Intimal (spindle cell) XXXX of the left atrium presenting with abnormal neurological examination.

@entity1 @entity5409 @entity242 @entity55 @entity7465 @entity911 @entity2277 @entity21468 @entity10 @entity204 @entity2055
A 43-year-old @entity1 with an unremarkable medical history presented to our hospital with 2   weeks of @entity10 , @entity2055 and @entity911 . CT of the head revealed a large haemorrhagic @entity5409 . A subsequent chest CT revealed a large left atrial mass. The mass was subsequently biopsied with positive immunohistochemistry staining for @entity7465 , @entity21468 and @entity2277 . Real-time PCR revealed @entity7465 amplification, confirming the diagnosis of @entity242 . The @entity1 underwent surgical resection and reconstruction of the atrium with subsequent discharge to short-term rehabilitation, but his symptoms continued to progress. A repeat CT of the head revealed a new cerebellar mass. He underwent a second resection, but continued to experience worsening symptoms. He was diagnosed with stage IV @entity242 and referred to hospice. The @entity1 died 5   months after initial presentation. Autopsy was performed and revealed the cause of @entity204 as @entity55 . There was no involvement of the pulmonic or aortic vessels.
