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Delayed Cerebral Metastases from Completely Resected Cardiac Myxoma: Case Report and Review of Literature  

Kim, Ah-Hyun (Department of Radiology, Yonsei University College of Medicine)
Lee, Jae-Wook (Department of Radiology, NHIC Ilsan Hospital)
Lee, Mi-Kyung (Department of Pathology, NHIC Ilsan Hospital)
Yoon, Pyeong-Ho (Department of Radiology, NHIC Ilsan Hospital)
Kim, Min-Jung (Department of Radiology, Yonsei University College of Medicine)
Publication Information
Investigative Magnetic Resonance Imaging / v.15, no.2, 2011 , pp. 165-169 More about this Journal
Abstract
Cardiac myxoma is the most common benign tumor of the heart. However, low incidence of recurrence and metastasis has been reported. A 49-year-old female patient was admitted in the hospital due to sudden onset of left side weakness. Magnetic resonance imaging (MRI) of brain showed multifocal areas of diffusion restriction on diffusion weighted images. Echocardiography was performed to evaluate the cause of embolic brain infarction and cardiac myxoma was found in the left atrium. The patient underwent complete excision of the mass. One year later, the patient was readmitted with symptoms of dysarthria. Brain MRI showed newly developed multiple hemorrhagic metastatic lesions. The patient underwent radiotherapy of the metastatic lesions. Although rare, cardiac myxoma can cause delayed metastasis. We report a rare case of delayed multiple cerebral metastases from the completely resected cardiac myxoma.
Keywords
Cardiac myxoma; Delayed cerebral metastases; Magnetic resonance imaging;
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