心血管血栓性中风是由心房肌瘤引起的
Kate Devlin1,2, Aimée McGreal-Bellone3, Anne O'Driscoll3
1ARHC/Stroke Service, Naas General Hospital, Naas, Kildare, Ireland 2008kdevlin@gmail.com.
BMJ case reports
|January 29, 2025
概括
一个罕见的心房肌瘤在一个病人身上引起了复发的神经症状. 早期的心脏成像对于诊断这些心脏瘤呈现为脑血管事件至关重要.
科学领域:
- 神经学 神经学
- 心脏病学 心脏病学
- 在瘤学瘤学.
背景情况:
- 暂时的神经缺陷可以模仿脑血管事故.
- 耳肌瘤是一种罕见的初级心脏瘤,经常呈现出栓塞现象.
研究的目的:
- 报告一个心房瘤病例,呈现为反复复发的短暂神经症状.
- 强调诊断挑战和先进成像学的作用.
主要方法:
- 在20个月内出现过渡性神经症状的临床表现.
- 初步检查包括CT脑,动脉多普勒和心电图.
- 大脑MRI揭示缺血事件和转食道心声图识别心房肌瘤.
主要成果:
- 脑CT,动脉多普勒和心电图都正常.
- 大脑MRI显示多个皮质区域的缺血事件.
- 经食道回声心电图发现了一个移动质量,被证实为心房肌瘤.
结论:
- 在患有不明原因的复发性脑血管事件的患者中,应该考虑心房肌瘤.
- 必须进行彻底的心脏评估,包括心声回声学.
- 当CT无法确定可疑缺血事件时,脑MRI是有价值的.
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