Multiple cerebral aneurysms and cardiac myxoma

Area of Science:

• Cardiology
• Neurology
• Oncology

Background:

• Left atrial myxoma is a primary cardiac tumor.
• Neurological manifestations are common in cardiac myxoma.
• The co-occurrence of cardiac myxoma and multiple cerebral aneurysms is exceptionally rare.

Purpose of the Study:

• To report a rare case of left atrial myxoma presenting with multiple cerebral aneurysms.
• To discuss the diagnostic and therapeutic implications of this rare association.

Main Methods:

• A case study approach was used.
• Diagnostic workup included a four-vessel study to identify cerebral aneurysms.
• Surgical resection of the intracardiac mass was performed.

Main Results:

• A patient with a long-standing psychiatric and neurological illness was diagnosed with left atrial myxoma.
• The four-vessel study revealed multiple saccular and fusiform cerebral aneurysms with regular, near-symmetrical distribution.
• Post-operative removal of the myxoma led to patient improvement.

Conclusions:

• This case underscores the importance of considering cardiac myxoma in patients with unexplained neurological symptoms, even in the presence of seemingly unrelated findings like multiple cerebral aneurysms.
• Early diagnosis and surgical intervention for left atrial myxoma can lead to significant clinical improvement.