5 cases of cardiac myxoma with neurologic manifestations

J Korean Neurol Assoc > Volume 15(5); 1997 > Article

Journal of the Korean Neurological Association 1997;15(5): 1155-1161.

신경학적 증세를 보인 좌심방 점액종 5례

윤상수, 장대일, 정경천

경희대학교 의대 신경과

5 cases of cardiac myxoma with neurologic manifestations

Sang Soo Yoon, M.D. , Dae Il Chang, M.D. , Kyung Cheon Chung, M.D.

Dept of Neurology, College of Medicine, Kyung Hee University

Abstract

Cardiac myxoma is a rare but potentially treatable cause of stroke. The diagnosis is rarely made on typical triad of constitutional, embolic, and obstructive symptoms, and it is difficult because there is no specific history, physical examination, chest X-ray, or electrocardiographic findings, but with the development of echocardiography the correct diagosis is now usualy made. Neurologic manifestation is frequent(25-45%) and presented with embolic infarction, aneurysm formation, intracranial hemorrhage, and distant metastasis. We experienced five patients with cardiac myxoma who presented with these neurologic manifestations. Also we should be considered in the differential diagnosis of cerebral infarction, particularly when multiple cerebral infarction and constitutional or obstructive symptoms are conjoined in young age stroke. We describe five patients who presented with embolic infarction, cerebral metastasis and aneurysm formation.