Department of Emergency Medicine, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan.
Am J Emerg Med. 2010 Feb;28(2):261.e1-2. doi: 10.1016/j.ajem.2009.06.027.
We introduce a rare case of sudden paraplegia preceded by vigorous coughing. This case demonstrates that detachment of a myxoma fragment can possibly be triggered by an abrupt increase in intrathoracic pressure. It is a potential complication that has never been reported in the literature. This case illustrates that clinicians should consider cardiac myxoma in a patient with an embolic event of ambiguous etiology, especially when the event is preceded by a forceful, valsalva maneuver-like action.
我们介绍了一例罕见的剧烈咳嗽后突然截瘫病例。该病例表明，粘液瘤碎片的脱落可能是由于胸腔内压力的突然增加而引发的。这是一种潜在的并发症，以前从未在文献中报道过。该病例表明，对于原因不明的栓塞事件患者，临床医生应考虑心脏粘液瘤，特别是当事件发生前有剧烈的瓦尔萨尔瓦动作样动作时。
