Background:Repeated intracranial hemorrhages caused by cardiac myxoma is very rare.It is essential for physicians to be aware of such uncommon clinical feature of myxoma.Case presentation:We report a-49-year-old female patient complained of repeated multiple intracranial hemorrhages,with no sign of cardiac dysfunction or cerebral infarction before admission.Cavous angioma (CA) was misdiagnosded due to the clinical and magnetic resonance (MR) presentation.A sudden ischemic event after admission led to the finding of a left atrial myxoma.Conclusions:Repeated intracranial hemorrhages can be the early and primary clinical presentation of cardiac myxoma,probably caused by its metastasis,without obvious ischemic stroke or cardiac symptoms.