Affiliation:
1. Division of Cardiology, Bellaria Hospital, Bologna, Italy.
Abstract
Primary oxalosis is a rare disorder of oxalate metabolism, characterized by nephrocalcinosis, nephrolithiasis, and extrarenal deposition of calcium oxalate in several tissues, including the heart. We report the case of a 34-year-old man with sudden right hemiparesis and aphasia from the occlusion of the left middle cerebral artery. Clinical features and the results of laboratory investigations led to the diagnosis of primary oxalosis. Two-dimensional echocardiography disclosed the presence of massive intracardiac calcifications compatible with deposition of calcium oxalate. The absence of other causes of stroke strengthened a cause-and-effect relation between cardiac oxalosis and cerebral infarction. Consequently, cardiac oxalosis should be considered among possible occult cardiac sources of cerebral embolism.
Publisher
Ovid Technologies (Wolters Kluwer Health)
Subject
Advanced and Specialized Nursing,Cardiology and Cardiovascular Medicine,Neurology (clinical)
Reference3 articles.
1. Wyngaarden JB Elder TD: Primary hyperoxaluria and oxalosis in Stanbury JB Wyngaarden JB Fredrickson DS (eds): The Metabolic Basis of Inherited Disease. New York McGraw-Hill Book Co 1966 p 189
2. Williams HE Smith LH Jr: Disorders of oxalate metabolism. AmJMed 1968;45:715-722
3. Primary Hyperoxaluria
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