Early and delayed neurological manifestations of cardiac myxomas.

Détails

ID Serval
serval:BIB_4F41EDF9A2E1
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Early and delayed neurological manifestations of cardiac myxomas.
Périodique
Clinical neurology and neurosurgery
Auteur⸱e⸱s
Panos L.D., Brunel C., Berezowska S., Engisch R., Kollar A., Bassetti C., Sturzenegger M., Krestel H.
ISSN
1872-6968 (Electronic)
ISSN-L
0303-8467
Statut éditorial
Publié
Date de publication
03/2020
Peer-reviewed
Oui
Volume
190
Pages
105673
Langue
anglais
Notes
Publication types: Case Reports
Publication Status: ppublish
Résumé
Cardiac myxoma can embolize and cause early and delayed sequelae including stroke, growth into intracranial fusiform aneurysms and cerebral tumors with risk of hemorrhage and mass effect. Here, we report the rare coincidence of all these manifestations in a 63-year-old man who presented with cognitive and behavioral changes, and seizures 9 months after an embolic stroke from the heart tumor. C-reactive protein (CRP) was elevated at the time of stroke and cardiac myxoma diagnosis but was normal at late neurologic manifestation with isolated myxoma-related intracranial tumors and aneurysms. Low-dose whole-brain radiotherapy can be helpful to diminish cerebral myxoma tumors and fusiform aneurysms despite reported increased risk of aneurysm rupture.
Mots-clé
CRP, Fusiform aneurysm, Myxoma, Radiotherapy, Stellate cells
Pubmed
Web of science
Création de la notice
21/01/2020 9:40
Dernière modification de la notice
30/06/2020 6:26
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