Volume 11, Issue 6 (November & December 2020)                   BCN 2020, 11(6): 855-860 | Back to browse issues page


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Esmaeili S, Shojaei S F, Bahadori M, Mojtahed M, Mehrpour M. Intravenous Thrombolysis for Acute Ischemic Stroke Due to Cardiac Myxoma. BCN. 2020; 11 (6) :855-860
URL: http://bcn.iums.ac.ir/article-1-1494-en.html
1- Department of Neurology, Cellular and Molecular Research Center, Firoozgar Hospital, Student Research Committee, Iran University of Medical Sciences, Tehran, Iran.
2- Firoozgar Clinical Research and Development Center (FCRDC), Iran University of Medical Sciences, Tehran, Iran.
3- Department of Neurology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
4- Department of Neurology, School of Medicine, Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran.
Abstract:  
Background: Myxoma may cause systemic embolization and frequently presents as ischemic stroke. 
Case Presentation: There have been debates about whether it is safe to use recombinant tissue plasminogen activator (rt-PA) in patients with cardiac myxoma who referred with ischemic stroke to the hospitalchr('39')s emergency. 
Results: The patient was a young case of atrial myxoma with initial presentation of acute cerebral infarction symptoms who was treated with intravenous rt-PA with no complications.
Conclusion: The case provides an evidence of the efficacy and safety of intravenous rt-PA in cases of cardiac myxoma. However, we cannot always expect thrombolytic therapy to be effective, especially in tumor emboli.
Type of Study: News and Reports | Subject: Clinical Neuroscience
Received: 2019/05/8 | Accepted: 2020/02/10 | Published: 2020/11/1

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