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BMJ Case Rep ; 20182018 Aug 04.
Artigo em Inglês | MEDLINE | ID: mdl-30077980

RESUMO

A 16-year-old boy presented to the emergency department with a sudden weakness on the right side of the body and was diagnosed as having embolic stroke. Later on, the patient was diagnosed as having Carney complex (CNC). The neurological complication might be caused by left atrial myxoma as a feature of CNC. Surprisingly, the patient showed some additional features such as positive wrist and thumb signs, pectus carinatum deformity and plain flat feet, suggestive of Marfan syndrome. This case demonstrated that both of these syndromes might coexist in the same patient, suggesting that proper diagnostic and management were key factors that affected prognosis. He showed an improved condition after he had received medical treatments, undergone tumour excision and physiotherapy. Further evaluation was needed to improve patient outcomes.


Assuntos
Complexo de Carney/complicações , Gigantismo/complicações , Síndrome de Marfan/complicações , Mixoma/complicações , Acidente Vascular Cerebral/complicações , Adolescente , Complexo de Carney/diagnóstico , Complexo de Carney/terapia , Ecocardiografia , Gigantismo/tratamento farmacológico , Átrios do Coração/patologia , Átrios do Coração/cirurgia , Humanos , Imageamento por Ressonância Magnética , Masculino , Síndrome de Marfan/diagnóstico , Síndrome de Marfan/terapia , Mixoma/cirurgia , Acidente Vascular Cerebral/tratamento farmacológico
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