{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T03:35:10Z","timestamp":1761708910012,"version":"3.44.0"},"reference-count":22,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 52-year-old man presented with a history of sudden onset diplopia. On neurological examination, the only abnormality was a right-sided oculomotor (third nerve) palsy. A brain CT was performed and reported as showing no abnormality. He was discharged to be investigated as an outpatient. He presented 1\u2005month later with a new expressive dysphasia and confusional state. MRI was performed which revealed multiple cerebral infarcts. He was discharged on secondary stroke prevention medication. Six months elapsed, before a transthoracic echocardiogram was performed. This showed a large left atrial myxoma. The patient underwent an emergency resection and made a good postoperative recovery. This case report showed the importance of considering a cardiogenic source of emboli in patients who present with cerebral infarcts. Performing echocardiography early will help to detect treatable conditions such as atrial myxoma, and prevent further complications.<\/jats:p>","DOI":"10.1136\/bcr-2013-010007","type":"journal-article","created":{"date-parts":[[2013,11,27]],"date-time":"2013-11-27T06:58:46Z","timestamp":1385535526000},"page":"bcr2013010007","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["A large left atrial myxoma causing multiple cerebral infarcts"],"prefix":"10.1136","volume":"2013","author":[{"given":"Saba","family":"Kebede","sequence":"first","affiliation":[{"name":"Department of Medicine, Hywel Dda Health Board, Carmarthen, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eiry","family":"Edmunds","sequence":"additional","affiliation":[{"name":"Department of Medicine, Hywel Dda Health Board, Carmarthen, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrian","family":"Raybould","sequence":"additional","affiliation":[{"name":"Department of Medicine, Hywel Dda Health Board, Carmarthen, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,11,27]]},"reference":[{"key":"2025082803045542000_2013.nov27_1.bcr2013010007.1","doi-asserted-by":"crossref","first-page":"1610","DOI":"10.1056\/NEJM199512143332407","article-title":"Cardiac myxomas","volume":"2013","author":"Reynen","year":"1995","journal-title":"N Engl J Med"},{"key":"2025082803045542000_2013.nov27_1.bcr2013010007.2","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1186\/1752-1947-6-26","article-title":"Atypical size and location of a right atrial myxoma: a case report","volume":"2013","author":"Nina","year":"2012","journal-title":"J Med Case Rep"},{"key":"2025082803045542000_2013.nov27_1.bcr2013010007.3","first-page":"130","article-title":"Massive right atrial myxoma causing exertional dyspnoea","volume":"2013","author":"Bilku","year":"2008","journal-title":"Eur J Echocardiogr"},{"key":"2025082803045542000_2013.nov27_1.bcr2013010007.4","doi-asserted-by":"crossref","first-page":"269","DOI":"10.5099\/aj120400269","article-title":"Atrial myxoma in atypical location: a case report","volume":"2013","author":"Ni","year":"2012","journal-title":"Am J Biomed Sci"},{"key":"2025082803045542000_2013.nov27_1.bcr2013010007.5","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1097\/00005792-200105000-00002","article-title":"Clinical presentation of left atrial cardiac myxoma. A series of 112 consecutive cases","volume":"2013","author":"Pinede","year":"2001","journal-title":"Medicine (Baltimore)"},{"key":"2025082803045542000_2013.nov27_1.bcr2013010007.6","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1007\/s12055-010-0046-4","article-title":"Cardiac myxomas\u201422 years single center experience","volume":"2013","author":"Muthubaskaran","year":"2010","journal-title":"Indian J Thorac Cardiovasc Surg"},{"key":"2025082803045542000_2013.nov27_1.bcr2013010007.7","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1159\/000052116","article-title":"Transient ischaemic attack: a common initial manifestation of cardiac myxomas","volume":"2013","author":"Alvarez-Sab\u00edn","year":"2001","journal-title":"Eur Neurol"},{"key":"2025082803045542000_2013.nov27_1.bcr2013010007.8","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1159\/000335830","article-title":"Eleven years\u2019 experience with Korean cardiac myxoma patients: focus on embolic complications","volume":"2013","author":"Lee","year":"2012","journal-title":"Cerebrovasc Dis"},{"key":"2025082803045542000_2013.nov27_1.bcr2013010007.9","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1111\/j.1444-0903.2004.00563.x","article-title":"Neurological manifestations of cardiac myxoma: a review of the literature and report of cases","volume":"2013","author":"Ekinci","year":"2004","journal-title":"Intern Med J"},{"key":"2025082803045542000_2013.nov27_1.bcr2013010007.10","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/0090-3019(93)90173-X","article-title":"Metastatic atrial myxoma presenting as intracranial aneurysms with haemorrhage: case report","volume":"2013","author":"Chen","year":"1993","journal-title":"Surg Neurol"},{"key":"2025082803045542000_2013.nov27_1.bcr2013010007.11","first-page":"466","article-title":"Multiple cerebral mycotic aneurysms due to left atrial myxoma: are there any pitfalls for the cardiac surgeon?","volume":"2013","author":"Baikoussis","year":"2011","journal-title":"Hellenic J Cardiol"},{"key":"2025082803045542000_2013.nov27_1.bcr2013010007.12","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1186\/1757-1626-1-96","article-title":"An echocardiographic-confirmed case of atrial myxoma causing cerebral embolic ischemic stroke. A Case Report.","volume":"2013","author":"Yoo","year":"2008","journal-title":"Cases J"},{"key":"2025082803045542000_2013.nov27_1.bcr2013010007.13","doi-asserted-by":"crossref","first-page":"102","DOI":"10.4103\/0300-1652.103551","article-title":"Right atrial myxoma as a possible cause of hemorrhagic stroke and sudden death","volume":"2013","author":"Sabageh","year":"2012","journal-title":"Niger Med J"},{"issue":"(Suppl 2)","key":"2025082803045542000_2013.nov27_1.bcr2013010007.14","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1055\/s-2007-1014065","article-title":"Primary cardiac tumors-French studies of 533 cases","volume":"2013","author":"Blondeau","year":"1990","journal-title":"Thorac Cardiovasc Surg"},{"key":"2025082803045542000_2013.nov27_1.bcr2013010007.15","unstructured":"The European Stroke Organisation (ESO). Guidelines for Management of Ischaemic Stroke and Transient Ischaemic Attack 2008."},{"key":"2025082803045542000_2013.nov27_1.bcr2013010007.16","doi-asserted-by":"crossref","first-page":"69","DOI":"10.5152\/akd.2010.016","article-title":"Assessment of cardiac masses: magnetic resonance imaging versus transthoracic echocardiography","volume":"2013","author":"Narin","year":"2010","journal-title":"Anadolu Kardiyol Derg"},{"key":"2025082803045542000_2013.nov27_1.bcr2013010007.17","doi-asserted-by":"crossref","first-page":"22","DOI":"10.3121\/cmr.4.1.22","article-title":"The role of echocardiography in diagnosing space\u2014occupying lesions of the heart","volume":"2013","author":"Ragland","year":"2006","journal-title":"Clin Med Res"},{"key":"2025082803045542000_2013.nov27_1.bcr2013010007.18","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1161\/01.CIR.83.1.70","article-title":"Diagnosis of noninfective cardiac mass lesions by two-dimensional echocardiography. Comparison of the transthoracic and transesophageal approaches","volume":"2013","author":"Mugge","year":"1991","journal-title":"Circulation"},{"issue":"(Suppl 1)","key":"2025082803045542000_2013.nov27_1.bcr2013010007.19","doi-asserted-by":"crossref","first-page":"P298","DOI":"10.1186\/1532-429X-14-S1-P298","article-title":"Diagnostic utility of cardiac MRI in clinical evaluation of cardiac masses with histopathological correlation","volume":"2013","author":"Patel","year":"2012","journal-title":"J Cardiovasc Magn Reson"},{"key":"2025082803045542000_2013.nov27_1.bcr2013010007.20","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1510\/icvts.2007.154096","article-title":"Cardiac myxoma: preoperative diagnosis using a multimodal imaging approach and surgical outcome in a large contemporary series","volume":"2013","author":"Rahmaniana","year":"2007","journal-title":"Interact CardioVasc Thorac Surg"},{"key":"2025082803045542000_2013.nov27_1.bcr2013010007.21","first-page":"459","article-title":"Comparison of echo and MRI in the imaging evaluation of intracardiac masses","volume":"2013","author":"Gulati","year":"2004","journal-title":"Cardiovasc Intervent Radiol"},{"key":"2025082803045542000_2013.nov27_1.bcr2013010007.22","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1111\/j.1540-8175.1998.tb00604.x","article-title":"Multiple local recurrent myxoma","volume":"2013","author":"Etxebeste","year":"1998","journal-title":"Echocardiography"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-010007","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:05:10Z","timestamp":1756375510000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-010007"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,11,27]]},"references-count":22,"alternative-id":["10.1136\/bcr-2013-010007"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-010007","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,11,27]]}}}