Journal of the Korean Pediatric Cardiology Society  2007;11(2):142-147

A Case of Multiple Cardiac Myxomas Complicating Recurrent Right Hemiparesis in a Child who had a Wrong Diagnosis of Acute Disseminated Encephalomyelitis.

Han Seok KO 1 ; Hye Sun YOON ; Mi Young HAN ; Soo Cheol KIM ; Sa Jun CHUNG

Affiliations

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Keywords

Myxoma; Acute disseminated encephalomyelitis; Childhood; Cerebral infarction

Country

Republic of Korea

Language

Korean

Abstract

Multiple cardiac myxomas are rare in children. However, myxomas may be lethal because of their various manifestations such as blood flow obstruction, embolization and constitutional changes. Especially, the cerebral infarction due to tumor fragmentation are more likely to be misdiagnosed of acute disseminated encephalomyelitis. We report a case of multiple cardiac myxoma complicating recurrent right hemiparesis in a 12-year-old child who at first had a wrong diagnosis of acute disseminated encephalomyelitis (ADEM). Consequently, a child who show unrepresentative symptom of ADEM, should be examined rapidly by various tools to rule out the cerebral infarction from cardiogenic cause.