Key result
Surgical excision of a left atrial myxoma completely resolved persistent positional vertigo symptoms in a 67-year-old female, with no recurrence at 6 months.
Why the study?
Cardiac myxoma is an uncommon diagnosis with diverse manifestations ranging from non-specific symptoms to stroke-like events and syncope.
Does surgical excision resolve vertigo symptoms in a patient with an atrial myxoma?
Case Report (n=1)
No
Does surgical excision resolve vertigo symptoms in a patient with an atrial myxoma?
Atrial myxoma can rarely present as seemingly benign positional vertigo, which resolves completely following surgical excision.
Answers are grounded in this paper and cite their sources.
Myxoma may rarely underlie chronic vertigo; case report leaves diagnostic implications open pending higher-level evidence.
Cardiac myxoma is an uncommon diagnosis but presents with common manifestations. There is a wide range of symptomatology from non-specific fever and weight loss to stroke-like symptoms. It is also one of the rare causes of cardiac syncope and thromboembolic events. We present a case of a 67-year-old female who presented with seemingly benign vertigo symptoms which she ignored for years before seeking medical attention. An echocardiogram revealed a 3.5 x 3.0 x 1.0 cm atrial myxoma which was surgically excised. Her symptoms have resolved entirely with no recurrence since surgery.
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Jupalli et al. (2019) conducted a case report in Atrial myxoma (n=1). Surgical excision was evaluated on Symptom resolution. Surgical excision of a left atrial myxoma completely resolved persistent positional vertigo symptoms in a 67-year-old female, with no recurrence at 6 months.
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