Cerebral Emboli From Cardiac Tumors

Epileptic Seizures Due to Thrombotic and Embolic Cerebrovascular Disease in Older Patients

“…More rarely, embolic mechanisms can produce epileptic seizures in patients with cardiac tumors (Joynt et al, 1965;Schwarz et al, 1972;Beran and Hicks, 1979) or mitral valve prolapse (Taylor et al, 1979). For example, of 113 patients with mitral valve prolapse, 3 developed seizures (2 complex partial, 1 focal motor).…”

Atrial myxoma: a treatable cause of stroke.

“…Emboli are frequently multiple and lodge in many sites, but in approximately one-half of the cases the brain is the target organ (Silverman et al, 1962). Joynt, Zimmerman, and Khalifeh (1965) recently analysed 12 case reports of patients with left atrial myxoma in whom acute neurological disturbances-usually hemiplegia, unconsciousness, or both-were the presenting clinical features. Although the average duration of neurological symptoms was over one year, all 12 patients died and in only one case was the correct diagnosis made before death.…”

Atrial myxoma: a review of the neurological complications, metastases, and recurrences

“…The incidence of clinically important embolisation from left atrial myxomas may be as high as 45%, with involvement of the brain in half the cases (Sylverman et al, 1962;Greenwood, 1968;Peters et al, 1974). In reviewing the literature, we found 19 patients (Sylverman et al, 1962;Joynt et al, 1965;Burton and Johnston, 1970;Price et al, 1970;New et al, 1970;Yarnell et al, 1971;Stein-metz et al, 1973;Thompson and Simmons, 1974) with demonstrated symptomatic arterial occlusion (necropsy, 14; surgery, 4; both 2) (see Table).…”