An Infrequent Type of Stroke with an Unusual Cause and Successful Therapy: Basilar Artery Occlusion Caused by a Cardiac Papillary Fibroelastoma Recanalized 12 Hours after Onset

Josip Ljevak; Antonija Mišmaš; Antonela Bazina; Vesna Matijević; Domagoj Alvir; Svjetlana Šupe; Snježana Juren Meaški; David Ozretić; Zdravka Poljaković; Mario Habek

doi:10.2169/internalmedicine.52.8739

CASE REPORTS

An Infrequent Type of Stroke with an Unusual Cause and Successful Therapy: Basilar Artery Occlusion Caused by a Cardiac Papillary Fibroelastoma Recanalized 12 Hours after Onset

Josip Ljevak, Antonija Mišmaš, Antonela Bazina, Vesna Matijević, Domagoj Alvir, Svjetlana Šupe, Snježana Juren Meaški, David Ozretić, Zdravka Poljaković, Mario Habek

Author information

Josip Ljevak
Department of Neurology, University Hospital Center Zagreb, Croatia
Antonija Mišmaš
Department of Neurology, University Hospital Center Zagreb, Croatia
Antonela Bazina
Department of Neurology, University Hospital Center Zagreb, Croatia
Vesna Matijević
Department of Neurology, University Hospital Center Zagreb, Croatia
Domagoj Alvir
Department of Neurology, University Hospital Center Zagreb, Croatia
Svjetlana Šupe
Department of Neurology, University Hospital Center Zagreb, Croatia
Snježana Juren Meaški
Department of Neurology, University Hospital Center Zagreb, Croatia
David Ozretić
Department of Radiology, University Hospital Center Zagreb, Croatia
Zdravka Poljaković
Department of Neurology, University Hospital Center Zagreb, Croatia
School of Medicine, University of Zagreb, Croatia
Mario Habek
Department of Neurology, University Hospital Center Zagreb, Croatia
School of Medicine, University of Zagreb, Croatia

Keywords: basilar artery occlusion, intra-arterial thrombolysis, mechanical thrombolysis, cardiac papillary fibroelastoma

JOURNAL OPEN ACCESS

2013 Volume 52 Issue 2 Pages 277-279

DOI https://doi.org/10.2169/internalmedicine.52.8739

Details

Abstract

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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