Facial Drooping, Aphasia, and an Incidental Lung Mass in a Nonsmoker
Department of Medicine, Division of Pulmonary, Allergy And Critical Care Medicine; Department of Radiology; Department of Pathology
Critical Care | Neoplasms | Radiology
BACKGROUND: Atrial fibrillation and atrial flutter are atrial tachycardias associated with embolic strokes. To date, there have only been a few reports highlighting the incidence of these atrial tachycardias due to mechanical compression of myocardial structures and the pulmonary vasculature in certain mediastinal masses and cysts.
CASE: We present a case of a 75-year-old gentleman who is a nonsmoker with a history of hypertension who presents with an acute embolic stroke due to atrial flutter likely from mechanical compression from an underlying squamous cell carcinoma of the lung.
CONCLUSION: This case represents, to the best of our knowledge, a rare case of squamous cell carcinoma of the lung in a nonsmoker likely leading to mechanical compression and a resultant atrial tachycardia with an embolic stroke.
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Citation: J Intensive Care Med. 2017 Mar;32(3):228-230. Epub 2016 Oct 26. Link to article on publisher's site
atrial flutter, embolic stroke, squamous cell lung carcinoma
Lui, Justin K.; McIntosh, Lacey J.; Escobar Valle, Jorge; Stockl, Thomas J.; and Summers, Stephen, "Facial Drooping, Aphasia, and an Incidental Lung Mass in a Nonsmoker" (2017). Radiology Publications and Presentations. 212.