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Multiple cerebral aneurysms secondary to cardiac myxoma

Kuriakose Joshi George1, Adam Rennie, Amar Saxena

  • 1Neurosurgery, University Hospitals of Coventry and Warwickshire, Coventry CV2 2DX, UK. kjoshigeorge@yahoo.co.uk

British Journal of Neurosurgery
|November 16, 2011
PubMed

Insights

A 45-year-old woman experienced transient ischemic attack symptoms, revealing multiple cerebral aneurysms. Surgical removal of an atrial myxoma led to a good recovery, highlighting a rare association between cardiac tumors and vascular conditions.

Area of Science:

  • Neurology
  • Cardiology
  • Vascular Surgery

Background:

  • Transient ischemic attacks (TIAs) can be caused by embolic events.
  • Cerebral aneurysms, particularly multiple fusiform dilatations, require thorough etiological investigation.
  • Atrial myxomas are rare primary cardiac tumors with potential embolic complications.

Purpose of the Study:

  • To report a case of multiple cerebral aneurysms secondary to an atrial myxoma.
  • To discuss the diagnostic challenges and management of this rare association.
  • To highlight the importance of a comprehensive embolic source search in patients with unexplained cerebral aneurysms.

Main Methods:

  • Clinical presentation of a 45-year-old female with TIA symptoms.
  • Diagnostic imaging including Computed Tomography (CT) and Digital Subtraction Angiography (DSA) of cerebral vessels.
  • Echocardiogram for identification of cardiac embolic sources.
  • Surgical resection of atrial myxoma and conservative management of cerebral aneurysms.

Main Results:

  • CT and DSA revealed multiple fusiform dilatations of cerebral arteries.
  • Echocardiogram identified an atrial myxoma as the source of emboli.
  • The patient recovered well following surgical resection of the atrial myxoma.
  • Cerebral aneurysms were managed conservatively with favorable outcomes.

Conclusions:

  • Atrial myxoma can be a rare cause of multiple cerebral aneurysms.
  • Early diagnosis and treatment of atrial myxoma are crucial to prevent embolic events.
  • Conservative management of cerebral aneurysms may be appropriate in select cases associated with cardiac myxoma.

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