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21,610 results
  • Multiple Myeloma Relapse as Intracranial Plasmacytoma: A Rare Presentation. [Case Reports]
    Cureus. 2020 May 30; 12(5):e8357.Prakash A, Korem S, … Lee P
  • Multiple myeloma (MM) infrequently involves the central nervous system (CNS). The usual sites of involvement are skull and meninges; however, intracranial tumors are exceedingly rare. We report the case of a 60-year-old female who presented to our center for the complaint of recurrent syncope. The patient was diagnosed with MM approximately one and a half years ago and had received chemotherapy f…
  • Neurologic alterations in an HIV adult patient with pertussis: a case report. [Journal Article]
    BMC Infect Dis. 2020 Jul 02; 20(1):471.Arango-Granados MC, Trompa IM
  • CONCLUSIONS: This case illustrates the biological plausibility of neurologic complications of pertussis in adults, which, albeit rare, can cause important morbidities. Future research should explore whether there are differences in the clinical presentation, risk factors and pathophysiology of the disease among adults or interventions aimed at preventing or treating pertussis encephalopathy.
  • A case of highly disabling orthostatic hypotension: when an integrated cardiac rehabilitation approach makes the difference. [Journal Article]
    G Ital Med Lav Ergon. 2020 Jun; 42(2):121-123.Dalla Vecchia LA, De Maria B, Perego F
  • CONCLUSIONS: Orthostatic hypotension (OH) is a disabling condition accompanying several diseases. It has increased morbidity and mortality, and limited chances of treatment. We report a case of a patient with stable ischemic heart disease and severe OH unresponsive to usual care. A baseline 75° head-up tilt test (HUT) was positive for symptomatic OH, i.e. pre-syncope with a systolic arterial pressure drop of 35 mmHg. On top of optimal treatment, ivabradine was started. Symptoms improved within 24 hours. At a repeated HUT, the patient could tolerate the up-right position up to 25 minutes. He was able to undergo an individualized training program with further amelioration of quality of life. Thereafter, titration of ACE inhibitors became possible. Lasting benefits were present at a 6-month follow-up. To our knowledge, this is the first reported case of successful use of ivabradine to integrate cardiac rehabilitation for management of a highly disabling OH.
  • The Source of Heart Rhythm Changes Caused by Swallowing. [Journal Article]
    Dysphagia. 2020 Jul 01 [Online ahead of print]Yildiz M, Doma S
  • Swallowing can lead to the development of syncope in people who have difficulty swallowing during food intake. It has shown that even spontaneous saliva swallowing can change heart rate variability (HRV). Recently, it has been suggested that changes in heart rate during swallowing may be caused by respiratory activities. In this study, the hypothesis that swallowing induced HRV are caused from br…
  • Anomalous Origin of Left Coronary Artery with Intramural Aortic Course Causing Symptoms in a Teenaged Athlete. [Journal Article]
    Tex Heart Inst J. 2020 Apr 01; 47(2):165-167.Garcia-Arribas D, Olmos C, … Garcia-Bouza M
  • Anomalous origin of the left coronary artery from the opposite sinus of Valsalva with an intramural aortic course is a rare congenital anomaly with a poor prognosis. We report the case of a 14-year-old soccer player who briefly lost consciousness while sprinting. He had exertional chest pain, syncope, ischemic changes on his electrocardiogram, and elevated cardiac troponin levels. Computed tomogr…
  • [Prinzmetal angina. Questions of pathogenesis, clinic, diagnosis and treatment]. [Journal Article]
    Ter Arkh. 2019 Nov 15; 91(11):116-123.Shklovskiy BL, Prokhorchik AA, … Baksheev VI
  • Current problems of Prinzmetal angina (vasospastic angina, variant angina) considers in this review. Attention is drawn to early diagnosis, which should be comprehensive, taking into account possible atypical courses and the development of complications. The important role of electrocardiographic monitoring (including using implantable recorders) is highlighted. It is emphasized that patients wit…
  • Paroxysmal Ventricular Standstill: A Rare Cardiac Manifestation of Syncope. [Journal Article]
    Am J Case Rep. 2020 Jun 17; 21:e924381.Adegoke DA
  • CONCLUSIONS: This case serves as a reminder of the diagnostic dilemma between syncope and seizures. Misdiagnosing cardiac dysrhythmia for epilepsy could lead to adverse consequences for the patient. It is incumbent upon the emergency physician to perform cardiac monitoring on all patients who present with syncope or convulsion in order that dysrhythmia is observed during such episode.
  • Case of vago-glossopharyngeal neuralgia secondary to metastatic oropharyngeal cancer. [Journal Article]
    BMJ Case Rep. 2020 Jun 28; 13(6)Whitman MA, Jefferson A, … Sanghavi DK
  • Glossopharyngeal neuralgia (GN) is a rare pain syndrome caused by compression of the glossopharyngeal nerve. It is typically idiopathic and often goes misdiagnosed because of its similarities to trigeminal neuralgia. Vago-glossopharyngeal neuralgia, an even rarer subset of GN, occurs when the pain is accompanied by syncope and/or arrhythmia. Here, we present the case of a 54-year-old man with oro…
  • Pitfalls in Scalp High-Frequency Oscillation Detection From Long-Term EEG Monitoring. [Journal Article]
    Front Neurol. 2020; 11:432.Gerner N, Thomschewski A, … Höller Y
  • Aims: Intracranially recorded high-frequency oscillations (>80 Hz) are considered a candidate epilepsy biomarker. Recent studies claimed their detectability on the scalp surface. We aimed to investigate the applicability of high-frequency oscillation analysis to routine surface EEG obtained at an epilepsy monitoring unit. Methods: We retrospectively analyzed surface EEGs of 18 patients with foc…
  • From Other Journals: A Review of Recent Articles in Pediatric Cardiology. [Review]
    Pediatr Cardiol. 2020 Jun 23 [Online ahead of print]Alsaied T
  • In this review, we provide a brief description of recently published articles addressing topics relevant to pediatric cardiologists. Our hope is to provide a summary of the latest articles published recently in other journals in our field. The articles address the following: (1) transcatheter closure of sinus venous atrial septal defect which is feasible in adults with careful planning, (2) exerc…
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