Left Homonymous Hemianopsia as the First Presentation of Left Atrial Mass

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dc.contributor.authorAcanfora, Domenicoen_US
dc.contributor.authorLanzillo, Bernardoen_US
dc.contributor.authorCarlomagno, Valentinaen_US
dc.contributor.authorAcanfora, Chiaraen_US
dc.contributor.authorMontefusco, Giulioen_US
dc.contributor.authorScicchitano, Pietroen_US
dc.contributor.authorCasucci, Gerardoen_US
dc.date.accessioned2020-09-24T07:52:03Z
dc.date.available2020-09-24T07:52:03Z
dc.date.issued2019-02
dc.description.abstractWe report the case of an 81-year-old man with sudden incomplete left hemianopsia. Brain computed tomography (CT) showed a right occipital hypodensity which did not seem related to the consequences of embolic stroke as atrial fibrillation consequence (the patients suffered from permanent atrial fibrillation, CHA2DS2-VASc score=5, but rather showed the characteristics of ischemic lesion due to other causes. Therefore, diagnostic work up was performed and revealed advanced non-small cell lung cancer invading left atrium through upper pulmonary veins. No others secondary lesions were detected. Cardiac involvement in cancer is an unusual finding in clinical practice and rarely stroke is the first manifestation. There are no reported cases of neoplastic embolism to the brain from cancer in the left atrium whose origin is into the lung. The patient started palliative chemotherapy. This report highlights the need for a holistic approach in medicine as the obvious diagnosis could not be the right one.en_US
dc.identifier.affiliationsICS Maugeri, Institute of Care and Scientific Research, Institute of Telese Terme (BN), Italyen_US
dc.identifier.affiliationsSan Francesco Hospital, Telese Terme (BN), Italyen_US
dc.identifier.affiliationsSection of Cardiovascular Diseases, Department of Emergency and Organ Transplantation, University of Bari, School of Medicine, Bari, Italyen_US
dc.identifier.citationAcanfora Domenico, Lanzillo Bernardo, Carlomagno Valentina, Acanfora Chiara, Montefusco Giulio, Scicchitano Pietro, Casucci Gerardo. Left Homonymous Hemianopsia as the First Presentation of Left Atrial Mass. International Journal of Medical Research & Health Sciences. 2019 Feb; 8(2): 99-101en_US
dc.identifier.issn2319-5886
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/204985
dc.languageenen_US
dc.publisherSumathi Publicationsen_US
dc.relation.issuenumber2en_US
dc.relation.volume8en_US
dc.source.urihttps://www.ijmrhs.com/abstract/left-homonymous-hemianopsia-as-the-first-presentation-of-left-atrial-mass-15570.htmlen_US
dc.subjectHemianopsiaen_US
dc.subjectLung canceren_US
dc.subjectLeft atrial massen_US
dc.subjectAtrial fibrillationen_US
dc.titleLeft Homonymous Hemianopsia as the First Presentation of Left Atrial Massen_US
dc.typeJournal Articleen_US
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