Bradycardia and syncope as sole manifestations of a cranial lesion:a case report

Pchejetski, Dmitri, Kenbaz, Mojiba, Alshaker, Heba and Jesudason, Kiruparajan (2020) Bradycardia and syncope as sole manifestations of a cranial lesion:a case report. Journal of Medical Case Reports, 14 (1). ISSN 1752-1947

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Abstract

BACKGROUND: Bradycardia and syncope are known sequelae of brain lesions. However, in the absence of neurological signs and symptoms, bradycardia and syncope are often investigated purely from the cardiovascular perspective and central nervous system-related causes may be easily overlooked during differential diagnosis. CASE PRESENTATION: Here we report a case of a 69-year-old Caucasian man who presented to the emergency department after a fall. He had 1-year history of syncope and bradycardia with frequent ectopic beats shown on his electrocardiogram. He had no neurological symptoms. He was previously investigated as an out-patient and a diagnosis of idiopathic bradycardia with ventricular ectopic beats was made. On admission, cardiovascular investigations could not reveal the cause of his bradycardia. Computed tomography and magnetic resonance imaging scans of his head showed a localized mass in left basal ganglia consistent with infiltrating glioma. CONCLUSION: To the best of our knowledge this is the first case report demonstrating central nervous system-related bradycardia and syncope without other neurological symptoms. This case will serve as a useful reminder to general practitioners, accident and emergency doctors, and cardiologists.

Item Type: Article
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Related URLs:
Depositing User: LivePure Connector
Date Deposited: 04 Feb 2020 04:42
Last Modified: 04 Apr 2020 00:43
URI: https://ueaeprints.uea.ac.uk/id/eprint/73957
DOI: 10.1186/s13256-020-2345-8

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