Key result
Repeated intracranial hemorrhages can be the early and primary clinical presentation of cardiac myxoma, mimicking cavernous angiomas, without obvious ischemic stroke or cardiac symptoms.
Case Report (n=1)
No
Repeated intracranial hemorrhages can be the primary clinical presentation of cardiac myxoma, highlighting the need for cardiac screening such as echocardiography in unusual cases of multiple intracranial hemorrhages.
May support targeted echocardiography in atypical recurrent ICH; hypothesis-generating for myxoma screening protocols.
Repeated intracranial hemorrhages caused by cardiac myxoma is very rare. It is essential for physicians to be aware of such uncommon clinical feature of myxoma. We report a-49-year-old female patient complained of repeated multiple intracranial hemorrhages, with no sign of cardiac dysfunction or cerebral infarction before admission. Cavernous angioma (CA) was misdiagnosded due to the clinical and magnetic resonance (MR) presentation. A sudden ischemic event after admission led to the finding of a left atrial myxoma. Repeated intracranial hemorrhages can be the early and primary clinical presentation of cardiac myxoma, probably caused by its metastasis, without obvious ischemic stroke or cardiac symptoms.
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Quan et al. (2017) conducted a case report in Repeated multiple intracranial hemorrhages induced by cardiac myxoma (n=1). Surgical removal of atrial myxoma was evaluated. Repeated intracranial hemorrhages can be the early and primary clinical presentation of cardiac myxoma, mimicking cavernous angiomas, without obvious ischemic stroke or cardiac symptoms.
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