Cerebral ischemia as initial neurological manifestation of atrial myxoma: case report.
Cerebral infarctions of cardiac etiology are observed in around 20% of patients with ischemic stroke. Cerebral ischemia is the first clinical manifestation in 1/3 of cases of atrial myxomas. Although almost half of patients with atrial myxoma show changes at neurological exam, non-hemorrhagic cerebral infarction is seen in computed tomography in practically all cases. We present the case of a 40 year-old woman whose first clinical manifestation of atrial myxoma was an ischemic stroke. We point out to the possibility of silent cerebral infarction in atrial myxoma patients.
de Almeida
Leila Azevedo
LA
Botucatu Medical School, UNESP, Botucatu, SP, Brazil.
Hueb
João Carlos
JC
de Moraes Silva
Marcos Augusto
MA
Bazan
Rodrigo
R
Estrozi
Bruna
B
Raffin
Cesar N
CN
D000328:Adult; D017548:Echocardiography, Transesophageal; D005260:Female; D006338:Heart Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D018810:Magnetic Resonance Angiography; D009232:Myxoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D020521:Stroke / Q000209:etiology*