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Stroke due to a cardiac myxoma

¹ MRC Clinician Scientist and Honorary Consultant Neurologist
² Consultant Neurologist Department of Clinical Neurosciences, Western General Hospital, Edinburgh, UK
³ Consultant Cardiologist Department of Cardiology, Western General Hospital, Edinburgh, UK
⁴ Consultant Cardiac Surgeon Department of Cardiothoracic Surgery, Royal Victoria Hospital, Belfast, UK

Correspondence to:
Correspondence to:
Dr R Al-Shahi Salman
Department of Clinical Neurosciences, Western General Hospital, Edinburgh EH4 2XU, UK; Rustam.Al-Shahi@ed.ac.uk

The first 150 words of the full text of this article appear below.

Although jobbing neurologists are mindful of the rarer causes of cardioembolic stroke in young adults,¹ rare diseases may bear none of their "textbook" hallmarks.

THE STORY

A woman in her late twenties suddenly became unsteady on her feet with a tendency to stagger to the left. She had a moderate frontal headache at the onset. Over the next hour she developed numbness of the whole of her lower lip, left upper lip and the left side of her face. These symptoms were accompanied by very mild weakness of the right arm, nausea, slight photophobia, oscillopsia, a quiet voice, and a need to gulp twice in order to swallow. Her only past history was of migraine equivalents without headache. There was a family history of migraine affecting her mother, and of stroke affecting her great aunt in her seventies. She had been on the progestogen-only contraceptive pill (norethisterone 350 µg daily) for three . . . [Full text of this article]