Vasovagal syncope developed after spinal anesthesia: a case report

Abstract

Abstract

Syncope is a transient loss of consciousness that is associated with the sudden loss of muscle tone and often resolved spontaneously. It is developed as a result of cardiac, metabolic, psychiatric and neurological causes. Vasovagal syncope is the most common type of syncope that is seen in healthy individuals and is frequently related to emotional stress. It is usually induced by a fear, panic attack, pain or an exercise. In this case report, an approach to vasovagal syncope will be discussed that is developed 24 hours after spinal anesthesia due to a fear and panic attack in 39 years old male patient with no previous history of known disease and syncope.

Keywords: vasovagal syncope, postoperative, spinal anesthesia

Özet

Senkop ; kardiyak, metabolik, psikiyatrik ve nörolojik nedenler sonucunda gelişen, ani  tonus kaybı ile birlikte olan, geçici ve çoğu kez kendiliğinden düzelen bilinç kaybıdır. Vazovagal senkop ise sağlıklı insanlarda senkobun en sık rastlanılan tipidir ve çoğunlukla emosyonel strese bağlı gelişir. Genellikle korku, panik,  ağrı veya egzersizle ortaya çıkar. Bu olgu ile 39 yaşında herhangi bir hastalık ve daha önce senkop öyküsü olmayan erkek hastada spinal anesteziden 24 saat sonra korku ve paniğe bağlı olarak gelişen bir vazovagal senkoba yaklaşım tartışılacaktır.

Anahtar sözcükler: vazovagal senkop, postoperatif, spinal anestezi

Kaynakça

1. Chen-Scarabelli C, Scarabelli TM. Neurocardiogenic syncope. BMJ 2004; 329:336- 341.
2. Alboni P, Alboni M, Bertorelle G. Origin and evolution of vasovagal syncope. G Ital Cardiol 2010; 11(1):20-27.
3. Yılmaz Z, Tekgül TZ, Arslan M, Günaydın B, Kaya K. Vazovagal Senkop Tanısı Olan Olguda İntraoperatif Bradikardi ve Hipotansiyon. Türk Anest Rean Der Dergisi 2006; 34(1):60-63
4. Quan KJ, Carlson MD, Thames MD. Mechanisms of heart rate and arterial blood pressure control: implications for pathophysiology of neurocardiogenic syncope. PACE 1997; 20(Pt II): 764-74
5. Soteriades ES, Evans JE, Larson MG, et al. Incidence and prognosis of syncope. New Eng J Med 2002; 19:878-885.
6. Tajiri O, Tateda T, Ito H, Yago Y, Kanazawa M. Case of neurocardiogenic syncope with asystole during insertion of epidural catheter. Masui 2009; 58(9):1154-57
7. Sprung J, Abdelmalak B, Schoenwald PK. Vasovagal cardiac arrest during the insertion of an epidural catheter and before the administration of epidural medication. Anesth Analg. 1998 Jun;86(6):1263-5.