiography, Doppler; D019560:Echocardiography, Three-Dimensional; D006325:Heart Atria; D006338:Heart Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009232:Myxoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D020521:Stroke / Q000175:diagnosis / Q000209:etiology*
keywords: atrium; myxoma; pediatric; stroke; surgery