Neurology:Carney综合征

2018-09-19 杨中华 脑血管病及重症文献导读

50岁,男性。因为一过性意识丧失、失语和右侧偏瘫就诊。

50岁,男性。

因为一过性意识丧失、失语和右侧偏瘫就诊。

患者面部可见点状皮肤色素沉着(Spotty cutaneous pigmentation)和多发性皮肤色丘疹(原文:multiple subcutaneous lentigines):



超声心动图发现左房粘液瘤:



MRI显示左侧颈内动脉腔内等密度占位:



DSA显示管腔内不规则充盈缺损,伴严重狭窄:



病理确诊为颈动脉粘液瘤:



该患者最终诊断为Carney综合征。

原始出处:
Bin Yang, Yan Ma, Yang Hua, et al. Teaching NeuroImages: Internal carotid artery stenosis due to myxoma in a patient with Carney complex. Neurology. August 28, 2018; 91 (9)

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