Key result
A 50-year-old woman presented with multiple brain infarcts and Balint syndrome caused by an aortic arch angiosarcoma, representing only the second reported case of this tumor presenting with stroke.
Case Report (n=1)
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Aortic arch angiosarcoma is an extremely rare etiology for multiple brain infarcts and stroke that can be identified using transesophageal echocardiography.
A 50-year-old woman presented with subacute cognitive decline, impaired eye movements, and simultanagnosia, components of the Balint syndrome. She had relatively low blood pressure in the left arm and left finger clubbing. Brain imaging identified multiple acute infarcts. Transesophageal echocardiography showed no cardiac abnormalities but demonstrated a thickened aortic wall and an intraluminal aortic arch mass. The surgical specimen revealed angiosarcoma. Of the few reported angiosarcomas involving the aorta, most have been located in the abdominal segment. This is only the second reported case of aortic arch sarcoma presenting with stroke.
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Mizrachi et al. (2006) conducted a case report in Aortic arch angiosarcoma with multiple brain infarcts and Balint syndrome (n=1). Aortic arch angiosarcoma was evaluated. A 50-year-old woman presented with multiple brain infarcts and Balint syndrome caused by an aortic arch angiosarcoma, representing only the second reported case of this tumor presenting with stroke.
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