Left Atrial Myxoma as a Neurological Problem: A Case Report and Review

被引:57
作者
Steinmetz, Edward F. [1 ]
Calanchini, Philip R. [1 ]
Aguilar, Mary Jane [1 ]
机构
[1] Presbyterian Hosp Pacific Med Ctr, Inst Med Sci, Clay & Webster St, San Francisco, CA 94115 USA
关键词
aneurysm; cerebral emboli; echocardiography;
D O I
10.1161/01.STR.4.3.451
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A puzzling neurological illness in a patient with a clinically normal heart was explained at autopsy by cerebral embolization from a left atrial myxoma (LAM). Constitutional symptoms associated with LAM were present. Cerebral angiography revealed aneurysms and focal areas of abnormal blushing. Cerebral and cardiac pathology is presented. The surgical follow-up of seven other cases is reported to determine the "curability" of such tumors. We believe that echocardiography should be performed in any case of suspected cerebral embolization even though cardiac symptoms and signs may be absent.
引用
收藏
页码:451 / 458
页数:8
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