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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 …
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; not externally peer reviewed.
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