ABSTRACT
Myxomas arising from the left ventricle (LV) are extremely rare and can be easily mistaken for a thrombus. We report a case of a 35-year-old man who presented with an acute cerebrovascular accident, having had a prior history of an anterior wall myocardial infarction 2 years back with an echocardiographic evaluation showing mild LV systolic dysfunction. His present prothrombotic workup revealed hyperhomocystinaemia and elevated levels of factor VIII. Present echocardiography revealed a mass arising from a scarred LV wall. Considering the possibility of a thrombus, he was initially started on parenteral anticoagulation. Unfortunately, consequent echocardiogram evaluation showed no reduction in size of the LV mass hence surgical removal was done. Histopathological evaluation unveiled the mass to be a myxoma.
Subject(s)
Myocardial Infarction , Thrombosis , Ventricular Dysfunction, Left , Adult , Echocardiography , Heart Ventricles/diagnostic imaging , Humans , Male , Myocardial Infarction/etiology , Thrombosis/diagnostic imaging , Thrombosis/etiologySubject(s)
COVID-19/complications , Gastrointestinal Hemorrhage/etiology , Pulmonary Embolism/etiology , Aged , Angiography, Digital Subtraction/methods , Anticoagulants/therapeutic use , Computed Tomography Angiography/methods , Disease Progression , Embolization, Therapeutic/methods , Gastrointestinal Hemorrhage/diagnostic imaging , Gastrointestinal Hemorrhage/therapy , Gastrointestinal Tract/diagnostic imaging , Humans , Male , Pulmonary Artery/diagnostic imaging , Pulmonary Embolism/diagnostic imaging , Pulmonary Embolism/drug therapy , SARS-CoV-2 , Treatment OutcomeSubject(s)
Brain Diseases/pathology , Brain Diseases/virology , Influenza A Virus, H1N1 Subtype , Influenza, Human/complications , Brain Diseases/diagnostic imaging , Fatal Outcome , Female , Humans , Influenza, Human/diagnostic imaging , Influenza, Human/pathology , Magnetic Resonance Imaging , Necrosis , Young AdultABSTRACT
Addison's disease is a common endocrinopathy often diagnosed in patients presenting with hyponatraemia. Cerebellar ataxia as a presentation of hyponatraemia is extremely rare. A 42-year-old man presented with vomiting, fever, ataxic gait and scanning type of dysarthria. Clinical examination revealed signs suggestive of isolated cerebellar involvement. Patient was found to have severe hyponatraemia and serum cortisol was found to be extremely low while MRI brain was found to be normal. Corticosteroid therapy was initiated and cerebellar ataxia was resolved following normalisation of sodium levels.
