• Internal medicine · May 2022

    Case Reports

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

    • Shogo Minomo, Masahiko Ichijo, Yohei Sato, Ryoichi Miyazaki, Takeshi Amino, and Tomoyuki Kamata.
    • Department of Neurology, Musashino Red Cross Hospital, Japan.
    • Intern. Med. 2022 May 15; 61 (10): 159916021599-1602.

    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.

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