Abstract
A 37-year-old woman with a two-year history of joint pains, fevers, and a skin rash, collapsed suddenly. Clinically she demonstrated aphasia, a right hemiparesis, and right hyperreflexia. A left central retinal artery occlusion was noted. No cardiac murmurs were present. At autopsy, an unsuspected left atrial myxoma was found with embolization to the left middle cerebral artery, left posterior ciliary arteries, left choroid, and probably left retinal arteries. This represents at least the sixth case of atrial myxoma and central retinal artery occlusion; the clinical features of these cases are strikingly similar. Atrial myxoma should be suspected in any young person with central retinal artery occlusion without predisposing disease.
Original language | English (US) |
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Pages (from-to) | 242-249 |
Number of pages | 8 |
Journal | American journal of ophthalmology |
Volume | 75 |
Issue number | 2 |
DOIs | |
State | Published - Feb 1973 |
Funding
Physical examination on admission showed a young, aphasie woman with a blood pressure of 120/70 mm Hg and a pulse of 80. She was afebrile. Shiny erythematous areas were noted on the dorsum of her feet and purple pin-sized macules were From the Department of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, Connecticut. This study was supported in part by Public Health Service Grant EY-00002, Research to Prevent Blindness, Inc., and the Connecticut Lions Eye Research Foundation.
ASJC Scopus subject areas
- Ophthalmology