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Case Reports
. 1985 Apr;61(714):331-2.
doi: 10.1136/pgmj.61.714.331.

Atrial myxoma presenting with cerebral haemorrhage

V M Macaulay, P J Crawford, R O McKeran
Case Reports

Atrial myxoma presenting with cerebral haemorrhage

V M Macaulay et al. Postgrad Med J. 1985 Apr.

Abstract

Emboli from left atrial myxomas are a recognized cause of cerebral ischaemia. The myxomatous embolus may infiltrate the cerebral arterial wall, resulting in aneurysmal dilatation with a risk of rupture. Myxoma-associated cerebral haemorrhage has been described in patients with progressive neurological dysfunction. We report a new presentation. Our patient, a previously healthy 20 year old girl, developed acute intracerebral haemorrhage for which craniotomy was performed. Histology of evacuated haematoma revealed an intravascular fragment of myxoma. Echocardiography demonstrated a left atrial myxoma which later was uneventfully excised. Early diagnosis of embolic cardiac myxoma requires awareness of the diversity of clinical manifestations, and careful histological analysis of surgical specimens.

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