Case Report
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Uncommon presentation of an atrial myxoma in an adolescent patient

Year 2021, Volume 9, Issue 1, 27 - 29, 30.04.2021
https://doi.org/10.21765/pprjournal.856257

Abstract

Cardiac myxomas are rare benign tumors in childhood. They most commonly occur in left atrium. Irregular surface of atrial myxomas is associated with a high risk of embolic events. The majority of cardiac myxoma patients are diagnosed with cardiac symptoms. In the literature, there are a limited number of case reports on neurological symptoms in childhood which are diagnosed with cardiac myxoma after a detailed examination. We present a 16-year-old female patient with left atrial myxoma who presented with neurologic symptoms like diplopia and ataxia mimicking demyelinating neurological diseases.

References

  • Careddu L, Oppido G, Petridis FD, et al. Primary cardiac tumours in the paediatric population. Multimed Man Cardiothorac Surg 2013;2013:mmt013.
  • Ise H, Ishikawa N, Nakanishi S, Kamiya H. Giant left atrial myxoma causing acute ischismic stroke in a child. Surg Case Rep 2018;4(1):6.
  • Aldajani AA, Mudhry MA, Mir A, Albaradie RS. Cardioembolic Stroke from an Atrial Myxoma in a Pediatric Patient: A Case Report and Review of the Literature. J Heart Valve Dis 2017;26:646-650.
  • Juaneda I, Peirone A, Contreras A, et al. A Rare Cause of Pediatric Stroke. World J Pediatr Congenit Heart Surg 2017;8:220-223.
  • Roach ES, Golomb MR, Adams R, et al. Management of stroke in infants and children: a scientific statement from a Special Writing Group of the American Heart Association Stroke Council and the Council on Cardiovascular Disease in the Young. Stroke 2008;39:2644-91.
  • Macias E, Nieman E, Yomogida K, et al. Rare presentation of an atrial myxoma in an adolescent patient: a case report and literature review. BMC Pediatr 2018;18:373.
  • Xu J, Gao Y, Li Y, et al. Left atrial myoxma presenting as headache in the pediatric patient. J Emerg Med 2015;48:161-4.
  • Uzun O, Wilson DG, Vujanic GM, et al. Cardiac tumours in children. Orphanet J Rare Dis 2007;2:article 11.
  • Sernich S, Chauhan A, Singh D, et al. Left atrial myxoma in a child: a challenging diagnosis of a rare lesion. World J Pediatr Congenit Heart Surg 2013;4:220-2.

Adolesan Bir Hastada Atriyal Miksomanın Nadir Bir Prezentasyonu: Bir Olgu Sunumu

Year 2021, Volume 9, Issue 1, 27 - 29, 30.04.2021
https://doi.org/10.21765/pprjournal.856257

Abstract

Kardiyak miksomalar çocukluk çağının nadir görülen iyi huylu tümörleridir. Genellikle sol atriyumdan kaynaklanırlar ve düzensiz yüzeyleri nedeniyle embolik olaylar açısından yüksek risk taşırlar. Erişkinlerde kalp yetmezliği, pulmoner ödem gibi kardiyak bulgularla başvuru sıktır, bunlar olmadan nörolojik semptomlarla başvuru az görülür. Literatürde, çocukluk çağında nörolojik semptomlar hakkında ayrıntılı bir incelemeden sonra kardiyak miksoma tanısı alan sınırlı sayıda vaka bildirimi bulunmaktadır. Burada, diplopi ve ataksi gibi demiyelinizan nörolojik
hastalıkları taklit eden semptomlarla başvuran ve ayrıntılı nörolojik değerlendirme sonrası sol atriyal miksoma tanısı koyulan 16 yaşında kız hasta sunulmaktadır.

References

  • Careddu L, Oppido G, Petridis FD, et al. Primary cardiac tumours in the paediatric population. Multimed Man Cardiothorac Surg 2013;2013:mmt013.
  • Ise H, Ishikawa N, Nakanishi S, Kamiya H. Giant left atrial myxoma causing acute ischismic stroke in a child. Surg Case Rep 2018;4(1):6.
  • Aldajani AA, Mudhry MA, Mir A, Albaradie RS. Cardioembolic Stroke from an Atrial Myxoma in a Pediatric Patient: A Case Report and Review of the Literature. J Heart Valve Dis 2017;26:646-650.
  • Juaneda I, Peirone A, Contreras A, et al. A Rare Cause of Pediatric Stroke. World J Pediatr Congenit Heart Surg 2017;8:220-223.
  • Roach ES, Golomb MR, Adams R, et al. Management of stroke in infants and children: a scientific statement from a Special Writing Group of the American Heart Association Stroke Council and the Council on Cardiovascular Disease in the Young. Stroke 2008;39:2644-91.
  • Macias E, Nieman E, Yomogida K, et al. Rare presentation of an atrial myxoma in an adolescent patient: a case report and literature review. BMC Pediatr 2018;18:373.
  • Xu J, Gao Y, Li Y, et al. Left atrial myoxma presenting as headache in the pediatric patient. J Emerg Med 2015;48:161-4.
  • Uzun O, Wilson DG, Vujanic GM, et al. Cardiac tumours in children. Orphanet J Rare Dis 2007;2:article 11.
  • Sernich S, Chauhan A, Singh D, et al. Left atrial myxoma in a child: a challenging diagnosis of a rare lesion. World J Pediatr Congenit Heart Surg 2013;4:220-2.

Details

Primary Language English
Subjects Health Care Sciences and Services
Journal Section Case Reports
Authors

Emine AKKUZU> (Primary Author)
Gazi University, Department of Pediatrics, Division of Pediatric Critical Care, Ankara
0000-0001-8698-5928
Türkiye


Şahin SİNCAR>
Gazi University, Department of Pediatrics, Division of Pediatric Critical Care, Ankara
Türkiye


Semiha TOKGÖZ This is me
Gazi University, Department of Pediatrics, Division of Pediatric Cardiology, Ankara
0000-0003-1813-6603
Türkiye


Gökhan KALKAN>
Gazi University, Department of Pediatrics, Division of Pediatric Critical Care, Ankara
Türkiye

Publication Date April 30, 2021
Acceptance Date March 6, 2021
Published in Issue Year 2021, Volume 9, Issue 1

Cite

Vancouver Akkuzu E. , Sincar Ş. , Tokgöz S. , Kalkan G. Uncommon presentation of an atrial myxoma in an adolescent patient. Pediatric Practice and Research. 2021; 9(1): 27-29.