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  • Title: [Myxoma of the left atrium presenting as repeated cerebrovascular disorders].
    Author: Serrano A, Machado J, Gonçalves LP, Proença R.
    Journal: Acta Med Port; 1994 Oct; 7(10):561-3. PubMed ID: 7856464.
    Abstract:
    Infarction of the central nervous system secondary to embolism from a left atrial myxoma is a recognized phenomenon. However, a myxoma as the source of an embolus may be overlooked, if, during the evaluation of a patient with a stroke of unknown etiology, an index of suspicion is not present. We report a case of a 57-year old woman presenting three episodes of cerebral infarction always in the same brain territory, suggesting a carotid pathology. The physical examination of the patient only showed a loud S1 with no other sounds and neurologic alterations, namely, right hemiparesia and aphasia. Diagnosis was made by two-dimensional echocardiography and better delineation was obtained by magnetic resonance imaging (MRI). The patient subsequently received a successful ressection of the myxoma. Eighteen months later the patient was well.
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