左房黏液瘤致脑梗死及脑转移1例并文献复习  

Cerebral infarction and brain metastasis caused by left atrial myxoma:a case report and literature review

作　　者：刘芷瑞 郭文强 黄德章 王志刚 LIU Zhirui;GUO Wenqiang;HUANG Dezhang;WANG Zhigang(Department of Neurosurgery,Qilu Hospital of Shandong University(Qingdao),Qingdao 266035,Shandong,China)

机构地区：[1]山东大学齐鲁医院(青岛)神经外科,山东青岛266035

出　　处：《山东大学学报（医学版）》2022年第10期82-86,共5页Journal of Shandong University:Health Sciences

摘　　要：目的对1例左房黏液瘤致脑梗死及脑转移患者的临床表现、影像学特征、治疗方法进行分析,以提高临床医生对该疾病的诊疗能力。方法回顾1例诊断为左房黏液瘤脑转移患者的临床资料并进行分析,结合相关文献对该疾病进行总结。结果患者为69岁、男性,入院前6个月因急性脑梗死检查发现左心房占位,术后病理显示左房黏液瘤;入院前3个月检查发现颅内多发占位;入院完善相关检查,行手术治疗,术后病理显示:心房黏液瘤转移。结论心房黏液瘤可引起多发急性脑梗死及脑转移,对于多发急性脑梗死患者有必要进行心脏超声检查,脑转移通常在诊断为心脏黏液瘤的同时或几个月后发现,因此,心房黏液瘤患者需要长期随访。Objective To investigate the clinical manifestations,imaging features and treatment methods of a patient with cerebral infarction and brain metastasis caused by left atrial myxoma.Methods The clinical data of the patient were retrospectively analyzed,and relevant literature was reviewed.Results The patient was a 69-year-old male.Six months before admission,due to acute cerebral infarction,he underwent relevant examinations and left atrial lesion was detected;postoperative pathology after surgery showed left atrial myxoma.Three months before admission,multiple intracranial space-occupying lesions were detected.After admission,relevant examinations were conducted and surgery was performed.Postoperative pathology showed metastasis of atrial myxoma.Conclusion Atrial myxoma can cause multiple acute cerebral infarction and brain metastasis.Cardiac ultrasound is necessary for patients with multiple acute cerebral infarction.Brain metastasis is usually found at the same time or a few months after the diagnosis of cardiac myxoma.Therefore,long-term follow-up is necessary for patients with atrial myxoma.

关 键 词：心房黏液瘤 急性脑梗死 脑转移 

分 类 号：R732.1[医药卫生—肿瘤]