1985
DOI: 10.1136/pgmj.61.714.331
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Atrial myxoma presenting with cerebral haemorrhage

Abstract: Summary: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 haematom… Show more

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Cited by 9 publications
(3 citation statements)
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“…Cerebral embolic events often occur before the onset of constitutional or obstructive symptoms at a rate of up to 80% [ 12 ]. Other seldom seen neurological presentations occur in some patients, including intracerebral haemorrhage [ 14 , 16 ], brain metastasis [ 17 ], and intracranial aneurysm [ 14 ].…”
Section: Introductionmentioning
confidence: 99%
“…Cerebral embolic events often occur before the onset of constitutional or obstructive symptoms at a rate of up to 80% [ 12 ]. Other seldom seen neurological presentations occur in some patients, including intracerebral haemorrhage [ 14 , 16 ], brain metastasis [ 17 ], and intracranial aneurysm [ 14 ].…”
Section: Introductionmentioning
confidence: 99%
“…On the other hand, some patients may also present with transient or permanent vision loss, symptoms related to occlusion of renal or coronary arteries, cough, hemoptysis and pulmonary hypertension due to the occlusion of pulmonary vessels caused by myxomas in the right atrium (2,3). Prolonged somnolence in patients with atrial myxoma is very rare and can sometimes be the sole symptom like our patient (4,5).…”
mentioning
confidence: 56%
“…Subarachnoid haemorrhage and intracerebral haemorrhage have been described for patients with myxomatous aneurysms 3,15,17 , and for some authors, myxomatous lesions have a higher risk of bleeding than usual non myxoma-related cerebral aneurysms 7,31,32 . However, in many reports, a direct link between aneurysms and haemorrhage has been difficult to prove 3,34,35 and moreover, in the literature, intracerebral haemorrhage in patients with atrial myxomas has been documented in the absence of cerebral aneurysms 1,35 .…”
Section: Discussionmentioning
confidence: 99%