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右心房黏液瘤所致晕厥

Syncope due to right atrial myxoma.

作者信息

Peterson D I

出版信息

Bull Clin Neurosci. 1984;49:63-6.

PMID:6546041
Abstract

Atrial myxomas are uncommon, but when present they often cause neurological abnormalities. Those that arise from the left atrium are a well-recognized source of cerebral emboli while those that arise in the right atrium may cause recurrent attacks of syncope. Twelve cases of atrial myxoma were treated at Loma Linda University Medical Center from 1968 to 1984. Loss of consciousness was one of the symptoms in all three of the right-sided lesions. Surgical removal of the tumor eliminated the attacks of syncope in each case. Right atrial myxoma is a rare lesion, but it should be considered in the differential diagnosis of loss of consciousness of unknown etiology.

摘要

心房黏液瘤并不常见,但一旦出现往往会导致神经功能异常。起源于左心房的黏液瘤是公认的脑栓塞来源,而起源于右心房的黏液瘤可能导致反复晕厥发作。1968年至1984年期间,洛马林达大学医学中心共治疗了12例心房黏液瘤患者。意识丧失是所有3例右侧病变患者的症状之一。手术切除肿瘤后,每例患者的晕厥发作均消失。右心房黏液瘤是一种罕见病变,但在不明原因意识丧失的鉴别诊断中应予以考虑。

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