Abstract
Altmış yedi yaşında kadın hasta son bir yıldır hipertansiyon, senkop ve presenkop atakları nedeniyle kardiyoloji uzmanına başvurdu. Kan ve idrar tetkikleri normal iken hastanın vital takibinde presenkop ve baş dönmesi ile birlikte hipotansiyon atakları görüldü. Kranial MRI, karotis ve vertebral renkli Doppler USG, EEG ve EMG ardışık konsültasyonları ayarlandı. Diğer testler normal olmasına rağmen, kranyal MRG'ler beyinde beyaz cevher hasarı ile anormal bulgular gösterdi. Hastanın rutin takibi devam etmektedir. Hastaların senkop ve diğer belirtileri için farklı tedavi seçenekleri uygulamak etkili olabilir.
References
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Abstract
A 67-years old female patient applies to a cardiology specialist for hypertension, syncope, and presyncope attacks for the last 1 year. While blood and urine tests are normal, vital follow-up of the patient exposes hypotension attacks with presyncope and dizziness. Cranial MRI, carotid and vertebral color Doppler USG, EEG, and EMG consecutive consultations adjusted. Despite other tests being normal, cranial MRIs showed abnormal findings with white matter damage to the brain. The patient is still in routine follow-up. It may be effective to apply different treatments for patients’ syncope and other demonstrative and disability symptoms of patients.
References
- 1. Bradbury S, Eggleston C. Postural hypotension: a report of three cases. Am Heart J. 1925;1:73–86. doi: 10.1016/S0002-8703(25)90007-5
- 2. Bannister R, Oppenheimer D. Parkisonism, system degenerations and autonomic failure. In: Movement Disorders. Marsden CD, Fahn S (eds), Butterworth Scientific Pub Co, London, 1982:174-190. doi: 10.1016/B978-0-407-02295-9.50016-3
- 3. Shannon J, Jordan J, Costa F, Robertson RM, Biaggioni I. The hypertension of autonomic failure and its treatment. Hypertension. 1997;30:1062-1067. doi:10.1161/01.HYP. 30.5.1062
- 4. Vagaonescu TD, Saadia D, Tuhrim S, Phillips RA, Kaufmann H. Hypertensive cardiovascular damage in patients with primary autonomic failure. Lancet. 2000;355:725-726. doi: 10.1016/S0140-6736(99)05320-9
- 5. Struhal W, Lahrmann H, Mathias CJ. Incidence of cerebrovascular lesions in pure autonomic failure. Auton Neurosci. 2013;179:159-162. doi: 10.1016/j.autneu. 2013. 04.006
- 6. Schatz IJ, Bannister R, Freeman RL, et al. Consensus statement on the definition of orthostatic hypotension, pure autonomic failure, and multiple system atrophy. Neurology. 1996;46:1470. doi:10.1007/BF02291236
- 7. Coon EA, Singer W, Low PA. Pure Autonomic Failure. Mayo Clin Proc. 2019;94:2087- 2098. doi: 10.1016/j. mayocp.2019.03.009
Details
| Primary Language | English |
|---|---|
| Subjects | Cardiovascular Surgery |
| Journal Section | Olgu Sunumu |
| Authors | |
| Publication Date | February 28, 2023 |
| Submission Date | December 8, 2022 |
| Acceptance Date | February 27, 2023 |
| Published in Issue | Year 2023 Volume: 6 Issue: 1 |
The articles in the Journal of "Acta Medica Nicomedia" are open access articles licensed under a Creative Commons Attribution-ShareAlike 4.0 International License at the web address https://dergipark.org.tr/tr/pub/actamednicomedia