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Updated: Jul 12, 2025

Evaluation of Left Ventricular Structure and Function using 3D Echocardiography
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Synchronous Left Ventricular and Endocranial Mass.

Cornelia Tsokkou1, Andreas Mitsis1, Evi Christodoulou2

  • 1Cardiology Department, Nicosia General Hospital, Nicosia, Cyprus.

Journal of Medical Cases
|October 23, 2023
PubMed
Summary

This case report highlights a rare instance of coexisting myocardial and endocranial cysts in a young male presenting with heart dysfunction and seizures. Early diagnosis through combined imaging and lab work is crucial for effective treatment.

Keywords:
CysticercosisEndocranial cystEpileptic seizuresHeart failureMyocardial cystParasitical diseases

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Area of Science:

  • Cardiology and Neurology
  • Diagnostic Imaging
  • Infectious Diseases

Background:

  • Myocardial cysts are rare, diverse conditions with varied etiologies, including congenital, neoplastic, and infectious origins.
  • While often asymptomatic, myocardial cysts can lead to cardiac complications like obstruction, valvular dysfunction, or heart failure.
  • The simultaneous occurrence of myocardial and extracardiac cysts, particularly endocranial cysts, is exceptionally rare and can manifest with distinct neurological symptoms.

Observation:

  • A 26-year-old male presented with dyspnea and epileptic seizures, indicative of potential cardiac and neurological involvement.
  • Echocardiography identified two myocardial cysts within the left ventricle, alongside mitral and tricuspid valve dysfunction.
  • Brain computed tomography revealed an additional cystic lesion in the frontal lobe, confirming extracardiac involvement.

Findings:

  • The diagnostic workup confirmed the coexistence of myocardial and endocranial cysts.
  • Non-invasive imaging modalities, laboratory results, and epidemiological data were instrumental in establishing the diagnosis.
  • The patient's presentation underscored the potential for significant cardiac and neurological sequelae from such rare coexisting conditions.

Implications:

  • This case emphasizes the importance of a comprehensive diagnostic approach for patients presenting with unexplained cardiac and neurological symptoms.
  • Integrated diagnostic strategies combining non-invasive imaging, laboratory tests, and clinical context are vital for managing rare cystic pathologies.
  • Accurate diagnosis is essential for guiding appropriate therapeutic interventions and improving patient outcomes in complex cases of coexisting myocardial and endocranial cysts.