PubMed · 7355343
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J Massey, E W Massey. 1980. Migraine.. https://doi.org/10.1097/00007611-198002000-00048
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Stroke patients have a high recurrence risk of 4-14% per year--depending on individual etiology. The best way of preventing a repeat insult and protecting the patient's remaining quality of life is to rigorously apply all available secondary prophylactic possibilities. These include measures aimed at modifying a health-endangering lifestyle, as well as medical treatment of all risk-enhancing illnesses. The present article offers an overview of the major confirmed and modifiable risk factors for stroke (arterial hypertension, smoking, atrial fibrillation, diabetes mellitus, overweight, hyper-cholesterolemia, thrombophilia, immoderate use of alcohol, lack of exercise, use of contraceptives, migraine), and outlines therapeutic strategies for secondary prevention.
BACKGROUND: Myxomas are the most common type of primary cardiac tumours. As they are most often located in the left atrium, primary neurological manifestations are often multiple embolic infarcts in the central nervous system. MATERIAL AND METHODS: We describe a patient with acute aphasia due to left temporal haemorrhage. Later he developed acute ataxia due to right cerebellar infarct. RESULTS: Magnetic resonance also showed multiple supra- and infratentorial infarcts. Echocardiography revealed a myxoma in the left atrium which was treated by surgical excision. There were no signs of myxoma recurrence or embolic infarcts at follow-up. INTERPRETATION: Echocardiography should be included in the diagnostic work-up of patients with cerebrovascular events, especially in young patients with multiple infarcts.