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Recurrent transitory ischaemic attacks with skin lesions, arthralgia and myalgia should prompt suspicion of atrial myxoma
  1. Maria Luigia Praitano1,2,
  2. Stefano Tamburin1,2,
  3. Laura Pederzoli3,
  4. Giampietro Zanette2
  1. 1University of Verona, Department of Neurological Sciences and Vision, Section of Rehabilitative Neurology, Italy
  2. 2Pederzoli Hospital, Section of Neurology, Peschiera del Garda, Verona, Italy
  3. 3Pederzoli Hospital, Section of Cardiology, Peschiera del Garda, Verona, Italy
  1. Correspondence to Dr S Tamburin, University of Verona, Department of Neurological Sciences and Vision, Section of Rehabilitative Neurology, GB Rossi Hospital, Piazzale Scuro 10, Verona 37134, Italy; stefano.tamburin{at}univr.it

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Heart myxoma is responsible for 0.5% of cases of cardiogenic emboli and represents a rare but important cause of stroke in young people.1 Myxoma should be promptly recognised because of the risk of severe complications but its diagnosis is usually not straightforward.2 3

A 44-year-old woman was admitted for acute onset of right hemiparesis and blurred vision. She reported a 15 month history of recurrent episodes of blurred vision, diffuse myalgia, arthralgia and tender erythematous macules involving the palms, soles and neck. On three occasions she also complained of paraesthesia and hyposthenia involving the right upper limb. She smoked but had no other conventional vascular risk factors. Thorough rheumatological investigations …

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