Left atrial myxoma with cerebral emboli

C. L. Branch, D. W. Laster, D. L. Kelly

Research output: Contribution to journalArticle

49 Citations (Scopus)

Abstract

Infarction of the central nervous system secondary to embolism from left atrial myxoma is a recognized phenomenon. However, myxoma as the source of an embolus may be overlooked if an index of suspicion is not present during the evaluation of the patient with a stroke without a known cause. We present a case report that illustrates some of the pitfalls and characteristic findings present in the evaluation of these patients. The magnetic resonance image of multiple cerebral aneurysms and infarction associated with this condition is present along with an unique, arteriographically proven resolution of a fusiform cerebral aneurysm after the removal of the cardiac tumor. A review of published case reports suggests that, if the cardiac tumor is recognized and treated quickly, the ultimate prognosis, while uncertain, is usually good. However, because the potential exists for recurrence of the cardiac tumor, for enlargement of the cerebral lesions, or for late development of cerebral lesions, long term follow-up is mandatory and a vigorous work-up must be pursued if the patient again becomes symptomatic or develops central nervous system manifestations for the first time.

Original languageEnglish (US)
Pages (from-to)675-680
Number of pages6
JournalNeurosurgery
Volume16
Issue number5
StatePublished - 1985
Externally publishedYes

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Intracranial Embolism
Myxoma
Heart Neoplasms
Intracranial Aneurysm
Embolism
Central Nervous System
Cerebral Infarction
Infarction
Aneurysm
Magnetic Resonance Spectroscopy
Stroke
Recurrence

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Branch, C. L., Laster, D. W., & Kelly, D. L. (1985). Left atrial myxoma with cerebral emboli. Neurosurgery, 16(5), 675-680.

Left atrial myxoma with cerebral emboli. / Branch, C. L.; Laster, D. W.; Kelly, D. L.

In: Neurosurgery, Vol. 16, No. 5, 1985, p. 675-680.

Research output: Contribution to journalArticle

Branch, CL, Laster, DW & Kelly, DL 1985, 'Left atrial myxoma with cerebral emboli', Neurosurgery, vol. 16, no. 5, pp. 675-680.
Branch CL, Laster DW, Kelly DL. Left atrial myxoma with cerebral emboli. Neurosurgery. 1985;16(5):675-680.
Branch, C. L. ; Laster, D. W. ; Kelly, D. L. / Left atrial myxoma with cerebral emboli. In: Neurosurgery. 1985 ; Vol. 16, No. 5. pp. 675-680.
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