以假性球麻痹为表现的左心房黏液瘤

Left atrial myxoma presenting as pseudobulbar palsy.

作者信息

Kumar A, Sachdev A, Singh R, Lehl S S, D'Cruz S, Mahapatra M, Malhotra H S

机构信息

Department of Medicine, Government Medical College and Hospital, Sector - 32B, Chandigarh, 160047, India.

出版信息

Neurol India. 2002 Jun;50(2):219-21.

PMID:12134197

Abstract

A case of left atrial (LA) myxoma presenting as pseudobulbar palsy, due to multiple cerebral infarcts, without any cardiac manifestations, is presented. LA myxoma is rare cause of embolization to CNS causing ischemic infarcts. Due to multiple CNS infarcts patient can present with varied clinical picture and pseudobulbar palsy is not a very common presentation. It was a real diagnostic dilemma before LA myxoma was diagnosed on echocardiography.

摘要

本文报告一例左心房黏液瘤患者，因多发性脑梗死表现为假性延髓麻痹，而无任何心脏症状。左心房黏液瘤是中枢神经系统栓塞导致缺血性梗死的罕见原因。由于多发性中枢神经系统梗死，患者可呈现多种临床表现，假性延髓麻痹并非常见表现。在经超声心动图诊断出左心房黏液瘤之前，这确实是一个诊断难题。