Facial Drooping, Aphasia, and an Incidental Lung Mass in a Nonsmoker

Author:

Lui Justin K.1,McIntosh Lacey J.2,Escobar Valle Jorge1,Stockl Thomas3,Summers Stephen14

Affiliation:

1. Department of Medicine, University of Massachusetts Medical School, Worcester, MA, USA

2. Department of Radiology, University of Massachusetts Medical School, Worcester, MA, USA

3. Department of Pathology, University of Massachusetts Medical School, Worcester, MA, USA

4. Division of Pulmonary Medicine, University of Massachusetts Medical School, Worcester, MA, USA

Abstract

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.

Publisher

SAGE Publications

Subject

Critical Care and Intensive Care Medicine

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