Neurologic complications of cardiac tumors

David Roeltgen, Stella Kidwell

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Cardiac tumors are an uncommon cause for neurologic disease, but if undiagnosed can be associated with devastating neurologic consequences. Primary cardiac tumors, both benign and neoplastic, and metastatic tumors occur. Primary cardiac tumors are more likely to be associated with neurologic embolic complications. Metastatic cardiac tumors are more likely to be associated with valvular distraction, arrhythmia, diminished cardiac output and indirect neurological dysfunction. Primary and metastatic cardiac tumors may result in cerebral metastatic disease. Atrial myxoma, a benign primary cardiac tumor, is the most common cardiac tumor associated with neurologic disease, and most commonly causes cerebral embolization and stroke. The use of thrombolytic therapy for these strokes is controversial. Additionally, delayed manifestations, including aneurysm formation and intracranial hemorrhage, are possible. Aneurysm formation has been described as occurring after removal of the primary tumor. The availability of noninvasive cardiac imaging has significantly helped decrease the neurologic morbidity of cardiac tumors and has led to frequent successful intervention.

Original languageEnglish (US)
Pages (from-to)209-222
Number of pages14
JournalHandbook of Clinical Neurology
Volume119
DOIs
StatePublished - 2014
Externally publishedYes

Fingerprint

Heart Neoplasms
Nervous System
Nervous System Diseases
Aneurysm
Stroke
Myxoma
Intracranial Hemorrhages
Thrombolytic Therapy
Cardiac Output
Cardiac Arrhythmias
Neoplasms
Morbidity

Keywords

  • Atrial myxoma
  • Cardiac turmor
  • Echocardiography
  • Embolic infarction
  • Fusiform aneurysm
  • Treatment

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology

Cite this

Neurologic complications of cardiac tumors. / Roeltgen, David; Kidwell, Stella.

In: Handbook of Clinical Neurology, Vol. 119, 2014, p. 209-222.

Research output: Contribution to journalArticle

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