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Tuberous Sclerosis with Cardiac Rhabdomyoma Manifested by Fetal Bradycardia: Report of One Case

以胎兒心搏遲緩表現的結節性硬化症合併心臟橫紋肌瘤:一病例報告

摘要


茲報告一例以胎兒心搏遲緩表現的新生兒結節性硬化症合併心臟橫紋肌瘤,其産前超音波顯示右心室有多發性心臟腫瘤,最大腫瘤直徑達5.2公分,解剖測得4.5×4.1×3.5公分,新生兒顱部超音波可見多發性室管膜下小結。此病例於出生後七小時死亡,死後解剖證實此診斷。病嬰兒母新患有臉部皮脂腺瘤和小指指甲纖維瘤,顱部電腦斷層顱示有一結節鈣化點,臨床診斷爲結節性硬化症。

關鍵字

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並列摘要


This is a case of neonatal tuberous sclerosis associated with cardiac rhabdomyoma and manifested by fetal cardiac arrhythmia-bradycardia. The prenatal echocardiography showed multiple cardiac tumors which occupied the left and right ventricles. The largest one measured 5.2 cm in diameter. It was found to be 4.5×4.1×3.5 cm in size at autopsy. A postnatal cranial echo gram showed multiple subependymal nodules. The patient expired after 7 hours of life. The autopsy findings confirmed the diagnosis. The mother of the patient had adenoma seb'aceum on the face and an ungual fibroma on the left little finger. Cranial computerized tomography revealed a small calcified tubercle.

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