Open AccessAtrial Myxoma Presenting with Aphasia Alone: A Case Report
Author(s) -
Saritas A,
Emet M,
Kocaturk H,
Aslan S,
Cakir ZG
Publication year - 2009
Publication title -
hong kong journal of emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.145
H-Index - 12
eISSN - 2309-5407
pISSN - 1024-9079
DOI - 10.1177/102490790901600308
Subject(s) - medicine , aphasia , myxoma , atrial myxoma , left atrial myxoma , ventricle , emergency department , left atrium , atrium (architecture) , cardiology , radiology , surgery , atrial fibrillation , psychiatry
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.