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J Neurocrit Care 2009;2(1): 18-20.
A Case of Bilateral Hemispheric Infarction Resulting from Left Atrial Myxoma Presenting as Sudden Onset of Unconsciousness
Seung-Hwan Lee, MD, Hong-Seok Son, MD and Sung-Hun Kim, MD
Department of Neurology, College of Medicine, Kangwon National University, Chuncheon, Korea
Background: Myxoma, which can occur in all ages, is the most common primary cardiac tumor. Neurological abnormalities have been reported in 50% of patients with myxoma.
Case Report: We describe a 34-year-old man who showed bilateral hemispheric infarction caused by left atrial myxoma, presenting sudden unconsciousness occurring without localized neurological deficit during exercise.
Conclusions: Our case illustrated that cardiac myxoma should be taken into consideration in young patient who showed unexplained altered mentality even though there was no focal neurological deficit.
Key Words: Myxoma·Bilateral hemispheric infarction·Unconsciousness
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