Atrial myxomas are the most common primary heart tumours. Symptoms are produced by mechanical interference with cardiac function or embolization. Neurological symptoms may occur approximately in one third of the patients. We report a patient who was admitted to the emergency department with only a complaint of complete aphasia and without other neurological signs and symptoms. Transthoracic echocardiography demonstrated a large mobile mass sized 4 × 4.5 cm prolapsing into the left ventricle through the mitral valve from the left atrium, suggesting the diagnosis of atrial myxoma. After surgery, aphasia resolved completely. Our objective is to inform clinicians that aphasia alone can be a symptom of atrial myxoma.
ReynenK.Cardiac myxomas. N Engl J Med1995; 333(24): 1610–7.
5.
BjessmoS., IvertT.Cardiac myxoma: 40 years' experience in 63 patients. Ann Thorac Surg1997; 63(3): 697–700.
6.
PinedeL., DuhautP., LoireR.Clinical presentation of left atrial cardiac myxoma. A series of 112 consecutive cases. Medicine (Baltimore)2001; 80(3): 159–72.
7.
St John SuttonM.G., MercierL.A., GiulianiE.R., LieJ.T.Atrial myxomas: a review of clinical experience in 40 patients. Mayo Clin Proc1980; 55(6): 371–6.
8.
JohanssonL.Histogenesis of cardiac myxomas. An immunohistochemical study of 19 cases, including one with glandular structures and review of the literature. Arch Pathol Lab Med1989; 113(7): 735–41.
9.
HerbstM., WattjesM.P., UrbachH., Inhetvin-HutterC., BeckerD., KlockgetherT.Cerebral embolism from left atrial myxoma leading to cerebral and retinal aneurysms: a case report. AJNR Am J Neuroradiol2005; 26(3): 666–9.
10.
KnepperL.E., BillerJ., AdamsH.P.Jr, BrunoA.Neurologic manifestations of atrial myxoma. A 12-year experience and review. Stroke1988; 19(11): 1435–40.
11.
SandokB.A., von EstorffI., GiulianiE.R.CNS embolism due to atrial myxoma: clinical features and diagnosis. Arch Neurol1980; 37(8): 485–8.
AggarwalS.K., BarikR., SarmaT.C., IyerV.R., SaiV., MishraJ.Clinical presentation and investigation findings in cardiac myxomas: new insights from the developing world. Am Heart J2007; 154(6): 1102–7.
14.
LeeV.H., ConnollyH.M., BrownR.D.JrCentral nervous system manifestations of cardiac myxoma. Arch Neurol2007; 64(8): 1115–20.
15.
KawamuraT., MurataniH., InamuraT., HoriuchiI., OeM., FukuiM.Serial MRI of cerebral infarcts before and after removal of an atrial myxoma. Neuroradiology1999; 41(8): 573–5.
