STROKE, LEFT ATRIAL-MYXOMA AND LENTIGINOSIS

Occlusion of the middle cerebral artery in a 16-year old woman reveale d a left atrial myxoma associated with a mucocutaneous lentiginosis. T wo-dimensional transthoracic or transoesophagal echocardiography shoul d be performed in all patients with stroke and lentiginosis to look fo r cardiac myxoma. After treatment of the cardiac tumor, echocardiograp hy should be repeated at regular intervals to detect a recurrence of t he myxoma. As this cardio-cutaneous syndrome is a familial disorder wi th autosomal dominant inheritance, examination of all family, members by echocardiography is recommended.