Department of Neurology, Chinese People's Liberation Army General Hospital, Beijing, China.
Chin Med J (Engl). 2012 Sep;125(18):3346-8.
Lambl's excrescences are filiform structures attached to the edges of cardiac valves and have been associated with stroke. Here we report two patients with Lambl's excrescences who developed migraine-like headaches followed by cerebral infarction. Their Lambl's excrescences were first identified by transesophageal echocardiography. One patient was given aspirin and another had surgery for debridement of excrescences. Their outcomes were good. The migraine-like headache might be the first symptom of cerebral ischemia and might be triggered by micro-emboli originated from Lambl's excrescences. Patients with Lambl's excrescences should be closely monitored and surgery should be considered in recurrent stroke cases.
兰布氏赘生物是附着在心脏瓣膜边缘的线状结构，与中风有关。在这里，我们报告了两例兰布氏赘生物患者，他们出现偏头痛样头痛，随后发生脑梗死。他们的兰布氏赘生物首先通过经食管超声心动图确定。一名患者给予阿司匹林治疗，另一名患者接受赘生物清创手术。他们的预后良好。偏头痛样头痛可能是脑缺血的首发症状，可能由兰布氏赘生物来源的微栓子引发。兰布氏赘生物患者应密切监测，对于复发性中风病例，应考虑手术治疗。
