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Nöbeti Taklit Eden Nadir Bir Streç Senkop Olgusu

Year 2017, Volume: 11 Issue: 4, 274 - 276, 01.12.2017

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.

Stretch Syncope: A Rare Case Mimicking Seizure

Year 2017, Volume: 11 Issue: 4, 274 - 276, 01.12.2017

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.
There are 3 citations in total.

Details

Other ID JA25ZV73ZM
Journal Section Case Report
Authors

Gül Demet Kaya Özçora This is me

Mehmet Canpolat This is me

Sefer Kumandaş This is me

Hüseyin Per This is me

Ayşe Kaçar Bayram This is me

Hakan Gümüş This is me

Publication Date December 1, 2017
Submission Date December 1, 2017
Published in Issue Year 2017 Volume: 11 Issue: 4

Cite

Vancouver Özçora GDK, Canpolat M, Kumandaş S, Per H, Bayram AK, Gümüş H. Stretch Syncope: A Rare Case Mimicking Seizure. Türkiye Çocuk Hast Derg. 2017;11(4):274-6.


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