心房黏液瘤：心源性栓塞性卒中的罕见病因。
Atrial myxoma: a rare cause of cardioembolic stroke.
作者信息
Akhtar Junaid, Wasay Mohammad, Rauf Javeria
机构信息
Neurology Department, Aga Khan University Hospital, Karachi, Sindh, Pakistan.
出版信息
BMJ Case Rep. 2012 Sep 7;2012:bcr2012006176. doi: 10.1136/bcr.2012.006176.
Abstract
The authors present the case of a 45-year-old lady who presented to the emergency department with sudden onset of right hemiparesis, numbness, dysarthria, dysmetria, left upper motor neuron facial palsy and left extensor plantar. Initial laboratory investigations, ECG and MR angiography were normal. MRI brain revealed multiple ischaemic strokes in middle cerebral artery and posterior cerebral artery territory. Transthoracic echocardiography revealed large mobile mass in left atrium which was resected and the patient remained well postoperatively. Anticoagulants do not play any protective role making resection as the only effective treatment.
摘要
作者介绍了一名45岁女性的病例，该患者因突发右侧偏瘫、麻木、构音障碍、辨距不良、左侧上运动神经元性面瘫和左侧跖伸而就诊于急诊科。初步实验室检查、心电图和磁共振血管造影均正常。脑部磁共振成像显示大脑中动脉和大脑后动脉区域有多处缺血性中风。经胸超声心动图显示左心房有一个大的活动肿块，已切除，患者术后恢复良好。抗凝剂没有任何保护作用，手术切除是唯一有效的治疗方法。
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