| CASE REPORT |
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| Year : 2008 | Volume
: 11
| Issue : 1 | Page : 81-84 |
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Intracardiac tumor : a risk factor for stroke in the young--a case report
EO Sanya, PM Kolo, UG Adamu, OG Opadijo, KW Wahab, AF Mustapha, AB Omotoso
Department of Medicine University of Ilorin Teaching Hospital, Ilorin, Kwara State
Correspondence Address:
E O Sanya
Department of Medicine University of Ilorin Teaching Hospital, Ilorin, Kwara State
 Source of Support: None, Conflict of Interest: None  | Check |
PMID: 18689147 
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BACKGROUND: Stroke occurs commonly in individuals above 65 years, especially in the background of atherosclerosis and other risk factors. In young persons below 45 years it is a rare disorder with devastating sequelae on the affected individual. OBJECTIVE: Presently there are few reports on the aetiology/risk factors for stroke in young adults in Nigeria. This is due to limited facility for thorough investigation; therefore management of such cases poses a diagnostic challenge. In this report we present a case of embolic stroke in a male undergraduate that began with two brief episodes of transient left sided weakness before a completed stroke four hours later. 2-D echocardiography showed that the likely source of emboli to be a non-pedunculated left atria tumour attached to the root of posterior mitral valve leaflet. CONCLUSION: Intracardiac mass should be considered a possible risk factor for ischemic stroke in young adult, especially in the absence of other risk factors such as connective tissue disorders, HIV/AIDS, hemoglobinopathy or use of recreational drugs. High index of suspicion is required in order not to overlook such source of emboli. Early diagnosis offers the best panacea for a definitive therapy and prevention of stroke recurrence with its devastating sequelae. |
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