Durand de Grossouvre N, Rivière J-F, Bertandeau E, Bonnan M, Dakar A, Krim E, Barroso B
Service de neurologie, centre hospitalier François-Mitterrand, 4, boulevard Hauterive, 64046 Pau cedex, France.
Rev Neurol (Paris). 2011 Feb;167(2):155-9. doi: 10.1016/j.neurol.2010.08.007. Epub 2010 Dec 23.
We report three cases of ischemic cardioembolic strokes related to benign primary cardiac tumours (two fibromas and one fibroelastoma).
This is a retrospective study over a five years period (from December 2004 to December 2009) in a French community hospital. Data on hospital strokes were obtained from the informatics department. Three benign primary cardiac tumours were found as the cause of acute neurological manifestations: a 45-year-old woman with a fibroelastoma revealed by a brain infarction, a 29-year-old man with a myxoma revealed by a transient ischemic attack, and a 46-year-old woman with a myxoma revealed by a brain infarction. Rankin scores performed at least 18 months after cardiac tumour surgery were respectively of 0, 0 and 2.
Our study confirms that this is a rare event even if those tumours seem to have a high embolic potential (myxomas). Anyway, long-term functional outcome seems to be good.
我们报告了3例与良性原发性心脏肿瘤(2例纤维瘤和1例弹力纤维瘤)相关的缺血性心源性脑栓塞病例。
这是一项对一家法国社区医院5年期间(从2004年12月至2009年12月)进行的回顾性研究。关于医院中风的数据来自信息科。发现3例良性原发性心脏肿瘤是急性神经症状的病因:1例45岁女性因脑梗死发现患有弹力纤维瘤,1例29岁男性因短暂性脑缺血发作发现患有黏液瘤,1例46岁女性因脑梗死发现患有黏液瘤。心脏肿瘤手术后至少18个月进行的Rankin评分分别为0、0和2。
我们的研究证实,即使这些肿瘤似乎具有较高的栓塞潜能(黏液瘤),这也是一种罕见事件。无论如何,长期功能预后似乎良好。