Why the study?
Basilar artery occlusion is a rare cause of convulsive seizure, which can lead to delayed treatment if mistaken for epilepsy, and atrial myxoma is a rare cause of stroke requiring prompt surgical removal.
Atrial myxoma is a rare cause of cardioembolic stroke that can present as basilar artery occlusion with convulsive seizures, requiring timely endovascular treatment and surgical resection.
Recovery after endovascular and surgical management in this rare myxoma stroke case; leaves open need for prospective data before broader adoption.
BACKGROUND: Basilar artery occlusion (BAO) is a rare cause of convulsive seizure. Such patients who are treated for epilepsy will miss the optimal time for treatment. Atrial myxoma is a rare cause of stroke and should be surgically removed as soon as possible after diagnosis. CASE SUMMARY: We report a patient who presented with convulsions as the initial symptom and was diagnosed with BAO by computed tomographic angiography. After transthoracic echocardiogram, the cause of the disease was diagnosed as atrial myxoma. The patient recovered well after endovascular treatment and resection of the atrial myxoma. CONCLUSION: A small number of patients with BAO present with convulsive seizures. It is very important to make a timely diagnosis. Direct thrombaspiration may be the best choice for basilar artery cardioembolization, and thrombectomy for distal moderate vascular occlusion in posterior circulation is feasible. Atrial myxoma is a rare cause of cardioembolic stroke and should be resected as soon as possible to prevent further embolic complications.
No takes yet. Share an insight, caveat, or question.
Xu et al. (2023) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: