좌심방 점액종에 의한 색전성 뇌경색과 다발성 관절염-증례보고-
Left Atrial Myxoma Manifesting as Cerebral Embolism and Multiple Arthralgia -A case report-
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Incidence of cardiac tumor is low among all tumors, but cardiac myxoma is a frequent benign tumor of the heart. Though cardiac myxoma has the classic triad (obstructive cardiac signs, embolism and constitutional manifestations), cardiac investigations may not be performed until the presence of cerebral embolism or cardiac problems, as in the case reported here. It is the reason that constitutional symptoms like myalgia, muscle weakness, arthralgia, fever and weight loss may be overlooked in the absence of any history of cardiac problems or may be confused as other specific immunological diseases. We present a case of a 26-year-old woman whose clinical manifestations of left atrial myxoma were multiple arthralgia, fever caused by constitutional symptoms, hemiplegia and aphasia caused by embolic cerebral infarction.
Abstract
Incidence of cardiac tumor is low among all tumors, but cardiac myxoma is a frequent benign tumor of the heart. Though cardiac myxoma has the classic triad (obstructive cardiac signs, embolism and constitutional manifestations), cardiac investigations may not be performed until the presence of cerebral embolism or cardiac problems, as in the case reported here. It is the reason that constitutional symptoms like myalgia, muscle weakness, arthralgia, fever and weight loss may be overlooked in the absence of any history of cardiac problems or may be confused as other specific immunological diseases. We present a case of a 26-year-old woman whose clinical manifestations of left atrial myxoma were multiple arthralgia, fever caused by constitutional symptoms, hemiplegia and aphasia caused by embolic cerebral infarction.
참고문헌 (9)
- Molina JE, "Primary cardiac tumors: experience at the University of Minnesota", Thorac Cardiovasc Surg, 38, pp.183~191 (1990)
- Pinede L, "Clinical presentation of left atrial cardiac myxoma: A series of 112 consecutive cases", Medicine (Baltimore), 80, pp.159~172 (2001)
- Yokomuro H, "The variations in the immunologic features and interleukin-6 levels for the surgical treatment of cardiac myxomas", Surg Today, 37, pp.750~753 (2007)
- Reynen K, "Cardiac myxomas", N Engl J Med, 333, pp.1610~1617 (1995)
- Gershlick AH, "The loud first heart sound in left atrial myxoma", Br Heart J, 52, pp.403~407 (1984)
- Knapper LE, "Neurologic manifestations of atrial myxoma. A 12-year experience and review", Stroke, 19, pp.1435~1440 (1988)
- Gersak B, "Results of treatment of 17 patients with heart tumor", Eur J Surg Oncol, 25, pp.302~305 (1999)
- Ekinci EI, "Neurological manifestations of cardiac myxoma: a review of the literature and report of cases", Intern Med J, 34, pp.243~249 (2004)
- Le BD, "Left hemiparesis from atrial myxoma emboli", Cardiol Rev, 11, pp.41~44 (2003)