PT - JOURNAL ARTICLE AU - Anas Jawaid AU - Syed Yaseen Naqvi AU - Roy Wiener TI - Atrial myxoma presenting as acute ischaemic stroke and chronic right lower leg claudication AID - 10.1136/bcr-2018-227427 DP - 2018 Nov 01 TA - BMJ Case Reports PG - e227427 VI - 11 IP - 1 4099 - http://casereports.bmj.com/content/11/1/e227427.short 4100 - http://casereports.bmj.com/content/11/1/e227427.full SO - BMJ Case Reports2018 Nov 01; 11 AB - A 48-year-old man presented with acute onset of left facial numbness, ataxic gait and double vision. He also complained of chronic right lower leg pain with acute onset a year prior to presentation. His vital signs were within normal limits. Physical exam was notable for right-sided intranuclear opthalmoplegia, decreased sensation to light touch on the left side of his body, left-sided dysmetria and ataxic gait. Neuroimaging showed evidence of acute stroke in the cerebellum and brainstem, for which he was treated with thrombolytics. An echocardiogram revealed a 5×3 cm left atrial myxoma, which was surgically resected. Subsequent imaging of his lower extremity revealed a chronic common iliac artery occlusion for which he underwent angioplasty. His claudication symptoms resolved, and he was without any neurological deficits at a 2-year follow-up visit.