Advanced

AJNR - American Journal of Neuroradiology

This Article Abstract Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via CrossRef Citing Articles via Google Scholar Google Scholar Articles by Herbst, M. Articles by Hartmann, A. Search for Related Content PubMed PubMed Citation Articles by Herbst, M. Articles by Hartmann, A.

Cerebral Embolism from Left Atrial Myxoma Leading to Cerebral and Retinal Aneurysms: A Case Report

Martin Herbst^a, Mike Peter Wattjes^a,b, Horst Urbach^b, Claudia Inhetvin-Hutter^c, Dietmar Becker^a, Thomas Klockgether^a and Alexander Hartmann^a

^a Department of Neurology, University of Bonn, Bonn, Germany
^b Department of Radiology/Neuroradiology, University of Bonn, Bonn, Germany
^c Department of Ophthalmology, University of Bonn, Bonn, Germany

View larger version (145K): [in a new window]   FIG 1. MR images showing infarction and dilated blood vessels. A and B, Coronal diffusion-weighted MR imaging (TR, 5000 ms; TE, 120 ms; Td, 85 ms; section thickness, 5 mm) shows multiple cerebellar and brain stem infarcts. C and D, Axial T1-weighted spin-echo MR imaging following gadolinium-DTPA administration (TR, 560 ms; TE, 14 ms; section thickness, 5 mm; interslice gap, 1 mm) demonstrates dilated peripheral middle cerebral artery branches suggestive of fusiform dilatations (arrow).

View larger version (57K): [in a new window]   FIG 2. Echocardiography demonstrating left atrial myxoma. Transesophageal echocardiogram in the two chamber view in diastole (A) and systole (B). A large intraatrial mass which prolapses through the mitral valve into the left ventricle in diastole (A) can be seen.

View larger version (186K): [in a new window]   FIG 3. Digital subtraction angiography confirming aneurysm formation. The largest aneurysm is located in the precentral branch of the left middle cerebral artery (arrow).

View larger version (79K): [in a new window]   FIG 4. Fluorescein angiography of the left eye with parafoveal teleangiectasis or microaneurysms. A and B, Early-phase fluorescein angiogram demonstrates teleangiectasis of the upper perifoveal capillary network (arrow). Similar changes were observed in the right eye. A detail from panel A, marked by a rectangle, is shown in panel B. Visual acuity was 25/25.