O'Rourke Fintan, Dean Naeem, Mouradian Mikael S, Akhtar Naveed, Shuaib Ashfaq
Stroke Prevention Clinic, University of Alberta Hospital, Edmonton, AB.
CMAJ. 2003 Nov 11;169(10):1049-51.
Cardiac myxoma is a source of emboli to the central nervous system and elsewhere in the vascular tree. However, nonspecific systemic symptoms and minor embolic phenomena may be overlooked in the absence of any history of cardiac problems. In this situation, cardiac investigations may not be performed, and diagnosis of this rare condition may be delayed until the onset of more significant embolic disease, such as stroke with functional impairment, as in the case reported here. The clinical presentation of cardiac myxoma is discussed, along with appropriate investigations and treatment, which may prevent such sequelae.
心脏黏液瘤是中枢神经系统及血管系统其他部位栓子的来源。然而,在没有任何心脏问题病史的情况下,非特异性全身症状和轻微栓塞现象可能会被忽视。在这种情况下,可能不会进行心脏检查,这种罕见疾病的诊断可能会延迟,直到出现更严重的栓塞性疾病,如伴有功能障碍的中风,就像此处报道的病例一样。本文讨论了心脏黏液瘤的临床表现,以及适当的检查和治疗方法,这些措施可能预防此类后遗症。