Hovda O A, Myhr K M, Kråkenes J, Vedeler C A
Nevrologisk avdeling, Haukeland Sykehus 5021 Bergen.
Tidsskr Nor Laegeforen. 2001 Mar 10;121(7):802-3.
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.
We describe a patient with acute aphasia due to left temporal haemorrhage. Later he developed acute ataxia due to right cerebellar infarct.
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.
Echocardiography should be included in the diagnostic work-up of patients with cerebrovascular events, especially in young patients with multiple infarcts.
黏液瘤是最常见的原发性心脏肿瘤类型。由于它们大多位于左心房，原发性神经表现通常是中枢神经系统的多发性栓塞性梗死。
我们描述了一名因左侧颞叶出血导致急性失语的患者。后来他因右侧小脑梗死出现急性共济失调。
磁共振成像还显示幕上和幕下有多处梗死。超声心动图显示左心房有一个黏液瘤，通过手术切除进行了治疗。随访时没有黏液瘤复发或栓塞性梗死的迹象。
超声心动图应纳入脑血管事件患者的诊断检查，尤其是有多发性梗死的年轻患者。
