Migraine with aura triggered by cardiac myxoma: case report and literature review

Cephalalgia : an International Journal of Headache
Laura de CeusterPeter J Koehler

Abstract

We present a new case of cardiac myxoma triggering migraine auras. A 52-year-old woman was suffering from migraine attacks with aura. Magnetic resonance imaging (MRI) showed no abnormalities. Subsequently, she had a minor stroke with multiple ischaemic lesions bilaterally on repeat MRI. An echocardiogram showed a myxoma of the left atrial wall. After removal of the myxoma she was free of symptoms. In the past, seven cardiac myxoma associated migraine patients have been reported. Other cardiac abnormalities, patent foramen ovale in particular, are known to be associated with migraine with aura. We attempted to compare the mechanisms by which cardiac myxoma and other cardiac abnormalities could trigger cortical spreading depression leading to migraine with aura.

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Citations

Oct 1, 2014·The American Journal of Emergency Medicine·Alison W Frizell, George L Higgins
Sep 18, 2014·Cephalalgia : an International Journal of Headache·Jerome MawetCenk Ayata
Dec 17, 2014·Cephalalgia : an International Journal of Headache·Kiratikorn VongvaivanichDavid W Dodick
Feb 21, 2014·Cephalalgia : an International Journal of Headache·Alex FörsterChristoph Groden
Apr 24, 2012·Cephalalgia : an International Journal of Headache·Dong Hoon ShinJi Man Hong
Oct 11, 2017·European Neurology·Wendy E TurkPeter J Koehler
Oct 7, 2019·Muscle & Nerve·In-Woo ParkBum Chun Suh
Sep 6, 2018·Internal Medicine Journal·Rina AlamLina Baytieh

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