The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2008;74(1):153-157.
증례 : 뇌경색으로 발현된 좌심방 점액종 1예
박예리, 문동규, 이소영, 문형일, 김성훈, 장기육, 전희경
A case of myxoma with ischemic stroke as initial manifestation
Ye-Ree Park, Dong-Kyu Moon, So-Young Lee, Hyung-Il Moon, Seong-Hun Kim, Ki-Yuk Chang, Hui-Kyung Jeon
경희대학교 의과대학 순환기내과학교실


Abstract
Cardiac myxoma is the most common primary cardiac tumor. It usually develops on the interatrial septum and occurs in the left atrium in more than 75% of cases. It has diverse clinical manifestations which can mimic various other diseases and which can be classified under three headings: constitutional, obstructive, and embolic. The diagnosis can be easily missed unless the clinician has a high index of suspicion. We report a case of cardiac myxoma in a 63 year old woman presenting with tingling sensation in the left arm and dysarthria. On initial exam, this patient seemed to be experiencing a cerebrovascular accident, and her symptoms turned out to be an embolic manifestation of cardiac myxoma.

Keywords :Myxoma, Cerebrovascular accident
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