Cerebral ischemia as initial neurological manifestation of atrial myxoma: case report

Arquivos de Neuro-Psiquiatria

Leila Azevedo De Almeida¹  João Carlos Hueb¹  Marcos Augusto De Moraes Silva¹  Rodrigo Bazan¹  Bruna Estrozi¹  Cesar N. Raffin¹ 

[1] ,UNESP Botucatu Medical School Botucatu SP ,Brazil

关键词: brain embolism;    atrial myxoma;    ischemic stroke;    embolia cerebral;    mixoma atrial;    infarto cerebral silencioso;   

DOI  :  10.1590/S0004-282X2006000400027

来源: SciELO

【 摘 要 】

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.

【 授权许可】

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