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Multiple Fusiform Cerebral Aneurysms and Highly Elevated Serum Interleukin-6 in Cardiac Myxoma

  • Koo, Young-Ho (Department of Neurology, CHA Bundang Medical Center, CHA University College of Medicine) ;
  • Kim, Tae-Gon (Department of Neurosurgery, CHA Bundang Medical Center, CHA University College of Medicine) ;
  • Kim, Ok-Joon (Department of Neurology, CHA Bundang Medical Center, CHA University College of Medicine) ;
  • Oh, Seung-Hun (Department of Neurology, CHA Bundang Medical Center, CHA University College of Medicine)
  • Received : 2008.08.07
  • Accepted : 2009.05.18
  • Published : 2009.06.28

Abstract

Cerebral embolic infarction is the most common neurologic complication of cardiac myxoma (CM). Development of cerebral aneurysms in CM is very rare. We present a 64-year-old woman with acute cerebral infarction and multiple cerebral aneurysms complicated by CM. The aneurysms were multiple, fusiform-shaped, and located in distal branch of major cerebral arteries. The serum interleukin (IL)-6 was highly elevated, which was normalized after surgical resection of CM. There was no regression of aneurysms on follow-up neuroimaging. Multiple cerebral aneurysms in CM are rare condition. Highly elevated serum IL-6 may be associated with increased risk of cerebral aneurysmal formation.

Keywords

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