Department of Neurology, Third Faculty of Medicine, Charles University and Faculty Hospital Kralovske Vinohrady, Prague, Czech Republic.
Neuro Endocrinol Lett. 2020 Sep;41(3):109-112.
Cardiac myxoma is a rare cause of cardioembolic stroke, especially in young patients. Acute treatment includes intravenous thrombolysis or acute thrombectomy via mechanical recanalisation. We present a case of a young 21-year-old woman with no symptoms of dyspnoea who suddenly developed expressive aphasia and right-sided hemiparesis due to a thrombus in the left middle cerebral artery followed by the left anterior cerebral artery. She underwent acute mechanical thrombectomy with improvement of the neurological status. Bedside ultrasonography detected a suspected myxoma, which was further confirmed by a CT scan as a myxoma in the left cardiac ventricle. The patient underwent successful surgery. We stress on the importance of echocardiographic examination in young patients after ischaemic stroke and multidisciplinary team cooperation in the treatment management of such patients.
心脏黏液瘤是心源性脑栓塞的罕见病因，尤其在年轻患者中。急性治疗包括静脉溶栓或通过机械再通进行急性血栓切除术。我们报告了一例年轻的 21 岁女性患者，她无呼吸困难症状，但突然出现左大脑中动脉血栓导致的表达性失语和右侧偏瘫，随后累及左大脑前动脉。她接受了急性机械血栓切除术，神经状态得到改善。床边超声检查发现疑似黏液瘤，进一步通过 CT 扫描证实为左心室黏液瘤。患者成功接受了手术。我们强调了在缺血性卒中后对年轻患者进行超声心动图检查的重要性，以及多学科团队合作在这类患者治疗管理中的重要性。
