黏液瘤样动脉瘤：一例病例报告及文献综述
Myxomatous aneurysms: a case report and literature review.
作者信息
Tamulevičiūtė E, Taeshineetanakul P, Terbrugge K, Krings T
机构信息
Division of Neuroradiology, Department of Medical Imaging, Toronto Western Hospital, University of Toronto, Canada.
出版信息
Interv Neuroradiol. 2011 Jun;17(2):188-94. doi: 10.1177/159101991101700208. Epub 2011 Jun 20.
Abstract
Cardiac myxomas are benign tumors that may lead to neurological manifestations including ischemic stroke, aneurysms or metastases. We describe a patient with multiple intracranial aneurysms who presented with TIA-like symptoms following resection of an atrial myxoma, and review the clinical and imaging features of myxomatous aneurysms as reported in the literature. The most prominent imaging features of myxomatous aneurysms are their multiplicity, fusiform shape and distal location whereas from a clinical point of view they most often present with stroke like symptoms rather than with hemorrhage. These neurological manifestations may occur even after successful and complete surgical removal of the atrial myxoma.
摘要
心脏黏液瘤是一种良性肿瘤，可能导致包括缺血性中风、动脉瘤或转移瘤在内的神经学表现。我们描述了一名患有多发性颅内动脉瘤的患者，该患者在心房黏液瘤切除术后出现类似短暂性脑缺血发作（TIA）的症状，并回顾了文献中报道的黏液瘤性动脉瘤的临床和影像学特征。黏液瘤性动脉瘤最显著的影像学特征是其多发性、梭形形状和远端位置，而从临床角度来看，它们最常表现为类似中风的症状而非出血。即使在成功且完全切除心房黏液瘤后，这些神经学表现仍可能发生。
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