Cardioembolic Stroke Due to Cardiac Sarcoidosis Diagnosed by Pathological Evaluation of the Retrieved Thrombus

Intern Med. 2021 Oct 26. doi: 10.2169/internalmedicine.7963-21. Online ahead of print.ABSTRACTA 70-year-old woman undergoing glucocorticoid therapy for cardiac sarcoidosis was brought to our hospital with the sudden onset of right hemiplegia and aphasia. Brain magnetic resonance imaging showed a high diffusion-weighted imaging signal in the left frontotemporal lobe and disruption of blood flow in the M1 segment of the left middle cerebral artery. Hence, she underwent thrombolysis and mechanical thrombectomy, resulting in marked improvement in her neurological symptoms. A pathologic evaluation of the thrombus suggested its cardiogenicity, and the absence of any obvious abnormality other than a left ventricular aneurysm indicated stroke due to a cardioembolic etiology secondary to cardiac sarcoidosis.PMID:34707043 | DOI:10.2169/internalmedicine.7963-21

Source: Internal Medicine - October 28, 2021 Category: Internal Medicine Authors: Shogo Minomo Masahiko Ichijo Yohei Sato Ryoichi Miyazaki Takeshi Amino Tomoyuki Kamata Source Type: research