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Neurology
Atrial myxoma: A cause for concern in multiple cerebral infarctions in absence of cardiac symptoms
  1. Pramol Ale,
  2. Abinas Gurung,
  3. David Hargroves and
  4. Olubunmi Omojowolo
  1. Stroke Medicine, Kent and Canterbury Hospital, Canterbury, UK
  1. Correspondence to Dr Pramol Ale; mrg_pramol{at}hotmail.com

Abstract

Ischaemic cerebral infarct is the most common neurological manifestation of myxomas. We present a mid-70s man who was brought to the stroke unit with sudden onset right hemiparesis and dysarthria. Although he had risk factors for developing stroke like hypertension, hypercholesterolaemia, history of prostate cancer and new paroxysmal atrial flutter on admission, clinical suspicion and detailed investigations in the absence of cardiac symptoms revealed a 9 cm myxoma causing severe mitral stenosis. He underwent successful surgical resection with good functional recovery. This also highlights the need for thorough clinical examination especially in the absence of cardiac symptoms.

  • Arrhythmias
  • Cardiovascular medicine
  • Cardiothoracic surgery
  • Stroke

https://doi.org/10.1136/bcr-2023-257157

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    Footnotes

    • Twitter @HargrovesDavid

    • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms and critical revision for important intellectual content: PA and AG. The following authors gave final approval of the manuscript: OO and DH. The following members PA, AG, OO and DH are involved in preparing the case report. DH identified the idea for the case report by collaborating with PA and AG. All of them were managing the patient during his stay. PA planned, gained the patient’s consent, collected details and case history, wrote a draft paper and searched the literature. AG, DH and OO revised the initial draft. DH helped to acquire the images from the cardiothoracic team. PA is the corresponding author and guarantor for the case report.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.