title: Cerebral ischemia as initial neurological manifestation of atrial myxoma: case report.
abstract: 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.
authors.affiliation: Botucatu Medical School, UNESP, Botucatu, SP, Brazil.
authors.forename: Leila Azevedo
authors.initials: LA
authors.lastname: de Almeida
authors.forename: João Carlos
authors.initials: JC
authors.lastname: Hueb
authors.forename: Marcos Augusto
authors.initials: MA
authors.lastname: de Moraes Silva
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Bazan
authors.forename: Bruna
authors.initials: B
authors.lastname: Estrozi
authors.forename: Cesar N
authors.initials: CN
authors.lastname: Raffin
mesh_terms: 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*