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Baş Dönmesi Şikayeti ile Başvuran Sol Atrial Dev Miksoma Olgusu

Left Atrial Huge Myxoma With Dizziness Complaint

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Abstract (2. Language): 
The purpose of the study is to discuss an atrial myxoma case, rarely thought for the differential diagnosis of dizziness, with the help of literature. A 65 year old woman patient was admitted to neurology clinic with complaint of dizziness that started four months ago. No neurological cause was defined as the result of the examinations and the patient was referred to cardiology clinic. After a detailed physical examinaiton, a huge myxoma that lead to obstruction on the left entrance and exit ways in left atrium was defined. The patient was recommended to have a surgical operation, yet she refused to do so. Dizziness is a frequently encountered clinical complaint. Since it may cause rare but serious clinical results, atrial myxoma should definetely be taken into consideration in differential diagnosis.
Abstract (Original Language): 
Baş dönmesi ayırıcı tanısında nadiren akla gelen atrial miksoma olgusunu literatür eşliğinde tartışmaktır. 65 yaşında kadın hasta dört aydır baş-layan baş dönmesi nedeni ile nöroloji polikliniğine başvurmuş. Yapılan tetkiklerde nö-olojik bir neden saptanmamış. Kardiyoloji kliniğine başvurması söylenmiş. Ayrıntılı fizik muayene sonrası yapılan Transtorasik Ekokardiyografi(TTE) de sol atriyumda, sol ventrikül giriş ve çıkış yolunda obstrüksiyona yol açan dev miksoma tespit edildi. Hastaya cerrahi önerildi ancak hasta kabul etmedi. Baş dönmesi sık karşılaşı-lan bir poliklinik başvuru şikayetidir. Nadir fakat kötü klinik sonuçlara neden olabileceğinden dolayı atrial miksoma mutlaka ayırıcı tanıda göz önünde bulundurul- malıdır.
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