Left Atrial Myxomas are notorious for their varied presentations. We describe one such case which initially

presented with hemiparesis and seizures and was diagnosed as cerebral infarction and treated accordingly and

decompression craniotomy with hinge flap was done for raised ICP and impending brain herniation. The main cause was a left atrial myxoma, which was diagnosed only in follow up. The myxoma has embolised to give rise to cerebral infarction. The LA myxoma was then successfully operated under general anaesthesia and

Cardiopulmonary bypass (CPB).