Rupture of cerebral myxomatous aneurysm months after resection of the primary cardiac tumor.

Abstract:

BACKGROUND:The natural history of cerebral aneurysms derived from metastatic spread of cardiac myxomas is not well known, and their management presents many dilemmas. METHODS:Case report and literature review. RESULTS:An 18-year-old man presented with an intraparenchymal hemorrhage several months after resection of an atrial myxoma. Angiography showed several myxomatous aneurysms, one of which had bled. The patient had a recurrent hemorrhage before undergoing surgical resection. MRI, angiographic, and pathological data are presented for this rare condition. CONCLUSIONS:Myxomatous aneurysms are important entities for neurointensivists to recognize and can present years after diagnosis. Patients presenting with cerebral infarction or hemorrhage of unknown etiology should undergo cardiac imaging to rule out atrial myxoma, as up to 50% of patients with myxomas present initially with stroke.

journal_name

Neurocrit Care

journal_title

Neurocritical care

authors

Eddleman CS,Gottardi-Littell NR,Bendok BR,Batjer HH,Bernstein RA

doi

10.1007/s12028-010-9400-z

subject

Has Abstract

pub_date

2010-10-01 00:00:00

pages

252-5

issue

2

eissn

1541-6933

issn

1556-0961

journal_volume

13

pub_type

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