Citation

Fleurat MR, Zaia BE. Pediatr. Emerg. Care 2016; 32(6): 392-394.

Affiliation

From the *UCSF Benioff Children's Hospital, Oakland; †Kaiser Permanente, San Francisco Medical Center; and ‡University of California at San Francisco; San Francisco, CA.

Copyright

(Copyright © 2016, Lippincott Williams and Wilkins)

DOI

10.1097/PEC.0000000000000824

PMID

27253357

Abstract

We report a case of altered mental status in a 5-year-old boy who presented to the emergency department after presumed head trauma. A computed tomography head was conducted and its findings were normal, and the boy was discharged home. He returned the next day with persistent altered mental status and was found to have an abnormal MR brain suggestive of embolic strokes. An echocardiogram revealed a large atrial mass that was later confirmed by pathology to be an atrial myxoma. This is a unique and, to our knowledge, unreported presentation of a known but rare disease process in a pediatric patient.

Language: en