Journal of Shandong University (Health Sciences) ›› 2022, Vol. 60 ›› Issue (10): 82-86.doi: 10.6040/j.issn.1671-7554.0.2022.0402

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

LIU Zhirui, GUO Wenqiang, HUANG Dezhang, WANG Zhigang   

  1. Department of Neurosurgery, Qilu Hospital of Shandong University(Qingdao), Qingdao 266035, Shandong, China
  • Published:2022-09-30

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Abstract: 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.

Key words: Atrial myxoma, Acute cerebral infarction, Brain metastasis

CLC Number: 

  • R651.1
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