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

Autor: de Almeida LA; Botucatu Medical School, UNESP, Botucatu, SP, Brazil., Hueb JC, de Moraes Silva MA, Bazan R, Estrozi B, Raffin CN
Jazyk: angličtina
Zdroj: Arquivos de neuro-psiquiatria [Arq Neuropsiquiatr] 2006 Sep; Vol. 64 (3A), pp. 660-3.
DOI: 10.1590/s0004-282x2006000400027
Abstrakt: 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.
Databáze: MEDLINE