Incidental finding of a cardiac paraganglioma following ischemic stroke: A case report.

Mohammed Usman Syed, Tausif Ahmed Siddiqui, Zahin Alam, Pavan K Kottamasu, Peter A Rosella, Brij Reddy, Akm A Rahman

Abstract readCase Reports

In one paragraph

Article in Radiology case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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7 authors.

Mohammed Usman SyedDepartment of Imaging Sciences, University of Rochester Medical Center, Rochester, NY, USA.

Tausif Ahmed SiddiquiDepartment of Imaging Sciences, University of Rochester Medical Center, Rochester, NY, USA.

Zahin AlamDepartment of Radiology, Hackensack Meridian School of Medicine, Nutley, NY, USA.

Pavan K KottamasuDepartment of Imaging Sciences, University of Rochester Medical Center, Rochester, NY, USA.

Peter A RosellaDepartment of Imaging Sciences, University of Rochester Medical Center, Rochester, NY, USA.

Brij ReddyClearview Radiology PC, Bayside, NY, USA.

Akm A RahmanDepartment of Imaging Sciences, University of Rochester Medical Center, Rochester, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiac paragangliomas are rare neuroendocrine tumors (NETs) that may cause morbidity through mass effect, embolic events, and catecholamine excess. This case report describes a 52-year-old woman with a history of atrial fibrillation with rapid ventricular response presenting with ischemic stroke. Incidental imaging revealed an 8-cm prevascular mass abutting the left ventricle with regions of central necrosis. Urinary metanephrine testing was elevated, indicating a functional mass. Cu-64 DOTATATE PET/CT confirmed absence of distant metastases and increased radiotracer uptake along the rim of the mass, which supported the diagnosis of a NET. CT-guided percutaneous coaxial core needle biopsy confirmed the diagnosis of a paraganglioma. Upon resection, postoperative urinary metanephrine levels normalized. This report highlights the multidisciplinary approach to the management of a cardiac paraganglioma presenting after ischemic stroke.

Indexed as

Cardiac paragangliomaCoaxial core needle biopsyStroke presentationSurgical resectionUrinary metanephrine testing

Identifiers

PMID42502789

DOI10.1016/j.radcr.2026.06.147

PMCPMC13400269

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