Why the study?
Atrial myxomas are a rare cause of ischemic stroke in young patients, and considering them in the absence of obvious risk factors can avoid early misdiagnosis.
Atrial myxoma should be considered as a potential cause of ischemic stroke in young patients without obvious risk factors, even with unusual presentations like isolated bilateral painless vision loss.
Surgical resection succeeds in atrial myxoma with isolated vision loss; leaves open whether echocardiography merits routine use in young cryptogenic stroke.
Atrial myxomas are rare primary cardiac tumours with neurological manifestations being reported in 30% of cases. Though a rare cause of ischemic stroke in young patients, considering it as a possibility in absence of any obvious risk factors can help avoid misdiagnosis at early stages. We present a case of left atrial myxoma in a 36-year-old male with no known co-morbidities, showing an unusual clinical presentation of isolated bilateral painless vision loss. With multiple infarcts on Non Contrast Computerised Tomography (NCCT) and a suspicion of Atrial Myxoma on Transesophageal Echocardiography (TEE), patient was successfully managed surgically with confirmation of diagnosis on histopathology.
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Sohal et al. (2020) studied this question.
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