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左心房黏液瘤患者的多发脑转移和转移性动脉瘤:一例报告。

Multiple cerebral metastases and metastatic aneurysms in patients with left atrial Myxoma: a case report.

机构信息

Department of Neurology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.

Department of Neurology, Caidian People Hospital, Wuhan, 430100, China.

出版信息

BMC Neurol. 2019 Oct 23;19(1):249. doi: 10.1186/s12883-019-1474-4.

Abstract

Cardiac myxoma is the most common benign cardiac tumor. Brain metastases or multiple cerebral aneurysms are extremely rare, especially for the case of both complications. Brain metastases are usually found at the same time or few months after the diagnosis or surgical removal of cardiac myxoma CASE PRESENTATION: We describe a case of patient, operated for a cardiac myxoma, who presented multiple central nervous system metastases associated, cerebral aneurysms and subsequent intracerebral hemorrhage CONCLUSIONS: The long-term follow-up of the patients with atrial myxoma even after complete surgical excision is recommended, especially for the patient with central nervous system manifestations before atrial myxoma excision.

摘要

心脏黏液瘤是最常见的良性心脏肿瘤。脑转移或多发性脑动脉瘤极为罕见,尤其是同时存在这两种并发症的情况。脑转移瘤通常在心脏黏液瘤诊断或手术切除后同时或数月后发现。

病例介绍

我们描述了一例患者,因心脏黏液瘤接受了手术治疗,术后出现了多个中枢神经系统转移灶、脑动脉瘤,并随后发生了脑出血。

结论

建议对接受过完全手术切除的心房黏液瘤患者进行长期随访,尤其是在心房黏液瘤切除前有中枢神经系统表现的患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25d8/6813067/5ba130dbffbf/12883_2019_1474_Fig1_HTML.jpg

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