J Korean Pediatr Cardiol Soc.
2007 Jun;11(2):142-147.
A Case of Multiple Cardiac Myxomas Complicating Recurrent
Right Hemiparesis in a Child who had a Wrong
Diagnosis of Acute Disseminated Encephalomyelitis
- Affiliations
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- 1Department of Pediatrics, College of Medicine, Kyunghee University Hospital,
Seoul, Korea. myhan44@hanmail.net
- 2Department of Pediatrics, College of Medicine, Eulji University,
Seoul, Korea.
- 3Department of Cardiothoracic Surgery, College of Medicine, Kyunghee University Hospital,
Seoul, Korea.
Abstract
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Multiple cardiac myxomas are rare in children. However, myxomas may be lethal because of their various manifestations such as blood flow obstruction, embolization and constitutional changes. Especially, the cerebral infarction due to tumor fragmentation are more likely to be misdiagnosed of acute disseminated encephalomyelitis. We report a case of multiple cardiac myxoma complicating recurrent right hemiparesis in a 12-year-old child who at first had a wrong diagnosis of acute disseminated encephalomyelitis (ADEM). Consequently, a child who show unrepresentative symptom of ADEM, should be examined rapidly by various tools to rule out the cerebral infarction from cardiogenic cause.