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左心房黏液瘤的神经系统并发症:一例左心房黏液瘤伴中风、术后脑转移及脑动脉瘤的病例报告

Neurological complications of left atrial myxoma: a case report on stroke with left atrial myxoma and postoperative brain metastasis and cerebral aneurysm.

作者信息

Ai Xudong, Shao Qingqing, Tian Xueyan, Zhou Yicheng, Zhou Tiantian

机构信息

Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Computed Tomgraphy Department of the Fifth Affiliated Hospital of Dali University, Baoshan, China.

出版信息

Front Neuroimaging. 2024 Dec 19;3:1524901. doi: 10.3389/fnimg.2024.1524901. eCollection 2024.

Abstract

Atrial myxoma is a rare benign tumor that can cause a variety of complications, including cerebral infarction. We present a case of a 52-year-old female patient who developed cerebral infarction caused by an atrial myxoma. The patient underwent successful surgical resection of the tumor, and the infarction was managed accordingly. However, 15-months post-surgery, the patient developed new neurological symptoms. Imaging studies revealed multiple cerebral metastases, consistent with the possibility of seeding of tumor cells. This rare complication emphasizes the importance of long-term monitoring after the resection of atrial myxomas. The occurrence of metastasis in the brain, though rare, should be considered in follow-up care, particularly in patients who have had embolic events related to atrial myxomas. Our case highlights the potential for cerebral myxoma metastasis even after initial successful surgical intervention, underscoring the need for comprehensive follow-up and vigilant monitoring of such patients.

摘要

心房黏液瘤是一种罕见的良性肿瘤,可引起多种并发症,包括脑梗死。我们报告一例52岁女性患者,其因心房黏液瘤导致脑梗死。患者接受了成功的肿瘤手术切除,并对梗死进行了相应处理。然而,术后15个月,患者出现了新的神经症状。影像学检查显示多处脑转移,符合肿瘤细胞播散的可能性。这种罕见的并发症强调了心房黏液瘤切除术后长期监测的重要性。脑转移的发生虽然罕见,但在后续护理中应予以考虑,尤其是在有与心房黏液瘤相关的栓塞事件的患者中。我们的病例突出了即使在最初的手术干预成功后,脑黏液瘤仍有转移的可能性,强调了对此类患者进行全面随访和密切监测的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf2d/11693650/99df242c176b/fnimg-03-1524901-g0001.jpg

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