Abstract
Geçici şuur kaybı ile gelen hastada nöbet, senkop ve psikojenik bayılma ön tanılar olarak düşünülebilir. Senkop serebral hipoperfüzyona bağlı geçici bilinç ve postür kaybıdır. Genç bireylerde senkobun en sık nedeni bir reflex senkop olan vazovagal senkopdur. Streç senkop ise nöbetden ayırımı zor olan nadir bir antite olup, ayakta veya oturuken başın hiperekstansiyonu ile oluşan geçici bilinç kaybıdır. Patofizyolojide; vertebrobaziller yetersizlik veya vertebral arterlerin ekstrensek basısına bağlı serebral kan akımının azalması bulunmaktadır. Burada yedi yaşında nöbet şikayeti ile gelen nadir bir streç senkop olgusunu farkındalığı artırmak amacıyla sunduk.
References
- Wieling W, Ganzeboom KS, Saul JP. Reflex syncope in children and adolescents. Heart 2004;90:1094-100.
- Ronn E, Tanel, Edward P. Walsh. Syncope in the pediatric patient. Cardiology Clinics 1997;15:277-94.
- Khongphatthanayothin A. Syncope in children. Bangkok Medical Journal 2012;4:104-12.
Abstract
Seizure, syncope, and psychogenic fainting may be considered when a patient presents with temporary loss of consciousness. Syncope is characterized by a temporary loss of consciousness and postural tone due to a lack of adequate cerebral blood perfusion. The most common cause of syncope in young subjects is a reflex syncopal event and in particular a vasovagal faint. Stretch syncope is a rare disorder that is clinically difficult to distinguish from seizure and may arise while stretching the neck hyperextended in an up-right standing position or sitting. The pathophysiology of stretch syncope is decreased cerebral blood flow caused by vertebrobasilar insufficiency or extrinsic compression of vertebral artery. We have reported this rarely seen stretch syncope case of a 7-year-old patient who presented with seizure. The aim of this case presentation is to increase awareness of stretch syncope that can easily be confused with epileptic seizure
References
- Wieling W, Ganzeboom KS, Saul JP. Reflex syncope in children and adolescents. Heart 2004;90:1094-100.
- Ronn E, Tanel, Edward P. Walsh. Syncope in the pediatric patient. Cardiology Clinics 1997;15:277-94.
- Khongphatthanayothin A. Syncope in children. Bangkok Medical Journal 2012;4:104-12.
Details
| Other ID | JA25ZV73ZM |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | December 1, 2017 |
| Submission Date | December 1, 2017 |
| Published in Issue | Year 2017 Volume: 11 Issue: 4 |
The publication language of Turkish Journal of Pediatric Disease is English.
Manuscripts submitted to the Turkish Journal of Pediatric Disease will go through a double-blind peer-review process. Each submission will be reviewed by at least two external, independent peer reviewers who are experts in the field, in order to ensure an unbiased evaluation process. The editorial board will invite an external and independent editor to manage the evaluation processes of manuscripts submitted by editors or by the editorial board members of the journal. The Editor in Chief is the final authority in the decision-making process for all submissions. Articles accepted for publication in the Turkish Journal of Pediatrics are put in the order of publication, with at least 10 original articles in each issue, taking into account the acceptance dates. If the articles sent to the reviewers for evaluation are assessed as a senior for publication by the reviewers, the section editor and the editor considering all aspects (originality, high scientific quality and citation potential), it receives publication priority in addition to the articles assigned for the next issue.
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