Article Text
Summary
A 16-year-old boy presented to the emergency department with a sudden weakness on the right side of the body and was diagnosed as having embolic stroke. Later on, the patient was diagnosed as having Carney complex (CNC). The neurological complication might be caused by left atrial myxoma as a feature of CNC. Surprisingly, the patient showed some additional features such as positive wrist and thumb signs, pectus carinatum deformity and plain flat feet, suggestive of Marfan syndrome. This case demonstrated that both of these syndromes might coexist in the same patient, suggesting that proper diagnostic and management were key factors that affected prognosis. He showed an improved condition after he had received medical treatments, undergone tumour excision and physiotherapy. Further evaluation was needed to improve patient outcomes.
- stroke
- cardiovascular medicine
- pituitary disorders
Statistics from Altmetric.com
Footnotes
Contributors Conception and design of study: CM, WD. Acquisition of data: CM, DMP. Analysis and interpretation of data: CM, DMP, HL. Drafting the article: CM, WD. Critical revision of the article: CM, WD. Final approval of the version to be published: CM, WD, DMP, HL.
Funding This research was funded by the Faculty of Medicine, Hang Tuah University, Surabaya, East Java, Indonesia
Disclaimer All persons who meet authorship criteria are listed as authors, and all authors certify that they have participated sufficiently in the work to take public responsibility for the content, including participation in the concept, design, analysis, writing or revision of the manuscript. Furthermore, each author certifies that this material or similar material has not been and will not be submitted to or published in any other publication before its appearance in the BMJ Case Report.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.