Document Detail

Neurologic manifestations of atrial myxoma. A 12-year experience and review.
MedLine Citation:
PMID:  3188128     Owner:  NLM     Status:  MEDLINE    
We present the results of a 12-year retrospective analysis of 11 patients, eight women and three men, aged 16-76 years, with pathologically documented atrial myxomas. Nine of the 11 patients were found to have a left atrial myxoma; right atrial myxomas were identified in two. Five of the 11 patients (45%) had abnormalities on neurologic examination, and five of five had computed tomographic evidence of nonhemorrhagic cerebral infarction. Neurologic symptoms were the initial presentation in four patients. Six patients reported a history of cardiac disease; eight of the 11 had abnormalities on cardiac auscultation. Echocardiography in 10 patients was diagnostic in all but one. Gated magnetic resonance imaging of the heart in two patients demonstrated myxoma position and movement. Follow-up examinations (varying from 1 month to 7 years after tumor resection) in nine of 11 patients demonstrated no recurrent neurologic symptoms. Cerebral infarction is a common complication of atrial myxomas and may be the presenting feature. Recurrent cerebral emboli before surgery is not uncommon. Cardiac auscultation may be normal, and electrocardiographic changes are often nonspecific. Delayed neurologic events following surgery are rare.
L E Knepper; J Biller; H P Adams; A Bruno
Related Documents :
3042638 - Immunohistochemical characterisation of aschoff nodules and endomyocardial inflammatory...
8712128 - The results of atrial flutter ablation in patients with and without a history of atrial...
3963758 - Atrial size, atrial fibrillation, and stroke.
12877698 - Paroxysmal atrial fibrillation: ectopic atrial activity and prevalence of severely symp...
3864538 - 5q - marker chromosome in acute leukemia with lymphoid morphology and myeloid different...
1449198 - Cryptosporidiosis among patients with acquired immunodeficiency syndrome in zulia state...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Stroke; a journal of cerebral circulation     Volume:  19     ISSN:  0039-2499     ISO Abbreviation:  Stroke     Publication Date:  1988 Nov 
Date Detail:
Created Date:  1988-12-21     Completed Date:  1988-12-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0235266     Medline TA:  Stroke     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1435-40     Citation Subset:  IM    
Department of Neurology, University of Iowa College of Medicine, Iowa City 52242.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Cerebral Angiography
Cerebral Infarction / complications,  radiography
Heart Atria
Heart Neoplasms / complications*,  diagnosis,  surgery
Magnetic Resonance Imaging
Middle Aged
Myxoma / complications*,  diagnosis,  surgery
Nervous System Diseases / etiology*
Retrospective Studies
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Superior cerebellar artery infarction and vertebral artery dissection.
Next Document:  The demand for family planning: a new approach.