title: Atrial myxoma: a rare cause of cardioembolic stroke.
abstract: The authors present the case of a 45-year-old lady who presented to the emergency department with sudden onset of right hemiparesis, numbness, dysarthria, dysmetria, left upper motor neuron facial palsy and left extensor plantar. Initial laboratory investigations, ECG and MR angiography were normal. MRI brain revealed multiple ischaemic strokes in middle cerebral artery and posterior cerebral artery territory. Transthoracic echocardiography revealed large mobile mass in left atrium which was resected and the patient remained well postoperatively. Anticoagulants do not play any protective role making resection as the only effective treatment.
authors.affiliation: Neurology Department, Aga Khan University Hospital, Karachi, Sindh, Pakistan. drjunaid.akhtar@hotmail.com
authors.forename: Junaid
authors.initials: J
authors.lastname: Akhtar
authors.forename: Mohammad
authors.initials: M
authors.lastname: Wasay
authors.forename: Javeria
authors.initials: J
authors.lastname: Rauf
mesh_terms: D002545:Brain Ischemia / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D004452:Echocardiography; D005260:Female; D006325:Heart Atria; D006338:Heart Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009232:Myxoma / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D020521:Stroke / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy