|
|
Brain tumour as a rare cause of cardiac
syncope
van der Sluijs BM, Renier WO, Kappelle AC
Department of Neurology, University Medical Centre St Radboud,
Nijmegen, The Netherlands.
We report on a patient with a bradycardia followed by an asystole as expression
of a complex partial seizure arising from a cerebral neoplasm in the medial part
of the left temporal lobe.
Previously published papers have shown that cardiac asystole and bradycardia as
manifestation of epilepsy originate from the temporal lobe.
Although seizures are a common presenting symptom of a cerebral neoplasm,
bradycardia and cardiac asystole of epileptic origin as first sign of a cerebral
neoplasm is only sporadically documented in literature.
Many different regions of the central nervous system are involved in the
cardiovascular control.
When a patient with a collapse is admitted to the emergency room it often is
difficult to differentiate between cardiological and neurological
aetiologies.
However, it is important to identify the origin of a collapse in order to start
the right treatment and give correct information to the patient and his
family.
Therefore, in patients with a non-typical cardiac syncope, a primary
neurological cause should be considered.
PMID: 15072474 [PubMed]
Source: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=15072474
|
