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Rupture of Cerebral Myxomatous Aneurysm Months After Resection of the Primary Cardiac Tumor

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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.

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Author information

Authors and Affiliations

  1. Department of Neurological Surgery, Feinberg School of Medicine, Northwestern University, 251 E. Huron, Chicago, IL, 60611, USA

    Christopher S. Eddleman, Bernard R. Bendok & H. Hunt Batjer

  2. Department of Pathology, Feinberg School of Medicine, Northwestern University, 251 E. Huron, Chicago, IL, 60611, USA

    Numa R. Gottardi-Littell

  3. Department of Neurology, Stroke Program, Feinberg School of Medicine, Northwestern University, 251 E. Huron, 710 North Lake Shore Drive, 11th Floor, Chicago, IL, 60611, USA

    Richard A. Bernstein

Authors
  1. Christopher S. Eddleman
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  2. Numa R. Gottardi-Littell
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  3. Bernard R. Bendok
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  4. H. Hunt Batjer
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  5. Richard A. Bernstein
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Corresponding author

Correspondence to Richard A. Bernstein.

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Eddleman, C.S., Gottardi-Littell, N.R., Bendok, B.R. et al. Rupture of Cerebral Myxomatous Aneurysm Months After Resection of the Primary Cardiac Tumor. Neurocrit Care 13, 252–255 (2010). https://doi.org/10.1007/s12028-010-9400-z

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  • DOI: https://doi.org/10.1007/s12028-010-9400-z

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