Attanasio A, Romitelli S, Mauriello A, Palmieri G, Stefani A, Pierangeli L
Dipartimento di Medicina Interna, Università degli Studi Tor Vergata, Roma.
G Ital Cardiol. 1998 Apr;28(4):383-6.
A 66-year-old woman was admitted to the hospital with a neurological syndrome characterized by ataxia and diplopia. Magnetic resonance of the brain documented an ischemic medullary lesion. Examination of the heart revealed a grade 2/6 systolic murmur at the left sternal border and apex that radiated towards the axilla. The echocardiography study showed a mild mitral regurgitation, and an abnormally enlarged posterior papillary muscle was found in the left ventricle. Two weeks after admission, the patient died suddenly due to a stroke. At autopsy, a recent vast swollen ischemic cerebral infraction was found. Furthermore, two old infarcts were observed in the spleen. A cardiac examination showed a white-gray ulcered mass in the left ventricle and histological analysis revealed a rhabdomyosarcoma.
一名66岁女性因以共济失调和复视为特征的神经综合征入院。脑部磁共振成像显示延髓有缺血性病变。心脏检查发现左胸骨缘和心尖处有2/6级收缩期杂音，并向腋窝传导。超声心动图检查显示轻度二尖瓣反流，左心室发现后乳头肌异常增大。入院两周后，患者因中风突然死亡。尸检发现近期有大片肿胀的缺血性脑梗死。此外，脾脏发现两处陈旧性梗死。心脏检查发现左心室有一个灰白色溃疡肿块，组织学分析显示为横纹肌肉瘤。
