This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Thompson, J. Articles by Wechsler, L. R. Search for Related Content PubMed PubMed Citation Articles by Thompson, J. Articles by Wechsler, L. R.

Stroke, Vol 19, 1570-1571, Copyright © 1988 by American Heart Association

ARTICLES

Multiple strokes due to atrial myxoma with a negative echocardiogram

J Thompson, W Kapoor and LR Wechsler
Department of Neurology, University of Pittsburgh, Pennsylvania.

We report a patient with three cerebrovascular events involving the posterior circulation, one of which occurred in conjunction with central retinal artery occlusion. The patient had constitutional findings but had a normal cardiac examination, negative echocardiogram, and negative blood cultures. Angiography on two separate occasions revealed left vertebral artery occlusion. Repeat echocardiography 10 months later, at the time of the third stroke, revealed a left atrial mass consistent with myxoma. In patients with repetitive unexplained embolic events in different vascular distributions and constitutional findings suggestive of atrial myxoma, repeat noninvasive studies are indicated even if the initial workup is negative.

This article has been cited by other articles:

				V. H. Lee, H. M. Connolly, and R. D. Brown Jr Central Nervous System Manifestations of Cardiac Myxoma Arch Neurol, August 1, 2007; 64(8): 1115 - 1120. [Abstract] [Full Text] [PDF]

				N.A. Robbin, P. Landless, K. Cooper, and V.U. Fritz Myxoma in the Carotid Artery: Myxomatous Occlusion of Internal Carotid Artery Stroke, February 1, 1997; 28(2): 456 - 458. [Abstract] [Full Text]