Symptoma

Carotid Sinus Syncope

Carotid Sinus Hypersensitivity

Nasopharyngeal carcinoma can present with different neurological signs and findings. In this paper, we report a patient presenting with Horner syndrome and syncopal episodes who was finally diagnosed with nasopharyngeal carcinoma. [ncbi.nlm.nih.gov]

CSS has three clinical types, the cardioinhibitory, vasodepressor and mixed type.1-3) The patient in our present report showed 6 seconds of sinus pause, and so this present case is the cardioinhibitory type. [synapse.koreamed.org]

The purpose of this book is to present a focused approach to the pathophysiology, diagnosis, and management of the most common autonomic disorders that may present to the clinical neurologist. Autonomic Neurology is divided into 3 sections. [books.google.com]

  • Falling

    Syncope was defined as a rapid onset of transient and self-limited loss of consciousness usually associated with falling, with complete and spontaneous recovery.9 A fall was defined as coming to rest on the ground or any other lower level without loss [jamanetwork.com]

    Non accidental falls These patients experience recurrent episodes of non accidental and unexplained falls which occur when there is transinet brain hypoperfusion and loss of consciousness. [medicaljoyworks.com]

    ROLE OF CSS IN RECURRENT SYNCOPE AND FALLS This retrospective study suggests that CSS is responsible for recurrent falls and syncope in 20.8% of patients referred to a medical outpatient clinic. [pmj.bmj.com]

    CSS is common in older patients, and even for those patients with no history of syncope or falls. [synapse.koreamed.org]

    Forgetting falls. The limited accuracy of recall of falls in the elderly. J Am Geriatr Soc. 1988;36:613-6. Czmerak J. Uber mechanische Reizung des Nervus vagus beim Menschen. In: Schriften G, Band, E, editor. II. [har-journal.com]

  • Pallor

    Unlike the ordinary faint, this syncope is not preceded by pallor, nausea, and sweating. [britannica.com]

    […] ex Conditions.. e73 6 (...) is characterized by diaphoresis, warmth, nausea, and pallor; 3) is associated with vasodepressor hypotension and/or inappropriate bradycardia; and 4) is often followed by fatigue. [tripdatabase.com]

    Metastatic cancer Commonly Associated Conditions Sick sinus syndrome Atrioventricular block Coronary artery disease Diagnosis History Syncope Unexplained falls Abnormal gait and balance Absence of postictal symptoms Physical Exam Bradycardia Hypotension Pallor [tipsdiscover.com]

    […] syncope is still unclear, it is most likely due to a combination of several factors: changes in the autonomic nervous system, hormonal changes, coexistence of multiple pathologies and polypharmacy. 3 Vasovagal syncope is classically preceded by prodromes (pallor [scielo.mec.pt]

    Symptoms are often vague; typical features of NMS, such as pallor and sweatiness, are absent. The eyes are usually open in epileptic seizures and syncope but are usually closed in functional transient loss of consciousness. [patient.info]

  • Noncompliance

    Several pathological mechanisms of CSH have been proposed: atherosclerotic noncompliance, sternocleidomastoid proprioceptive denervation (...), and generalized autonomic dysfunction.We reported a 75-year-old man who had recurrent syncope attacks secondary [tripdatabase.com]

    High efficacy of beta-blockers in long-QT syndrome type 1: contribution of noncompliance and QT-prolonging drugs to the occurrence of beta-blocker treatment “failures”. Circulation. 2009 ; 119 :215–21. Link Google Scholar 318. [ahajournals.org]

  • Wound Infection

    Postoperative pericarditis (four patients), pleural effusion (two patients), suppurative wound infection (one patient), and subclavian vein thrombosis (one patient) accounted for the complications in the remaining six patients. [jvascsurg.org]

  • Alopecia

    The patient was taking no medication except finasteride for alopecia. The man's initial blood pressure (BP) was 105/78 mmHg and the pulse rate was 72/min. The BP in the upright position was 101/63 mmHg and the pulse rate was 67/min. [synapse.koreamed.org]

    Grip myotonia, weakness, temporal wasting, alopecia, cataracts, glucose intolerance, and daytime somnolence. Both bradyarrhythmia and tachyarrhythmias. [ahajournals.org]

  • Blurred Vision

    vision Reflex-mediated syncope; vasovagal syncope Aura Seizure; migraine During Manner of falling Slumping Arrhythmia; coronary artery disease Kneeling over Reflex-mediated syncope; orthostatic hypotension Skin color Pallor, cyanosis, flushing Acute [aafp.org]

    As defined by the Heart Rhythm Society, POTS is a clinical syndrome characterized by frequent symptoms that occur with standing (ie, lightheadedness, palpitations, tremor, blurred vision, weakness, fatigue), an increase in heart rate of greater than 30 [clevelandclinicmeded.com]

  • Dizziness

    Forty-three participants (40% of those with CSH) had dizziness, presyncope, or syncope during CSM in conjunction with the hypersensitive response. Syncope was present in 18 (17%) and dizziness or presyncope in 25 (23%). [jamanetwork.com]

    The episodes were characterised by hypotension, sharp pain in the right neck, dizziness, and bradycardia. A temporary pacemaker failed to prevent the symptoms, but ephedrine and fludrocortisone produced substantial improvement. [ncbi.nlm.nih.gov]

    Recurrent dizziness This is also a result of brain hypopperfusion as described above. Recurrent dizziness This is also a result of brain hypopperfusion as described above. [medicaljoyworks.com]

    In this condition dizziness, pre-syncope or syncope may be precipitated by any manoeuvre which causes mechanical stimulation of the carotid sinus – such as turning the head, looking up, or wearing tight collars. [syncope.co.uk]

    PARTICIPANTS: Patients undergoing investigation of dizziness, syncope, or unexplained falls. METHODS: Carotid sinus massage performed for 5 seconds in both supine and erect postures, both before and after atropine. [onlinelibrary.wiley.com]

  • Drop Attacks

    Synonyms English : Attack, Drop Cardiogenic Syncope Cardiogenic Syncopes Carotid Sinus Syncope Carotid Sinus Syncopes Convulsive Syncope Convulsive Syncopes Deglutitional Syncope Deglutitional Syncopes Drop Attack Drop Attacks Effort Syncope Effort Syncopes [decs.bvs.br]

    double images, dysarthria) Duplex ultrasound of the carotid and subclavian arteries showing stenosis Vertebrobasilar insufficiency “Drop attacks” can be seen with a TIA in the vertebrobasilar circulation. [amboss.com]

    CSH was also present in 35% of community-dwelling older individuals without any symptoms of syncope, falls or drop attacks (2). Etiology and Pathophysiology The exact mechanism of CSH remains unknown. [unboundmedicine.com]

    In an additional prospective, controlled cohort study of 1,149 subjects presenting with unexplained syncope and drop attacks, 19% had carotid sinus hypersensitivity and 31% of these had a positive response only with head-up tilt, giving the upright positive [onlinejacc.org]

    The asymptomatic groups of community‐dwelling older individuals were not necessarily healthy controls but were individuals without the symptoms of syncope, falls, or drop attacks. [ahajournals.org]

  • Vertigo

    Syncopal Vertigos, Syncopal [decs.bvs.br]

    Two other patients described mild symptoms (dizziness or vertigo) but had no evidence of CSH. Only one patient had persistent symptoms associated with objectively demonstrable CSH. [jvascsurg.org]

    The vertigos gradually increased in frequency and intensity since they started one month prior her admission. [head-face-med.biomedcentral.com]

    Synonym(s): Charcot vertigo ; tussive syncope Charcot spine Charcot syndrome - a condition caused by ischemia of the muscles. [medical-dictionary.thefreedictionary.com]

    […] seal as soon as is possible Lay the diver down on any solid surface after surfacing Contact an emergency hotline for advice such as Divers Alert Network (DAN) Scuba Injuries Overview Drowning Shock Pulmonary Barotrauma Salt Water Aspiration Syndrome Vertigo [private-scuba.com]

The workup must exclude other causes of syncope as guided by the history and the physical examination. [encyclopedia.lubopitko-bg.com]

[…] trialled with limited success 4 Midodrine, fludrocortisone and sertraline were previously trialled by Sharma et al without any success. 6 This case highlights the importance of high clinical suspicion and thorough clinical examination in the diagnostic workup [nzma.org.nz]

The workup of unexplained syncope depends on the presence or absence of heart disease: electrophysiologic study if the patient has heart disease, tilt-table testing in those without heart disease, and prolonged rhythm monitoring in both cases if syncope [mdedge.com]

He had extensive workup that included EEG (Electroencephalography), CT (computed Tomography) scan of head, echocardiography and cardiac stress test. All of these diagnostic studies performed were found to be unremarkable. [ispub.com]

The term induced carotid sinus syndrome refers to a clinical situation in which a patient has no clear history of accidental mechanical manipulation of the carotid sinuses and has a negative result from workup for syncope, except for a hypersensitive [emedicine.medscape.com]

Combined drug treatment with a vasoconstrictor and plasma volume expander produced an improvement in symptoms but did not eliminate them. [ncbi.nlm.nih.gov]

Pacing as a Treatment for Reflex-Mediated (Vasovagal, Situational, or Carotid Sinus Hypersensitivity) Syncope: A Systematic Review for the 2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: A Report of the American [tripdatabase.com]

Short- and long-term prognosis of syncope, risk factors, and role of hospital admission: results from the STePS (Short-Term Prognosis of Syncope) study. J Am Coll Cardiol. 2008 Jan 22. 51(3):276-83. [Medline]. Andrea U, Attilio DR, Franco G, et al. [medscape.com]

He declined to receive palliative radiation therapy to the cervical tumor or implantation of a temporary or permanent pacemaker because of their invasive nature and his poor prognosis. [bpsmedicine.biomedcentral.com]

[11] Patients with CSH showing a reduction in blood pressure after an carotid sinus stimulation have a worse prognosis than those with a pure cardio-inhibitory response or a lack of vasodepressor response.[11] [patient.info]

In every case the goal should be to determine the cause of syncope with sufficient confidence to provide patients and family members with a reliable assessment of prognosis, recurrence risk, and treatment options. [ncbi.nlm.nih.gov]

Prognosis Cardiac syncope has a poorer prognosis than other forms of syncope. The 1-year endpoint mortality has been shown to be as high as 18-33%. [emedicine.medscape.com]

Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]

Given the wide variety of etiologies and concern over potentially missing an important etiology, diagnostic testing can become elaborate, expensive, and frequently low yield. [journalofhospitalmedicine.com]

Syncope Summary Etiology Clinical features Diagnostics Differential diagnoses Treatment Complications [amboss.com]

Recently, a common central etiological mechanism has been hypothesized for reflex syncope, manifesting as CSS, vasovagal syncope or both. [tripdatabase.com]

Abstract Of interest for years as a readily demonstrable etiologic factor in certain cases of syncopal or convulsive attacks, the cardioinhibitory carotid sinus syndrome has itself fallen under suspicion as a manifestation of myocardial disease. [annals.org]

Special attention has also been paid to epidemiology and prevention, discussing all the issues concerned. [books.google.com]

shaving, tight collars, or tumors) Induced CSS: syncope diagnosed by CSM, although no mechanical trigger is found Epidemiology Disease of elderly; virtually unknown in people aged 50 years More prevalent in males by ratio of 4:1 Typical patient is [unboundmedicine.com]

Epidemiologic features of isolated syncope: the Framingham Study. Stroke. 1985 Jul-Aug. 16(4):626-9. [Medline]. Pratt JL, Fleisher GR. Syncope in children and adolescents. Pediatr Emerg Care. 1989 Jun. 5(2):80-2. [Medline]. [medscape.com]

SYNONYMS Carotid sinus syncope CSS EPIDEMIOLOGY & DEMOGRAPHICS • The incidence of carotid sinus hypersensitivity is 15% in the adult population. • The incidence increases with age. • Men are affected more often than women (2:1). • Carotid sinus syndrome [encyclopedia.lubopitko-bg.com]

System(s) affected: Cardiovascular; Nervous Synonym(s): Carotid sinus syncope; Carotid sinus hypersensitivity Epidemiology Predominant age: Elderly Predominant sex: Male Female (2:1) Geriatric Considerations More likely to occur in elderly Can be a cause [tipsdiscover.com]

Cerebral hemodynamic disturbances may play a crucial role in the pathophysiology of syncope with normal sinus rhythm and normotension. Moreover, direct depression of the CNS following carotid sinus distension is likely to be involved. [ncbi.nlm.nih.gov]

The purpose of this book is to present a focused approach to the pathophysiology, diagnosis, and management of the most common autonomic disorders that may present to the clinical neurologist. Autonomic Neurology is divided into 3 sections. [books.google.com]

The pathophysiological process causing CSS remains poorly understood. [har-journal.com]

These findings support a crucial role of cerebral hemodynamic disturbance in the pathophysiology of cerebral syncope. [ajnr.org]

A temporary pacemaker failed to prevent the symptoms, but ephedrine and fludrocortisone produced substantial improvement. [ncbi.nlm.nih.gov]

Rapidly find the answers you need with separate sections on diseases and disorders, differential diagnosis, clinical algorithms, laboratory results, and clinical preventive services, plus an at-a-glance format that uses cross-references, outlines, bullets [books.google.com]

All the patients with NCS were treated conservatively (two patients were treated with fludrocortisone but the majority were advised on ways to prevent their symptoms; appendix ). [pmj.bmj.com]

Furthermore, tilt training was reported to prevent the recurrence of neurally mediated syncope [16]. [bpsmedicine.biomedcentral.com]