RT Journal Article
SR Electronic
T1 A large left atrial myxoma causing multiple cerebral infarcts
JF BMJ Case Reports
FD BMJ Publishing Group Ltd
SP bcr2013010007
DO 10.1136/bcr-2013-010007
VO 2013
A1 Saba Kebede
A1 Eiry Edmunds
A1 Adrian Raybould
YR 2013
UL http://casereports.bmj.com/content/2013/bcr-2013-010007.abstract
AB A 52-year-old man presented with a history of sudden onset diplopia. On neurological examination, the only abnormality was a right-sided oculomotor (third nerve) palsy. A brain CT was performed and reported as showing no abnormality. He was discharged to be investigated as an outpatient. He presented 1 month later with a new expressive dysphasia and confusional state. MRI was performed which revealed multiple cerebral infarcts. He was discharged on secondary stroke prevention medication. Six months elapsed, before a transthoracic echocardiogram was performed. This showed a large left atrial myxoma. The patient underwent an emergency resection and made a good postoperative recovery. This case report showed the importance of considering a cardiogenic source of emboli in patients who present with cerebral infarcts. Performing echocardiography early will help to detect treatable conditions such as atrial myxoma, and prevent further complications.