Marcão I, Teixeira H, Germano I, Bandeira Costa J, Gonçalves C, Magalhães M, Farrajota F
Serviço de Medicina, Hospital do Desterro, Lisboa.
Acta Med Port. 1995 Dec;8(12):695-9.
We describe a case report of a 69 year old woman with atrial myxoma, presented as a cerebellar syndrome caused by ischemic infarctions of the posterior circulation. The transthoracic 2D echocardiogram provided the diagnosis of a left atrial myxoma. Seven months after surgical removal of the cardiac tumor, the cerebellar syndrome worse with the acute development of intracranial hypertension. A CT scan detected multiple hematomas of both lobes and vermix of the cerebellum and hydrocephalus. These late neurologic complications permitted us to suspect and discuss some diagnostic hypotheses. Cardiac myxomas are rare and their presentation as early neurologic manifestations occur in 20-25% of the cases. The late neurologic complications of myxoma are even more rare, only a few cases being reported in world literature.
我们报告一例69岁女性心房黏液瘤病例，该患者表现为后循环缺血性梗死所致的小脑综合征。经胸二维超声心动图诊断为左心房黏液瘤。心脏肿瘤手术切除7个月后，小脑综合征加重，并急性发展为颅内高压。CT扫描发现小脑两叶及蚓部多发血肿和脑积水。这些迟发性神经并发症使我们能够怀疑并讨论一些诊断假设。心脏黏液瘤罕见，20%-25%的病例会出现早期神经表现。黏液瘤的迟发性神经并发症更为罕见，世界文献中仅报道了少数病例。
