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CMAJ • November 11, 2003; 169 (10)
© 2003 Canadian Medical Association or its licensors

PRACTICE

PRACTICE

Atrial myxoma as a cause of stroke: case report and discussion

Fintan O'Rourke, Naeem Dean, Mikael S. Mouradian, Naveed Akhtar and Ashfaq Shuaib

From the Stroke Prevention Clinic, University of Alberta Hospital (O'Rourke, Mouradian, Akhtar, Shuaib), and the Department of Medicine, Royal Alexandra Hospital (Dean), Edmonton, Alta.

Correspondence to: Dr. Fintan O'Rourke, Stroke Prevention Clinic, Room 1F2.16, University of Alberta Hospital, Mackenzie Health Sciences Centre, 8440-112 St., Edmonton AB T6G 2B7; fax 780 407-6020; forourke{at}ualberta.ca

Abstract

Cardiac myxoma is a source of emboli to the central nervous system and elsewhere in the vascular tree. However, nonspecific systemic symptoms and minor embolic phenomena may be overlooked in the absence of any history of cardiac problems. In this situation, cardiac investigations may not be performed, and diagnosis of this rare condition may be delayed until the onset of more significant embolic disease, such as stroke with functional impairment, as in the case reported here. The clinical presentation of cardiac myxoma is discussed, along with appropriate investigations and treatment, which may prevent such sequelae.




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V. H. Lee, H. M. Connolly, and R. D. Brown Jr
Central Nervous System Manifestations of Cardiac Myxoma
Arch Neurol, August 1, 2007; 64(8): 1115 - 1120.
[Abstract] [Full Text] [PDF]