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Case Reports
. 2012 Sep 7:2012:bcr2012006176.
doi: 10.1136/bcr.2012.006176.

Atrial myxoma: a rare cause of cardioembolic stroke

Junaid Akhtar  1 , Mohammad Wasay, Javeria Rauf
Affiliations
Case Reports

Atrial myxoma: a rare cause of cardioembolic stroke

Junaid Akhtar et al. BMJ Case Rep. .

Abstract

The authors present the case of a 45-year-old lady who presented to the emergency department with sudden onset of right hemiparesis, numbness, dysarthria, dysmetria, left upper motor neuron facial palsy and left extensor plantar. Initial laboratory investigations, ECG and MR angiography were normal. MRI brain revealed multiple ischaemic strokes in middle cerebral artery and posterior cerebral artery territory. Transthoracic echocardiography revealed large mobile mass in left atrium which was resected and the patient remained well postoperatively. Anticoagulants do not play any protective role making resection as the only effective treatment.

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Conflict of interest statement

Competing interests: None.

Figures

Figure 1
Figure 1
(A, B) Multiple areas of diffusion restricted in middle cerebral artery and posterior cerebral artery territories. (C, D) Subsequent areas that are dark on apparent diffusion coefficient mapping. (E) Normal anterior and posterior circulation vessels.
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