一个百分之一的中风:一个病例报告
Sibi Ganesan1, Sakthi Shanmugasundaram P1, Swathy Moorthy2
1General Medicine, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Cureus
|September 2, 2025
概括
心脏瘤是一种罕见的中风病因, 一位年轻患者的早期心声学和手术切除左心房肌瘤导致了部分神经恢复.
科学领域:
- 心脏病学
- 神经学
- 癌症学
背景情况:
- 心脏瘤 (CM) 是最常见的初级心脏瘤,但很少导致中风 (< 1% 的病例).
- 肌痛性心脏病表现出各种症状,通常通过模仿其他心血管或神经疾病来延迟诊断.
研究的目的:
- 突出心肌瘤是没有传统风险因素的年轻人潜在的栓塞性中风来源.
- 强调心声学在诊断罕见的,可治疗的中风原因的重要性.
主要方法:
- 一位42岁的女性患有突然发作的半衰和失语症.
- 神经成像显示多次急性心脏病发作;心声学发现左心房肌瘤.
- 患者接受了抗凝剂治疗,并成功切除了瘤.
主要成果:
- 这位患者出现了脑中风症状,
- 中枢视网膜静脉封闭 (CRVO) 发生,进一步表明血栓事件.
- 通过手术切除瘤, 导致部分神经恢复.
结论:
- 在对年轻成年人的血栓性中风进行差异诊断时,应考虑心肌瘤.
- 及时进行心声回声和手术治疗对于改善患者的治疗结果至关重要.
- 及时诊断和治疗CM可以预防进一步的栓塞事件和并发症.
相关概念视频
Regulation of Stroke Volume
3.5K
The regulation of stroke volume, which is the amount of blood the heart pumps out during each heartbeat, is critical for maintaining a healthy circulatory system. Stroke volume is influenced by three main factors: preload, contractility, and afterload.
Preload refers to the degree of stretch on the heart before it contracts. It's analogous to the stretching of a rubber band; the more it's stretched, the more forcefully it snaps back. This concept is encapsulated in the Frank-Starling law of the...
Preload refers to the degree of stretch on the heart before it contracts. It's analogous to the stretching of a rubber band; the more it's stretched, the more forcefully it snaps back. This concept is encapsulated in the Frank-Starling law of the...
3.5K
Ischemic Heart Disease: Overview
1.4K
Ischemic heart disease occurs when the heart's blood supply dwindles, causing an ominous lack of oxygen and nutrients. This deficiency, stemming from reduced or obstructed blood flow, spells danger, leading to heart muscle damage and dysfunction.
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and...
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and...
1.4K
Acute Coronary Syndrome I: Introduction
71
Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
71


