Multiple deep white matter lesions mimic multiple sclerosis as an unusual complication of left atrial myxoma

Multiple deep white matter lesions mimic multiple sclerosis as an unusual complication of left atrial myxoma
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多发性深部白质病变类似于多发性硬化症,是左心房粘液瘤的一种罕见并发症

DOI:
10.1177/1352458514535677
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发表时间:
2015-01
影响因子:
5.8
通讯作者:
Jiahong Lu
Jiahong Lu
中科院分区:
医学2区
文献类型:
--
作者:
Jianying Xi;Zunguo Du;Chongbo Zhao;Jiahong Lu

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我们报告的情况下,患者谁发展右半瘫与急性发作前2周被转移到我们的医院。脑MRI示深部白质多发病变;有些卵圆形,垂直于侧脑室,是多发性硬化症等脑脱髓鞘疾病的典型特征。患者无高血压、糖尿病、血脂异常或其他常规血管危险因素病史。初步诊断为临床孤立综合征。然而,在住院期间,四肢出现低烧和瘀点,这使我们想起了心脏栓塞。超声心动图显示左心房粘液瘤。切除肿瘤后,患者症状有所缓解。
We report the case of a patient who developed right hemiparesis with an acute onset 2 weeks before being transferred to our hospital. The brain MRI revealed multiple lesions in deep white matter; some were ovoid and perpendicular to the lateral ventricle, typical of cerebral demyelinating disease such as multiple sclerosis. The patient reported no history of hypertension, diabetes, dyslipidemia or other conventional vascular risk factors. The initial diagnosis was clinically isolated syndrome. However, low fever and petechiae in the extremities developed during hospitalization, which reminded us of cardioembolism. Echocardiography finally revealed a left atrial myxoma. The patient’s symptom alleviated after resection of the tumor.
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