心脏黏液瘤合并脑栓塞的临床特点(附3例报告)

Clinical features of cardiac myxoma complicated with cerebral embolism(report of 3 cases)

目的探讨心脏黏液瘤合并脑栓塞的临床特点。方法回顾性分析3例心脏黏液瘤合并脑栓塞患者的临床资料。结果本组2例为年轻患者,1例为老年患者;均为急性起病,临床表现为局灶性神经功能缺损;头颅影像学显示脑缺血性或出血性改变,或颅内多发性动脉瘤。超声心动图检查及手术标本病理检查均诊断为心房黏液瘤。结论心脏黏液瘤合并脑栓塞的临床特点是由脱落的瘤栓阻塞脑血管导致多发性脑卒中样改变。

Objective To investigate the clinical features of cardiac myxoma complicated with cerebral embolism. Methods The clinical data of 3 cardiac myxoma complicated with cerebral embolism patients were analyzed retrospectively. Results In this group, 2 cases were young, and 1 case was ender. The onset in all of the,n was acute. The clinical manifestation was focal neurologic deficits. The skull imaging showed that the change was cerebral ischemle or hemon＇hagic, or muhiple intracranial aneurysms. Both echocardiography and pathology support cardiac myxoma. Conclusion The clinical feature of cardiac myxoma complicated with cerebral embolism is multiple stroke kind change caused by the tumor bolt failed off and cerebrovascular blocked.