Early and delayed neurological manifestations of cardiac myxomas.

Details

Serval ID
serval:BIB_4F41EDF9A2E1
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Early and delayed neurological manifestations of cardiac myxomas.
Journal
Clinical neurology and neurosurgery
Author(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
Publication state
Published
Issued date
03/2020
Peer-reviewed
Oui
Volume
190
Pages
105673
Language
english
Notes
Publication types: Case Reports
Publication Status: ppublish
Abstract
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.
Keywords
CRP, Fusiform aneurysm, Myxoma, Radiotherapy, Stellate cells
Pubmed
Web of science
Create date
21/01/2020 8:40
Last modification date
30/06/2020 5:26
Usage data