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We present a new case of cardiac myxoma triggering migraine auras. A 52-year-old woman was suffering from migraine attacks with aura. Magnetic resonance imaging (MRI) showed no abnormalities. Subsequently, she had a minor stroke with multiple ischaemic lesions bilaterally on repeat MRI. An echocardiogram showed a myxoma of the left atrial wall. After removal of the myxoma she was free of symptoms. In the past, seven cardiac myxoma associated migraine patients have been reported. Other cardiac abnormalities, patent foramen ovale in particular, are known to be associated with migraine with aura. We attempted to compare the mechanisms by which cardiac myxoma and other cardiac abnormalities could trigger cortical spreading depression leading to migraine with aura. |
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atrial myxoma cardiac tumor cerebral embolism cerebral embolism,cardiac origin cerebral infarction cerebral infarction,small,deep cerebral infarction,subcortical cerebrovascular accident cerebrovascular accident,atrial myxoma cerebrovascular accident,bilateral cerebrovascular accident,cardiac disease causing cerebrovascular accident,multiple cerebrovascular accident,silent cerebrovascular accident,women echocardiogram embolism gender migraine migraine with aura MRI,abnormal precipitating factors prognosis transient ischemic attack
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