Key result
Late intra-arterial and mechanical thrombolysis achieves complete recovery in fibroelastoma-induced basilar artery occlusion.
Why the study?
Basilar artery occlusion caused by cardiac papillary fibroelastoma is an infrequent stroke type with limited reported cases and treatment approaches.
Case Report (n=1)
No
This case demonstrates the successful management of a rare basilar artery occlusion caused by a cardiac papillary fibroelastoma using delayed intra-arterial and mechanical thrombolysis followed by surgical resection.
Excellent recovery after delayed thrombolysis in basilar occlusion from mitral tumor; leaves open screening and management strategies in young stroke patients.
We herein report the case of a 32-year-old woman with sudden onset ataxia, limb dysmetria and somnolence. Emergency radiological findings showed bilateral cerebellar and thalamic infarctions as a result of a basilar artery occlusion. The patient was treated with intra-arterial (IA) and mechanical thrombolysis 12 hours after symptom onset and showed an excellent recovery. A diagnostic workup revealed a tumor mass on the mitral valve that was surgically removed, while a histological analysis confirmed a diagnosis of cardiac papillary fibroelastoma.
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Ljevak et al. (2013) conducted a case report in Basilar artery occlusion (n=1). Intra-arterial and mechanical thrombolysis was evaluated on Neurological recovery and recanalization. Intra-arterial and mechanical thrombolysis successfully treated a basilar artery occlusion caused by a cardiac papillary fibroelastoma 12 hours after symptom onset, resulting in complete neurological recovery.
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