Migraine-like headache and ischemic strokes in two patients with Lambl's excrescences

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摘要Lambl's excrescences are filiform structures attached to the edges of cardiac valves and have been associated with stroke.Here we report two patients with Lambr's excrescences who developed migraine-like headaches followed by cerebral infarction.Their Lambr's excrescences were first identified by transesophageal echocardiography.One patient was given aspirin and another had surgery for debridement of excrescences.Their outcomes were good.The migraine-like headache might be the first symptom of cerebral ischemia and might be triggered by micro-emboli originated from Lambl's excrescences.Patients with Lambl's excrescences should be closely monitored and surgery should be considered in recurrent stroke cases.

作者单位 Department of Neurology, Chinese People's Liberation Army General Hospital, Beijing 100853, China ^[1] Department of Ultrasonography , Chinese People's Liberation Army General Hospital, Beijing 100853, China ^[2]

关键词 Lambl's excrescence headache ischemic stroke transesophageal echocardiography

栏目名称 CASE REPORTS

DOI 10.3760/cma.j.issn.0366-6999.2012.18.028

发布时间 2013-01-25

基金项目

This study was supported by a grant of cultivation foundation project of Chinese People's Liberation Army General Hospital

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