Akut Koroner Sendrom mu? Serebrovasküler Olay mı?

Yıl 2018, Cilt: 1 Sayı: 1, 17 - 21, 01.04.2018

Yasin Yıldız , Mine Kayacı Yıldız , Gökhan Aksel Can Özen Serkan Emre Eroğlu

Öz

Posterior serebral dolaşım kaynaklı inmeler, yüksek mortalite ve morbidite riski taşıyan hastalıklardandır. Bu hastalarda, troponin gibi kardiyak belirteç yüksekliği de sıklıkla saptanmaktadır. Atipik semptomlar ve troponin yüksekliği gibi durumlar, tanıdan uzaklaşılmasına yol açabilir. Bu da posterior dolaşım inmelerinin yüksek mortalite ve morbiditesinde pay sahibidir. Biz bu vakada, troponin yüksekliği saptanan ve serebellar enfarkt tanısı alan bir hastayı sunduk.

Anahtar Kelimeler

Akut koroner sendrom , serebellar enfarkt , troponin

Is it Acute Coronary Syndrome or Cerebrovasculary Accident?

Öz

The cerebrovasculary accidents (CVAs) that occures from posterior cerebral circulation, have highly risks of mortalty and morbidiy. This patients usually have high troponine levels. Atypical symptoms and troponin elevations, may lead to misdiagnosis. This, have effect to highly mortalty and morbidity of posterior circulation CVAs. Here, we presented a patient who had high troponine levels and get the diagnosis of cerebellar CVA.

Anahtar Kelimeler

Acute coronary syndrome , cerebellar enfarct , troponin

Kaynakça

• 1.Yıldızhan Şengül, Dilek Necioğlu Örken, Selma Yücel, Sevda Yücekaya, Hulki Forta. Serebellarinfarktlarda damar alanlarının dağılımı, klinik özellikleri ve etiyolojik faktörlerin değerlendirilmesi. ŞişliEtfal Hastanesi Tıp Bülteni, 2015;49:2.2.Hyun-Ah Kim, Hyon-Ah Yi , Hyung Lee. Recent Advances in Cerebellar Ischemic Stroke SyndromesCausing Vertigo and Hearing Loss, Cerebellum. 2015 Nov 17, 1-8.3.Jensen JK, Atar D, Mickley H. Mechanism of troponin elevations in patients with acute ischemicstroke. Am J Cardiol. 2007 Mar 15;99(6):867-70.4.Amarenco P. The spectrum of cerebellar infarction. Neurol 1991;41(7):973-95.Tuba AYDEMİR ÖZCAN, Aytül MUTLU , Feriha ÖZER, Sefer GÜNAYDIN, Belgin PETEK BALCI,Hürtan ACAR, Özlem ÇOKAR. Serebellar İnfarktlarda Risk Faktörleri ve Klinik Özellikler; KocatepeMedical Journal 2013;14(3):135-9.6.Lehrich JR, Winkler GF, Ojermann RG. Cerebellar infarction with brainstem compression. ArchNeurol 1970;22(6):490-8.7.Arch AE, Weisman DC, Coca S, Nystrom KV, Wira CR 3rd, Schindler JL. Missed Ischemic StrokeDiagnosis in the Emergency Department by Emergency Medicine and Neurology Services, Stroke.2016;47:00-00. DOI: 10.1161/STROKEAHA.115.010613.8.Thom T, Haase N, Rosamond W, Howard VJ, Rumsfeld J, Manolio T, Zheng ZJ, Flegal K, O’DonnellC, Kittner S, et al. Heart disease and stroke statistics—2006 update: a report from the AmericanHeart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation2006;113:e85– e151.9.Pearson TA, Blair SN, Daniels SR, Eckel RH, Fair JM, Fortmann SP, Franklin BA, Goldstein LB,Greenland P, Grundy SM, et al. AHA guidelines for primary prevention of cardiovascular disease andstroke: 2002 update: consensus panel guide to comprehensive risk reduction for adult patientswithout coronary or other atherosclerotic vascular diseases. American Heart Association ScienceAdvisory and Coordinating Committee. Circulation 2002;106:388 –391.10.Mooe T, Olofsson BO, Stegmayr B, Eriksson P. Ischemic stroke. Impact of a recent myocardialinfarction. Stroke 1999;30:997–1001.11.Touze E, Varenne O, Chatellier G, Peyrard S, Rothwell PM, Mas JL. Risk of myocardial infarctionand vascular death after transient ischemic attack and ischemic stroke: a systematic review andmeta-analysis. Stroke 2005;36:2748 –2755.12.Norris JW, Hachinski VC, Myers MG, Callow J, Wong T, Moore RW. Serum cardiac enzymes instroke. Stroke 1979;10:548 –553.