Quintanilla S, Ferrer S, Bravo M
Hospital Militar, Servicio de Neurología, Santiago, Chile.
Rev Med Chil. 1998 Jun;126(6):670-6.
We report a 26 years old female with a Cerebral Palsy as a consequence of a perinatal vascular accident. She was admitted in August 1996 with a left hemiplegia due to a right M1 median artery thrombotic occlusion, as demonstrated by magnetic resonance imaging angiography. Transesophagical bi-dimensional echocardiography showed a right atrial myxoma and ruled out the persistence of an oval foramen. The study of coagulation disorders lead to the diagnosis of a primary antiphospholipid syndrome. We postulate that interleukin-6 produced by the myxoma could trigger an immunological reaction leading to the primary antiphospholipid syndrome.
我们报告一名26岁女性，因围产期血管意外导致脑瘫。1996年8月，她因右侧M1段大脑中动脉血栓性闭塞导致左侧偏瘫入院，磁共振血管造影证实了这一点。经食管二维超声心动图显示右心房黏液瘤，并排除了卵圆孔未闭的存在。凝血障碍检查导致原发性抗磷脂综合征的诊断。我们推测黏液瘤产生的白细胞介素-6可能引发免疫反应，导致原发性抗磷脂综合征。
