5 cases of cardiac myxoma with neurologic manifestations.
- Author:
Sang Soo YOON
1
;
Dae Il CHANG
;
Kyung Cheon CHUNG
Author Information
1. Dept of Neurology, College of Medicine, Kyung Hee University.
- Publication Type:Case Report
- MeSH:
Aneurysm;
Cerebral Infarction;
Diagnosis;
Diagnosis, Differential;
Echocardiography;
Electrocardiography;
Humans;
Infarction;
Intracranial Hemorrhages;
Myxoma*;
Neoplasm Metastasis;
Neurologic Manifestations*;
Physical Examination;
Stroke;
Thorax
- From:Journal of the Korean Neurological Association
1997;15(5):1155-1161
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Cardiac myxoma is a rare but potentially treatable cause of stroke. The diagnosis is rarely made on typical triad of constitutional, embolic, and obstructive symptoms, and it is difficult because there is no specific history, physical examination, chest X-ray, or electrocardiographic findings, but with the development of echocardiography the correct diagosis is now usualy made. Neurologic manifestation is frequent(25-45%) and presented with embolic infarction, aneurysm formation, intracranial hemorrhage, and distant metastasis. We experienced five patients with cardiac myxoma who presented with these neurologic manifestations. Also we should be considered in the differential diagnosis of cerebral infarction, particularly when multiple cerebral infarction and constitutional or obstructive symptoms are conjoined in young age stroke. We describe five patients who presented with embolic infarction, cerebral metastasis and aneurysm formation.
