Cerebral ischemia as initial neurological manifestation of atrial myxoma: Case report
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2006-01-01
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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. © 2006 Associaç ão Arquivos de Neuro-Psiquiatria.
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Arquivos de Neuro-Psiquiatria, v. 64, n. 3 A, 2006.