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9.
Rev Neurol (Paris) ; 167(2): 150-4, 2011 Feb.
Article in French | MEDLINE | ID: mdl-21051064

ABSTRACT

INTRODUCTION: Myxoma is a rare benign primary cardiac tumor. It may cause vascular complications. Neurological symptoms may precede or accompany the diagnosis of myxoma with systemic embolization occurring most often in the cerebral circulation. OBSERVATION: We report a case of cardiac myxoma complicated with cerebral aneurysms and revealed by an ischemic stroke in a 21-year-old patient. The cardiac myxoma was discovered during the transthoracic echocardiography performed as part of the etiological work-up. Because of the high risk of embolism, the mass was resected and mitral valve surgically repaired. The postoperative outcome was uneventful. CONCLUSION: Although myxoma is a benign tumor histologically, it can lead to serious complications such as systemic embolism and sudden death.


Subject(s)
Brain Ischemia/etiology , Heart Neoplasms/complications , Intracranial Aneurysm/complications , Myxoma/complications , Stroke/etiology , Adult , Brain Ischemia/complications , Cerebral Angiography , Echocardiography , Female , Heart Neoplasms/diagnosis , Heart Neoplasms/surgery , Humans , Magnetic Resonance Imaging , Mitral Valve Insufficiency/complications , Mitral Valve Insufficiency/surgery , Myxoma/diagnosis , Myxoma/surgery
10.
Rev Med Interne ; 31(9): e10-2, 2010 Sep.
Article in French | MEDLINE | ID: mdl-20554091

ABSTRACT

Thymectomy has a broad indication for the treatment of myasthenia gravis. Occurrence a few months or years after thymectomy of a number of autoimmune diseases including systemic lupus erythematosus in myasthenic patients is very rare. We report a 51-year-old woman who developed a systemic lupus 1 year after the thymectomy.


Subject(s)
Lupus Erythematosus, Systemic/etiology , Thymectomy/adverse effects , Acute Disease , Female , Humans , Middle Aged , Myasthenia Gravis/surgery
11.
Rev Neurol (Paris) ; 163(2): 238-40, 2007 Feb.
Article in French | MEDLINE | ID: mdl-17351544

ABSTRACT

INTRODUCTION: Severe pulmonary tuberculosis may be complicated by deep vein thrombosis due to a state of hypercoagulability. OBSERVATION: We report a case of pulmonary miliary tuberculosis associated with cerebral venous thrombosis and multiple intracranial tuberculomas. A 65-year-old woman developed a confusional syndrome one week after starting treatment for pulmonary military tuberculosis. Neuroimaging reveals a thrombus in the right lateral sinus and multiple silent intracranial tuberculoma. CONCLUSION: The patient was given anticoagulants and fully recovered.


Subject(s)
Lateral Sinus Thrombosis/etiology , Tuberculoma, Intracranial/etiology , Tuberculosis, Miliary/complications , Tuberculosis, Pulmonary/complications , Acenocoumarol/therapeutic use , Aged , Anticoagulants/therapeutic use , Antitubercular Agents/therapeutic use , Confusion/etiology , Drug Therapy, Combination , Female , Heparin/therapeutic use , Humans , Immunocompromised Host , Isoniazid/therapeutic use , Lateral Sinus Thrombosis/diagnostic imaging , Lateral Sinus Thrombosis/drug therapy , Pyrazinamide/therapeutic use , Radiography , Rifampin/therapeutic use , Streptomycin/therapeutic use , Thrombophilia/drug therapy , Thrombophilia/etiology , Tuberculoma, Intracranial/drug therapy , Tuberculosis, Miliary/blood , Tuberculosis, Miliary/drug therapy , Tuberculosis, Pulmonary/blood , Tuberculosis, Pulmonary/drug therapy
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