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Cough syncope in a 43-year-old woman with glomus jugulare tumor()
We present an unusual case of recurrent cough syncope in a 43-year-old woman, which was initially thought to be seizures. Syncopal episodes were triggered by paroxysms of cough and were characterized by unresponsiveness and myoclonic jerks in her extremities. She had a left-sided glomus jugulare tum...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4307954/ https://www.ncbi.nlm.nih.gov/pubmed/25667888 http://dx.doi.org/10.1016/j.ebcr.2014.05.002 |
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author | Bandyopadhyay, Susanta Sonmezturk, Hasan Abou-Khalil, Bassel Haas, Kevin F. |
author_facet | Bandyopadhyay, Susanta Sonmezturk, Hasan Abou-Khalil, Bassel Haas, Kevin F. |
author_sort | Bandyopadhyay, Susanta |
collection | PubMed |
description | We present an unusual case of recurrent cough syncope in a 43-year-old woman, which was initially thought to be seizures. Syncopal episodes were triggered by paroxysms of cough and were characterized by unresponsiveness and myoclonic jerks in her extremities. She had a left-sided glomus jugulare tumor that extended into the posterior cranial fossa with evidence of worsening communicating hydrocephalus on brain imaging. We postulate that bouts of cough produced increased intracranial pressure both by raising intrathoracic and intraabdominal pressures as well as by transient obstruction to cerebrospinal fluid flow secondary to intermittent tonsillar herniation during cough. This resulted in diffuse decrease in cerebral blood flow causing syncope. The patient's syncopal episodes decreased in frequency once an external ventricular drain was placed followed by a ventriculoperitoneal shunt. Search for factors that can increase intracranial pressure seems warranted in patients with recurrent cough syncope. |
format | Online Article Text |
id | pubmed-4307954 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-43079542015-02-09 Cough syncope in a 43-year-old woman with glomus jugulare tumor() Bandyopadhyay, Susanta Sonmezturk, Hasan Abou-Khalil, Bassel Haas, Kevin F. Epilepsy Behav Case Rep Case Report We present an unusual case of recurrent cough syncope in a 43-year-old woman, which was initially thought to be seizures. Syncopal episodes were triggered by paroxysms of cough and were characterized by unresponsiveness and myoclonic jerks in her extremities. She had a left-sided glomus jugulare tumor that extended into the posterior cranial fossa with evidence of worsening communicating hydrocephalus on brain imaging. We postulate that bouts of cough produced increased intracranial pressure both by raising intrathoracic and intraabdominal pressures as well as by transient obstruction to cerebrospinal fluid flow secondary to intermittent tonsillar herniation during cough. This resulted in diffuse decrease in cerebral blood flow causing syncope. The patient's syncopal episodes decreased in frequency once an external ventricular drain was placed followed by a ventriculoperitoneal shunt. Search for factors that can increase intracranial pressure seems warranted in patients with recurrent cough syncope. Elsevier 2014-06-11 /pmc/articles/PMC4307954/ /pubmed/25667888 http://dx.doi.org/10.1016/j.ebcr.2014.05.002 Text en © 2014 The Authors http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/). |
spellingShingle | Case Report Bandyopadhyay, Susanta Sonmezturk, Hasan Abou-Khalil, Bassel Haas, Kevin F. Cough syncope in a 43-year-old woman with glomus jugulare tumor() |
title | Cough syncope in a 43-year-old woman with glomus jugulare tumor() |
title_full | Cough syncope in a 43-year-old woman with glomus jugulare tumor() |
title_fullStr | Cough syncope in a 43-year-old woman with glomus jugulare tumor() |
title_full_unstemmed | Cough syncope in a 43-year-old woman with glomus jugulare tumor() |
title_short | Cough syncope in a 43-year-old woman with glomus jugulare tumor() |
title_sort | cough syncope in a 43-year-old woman with glomus jugulare tumor() |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4307954/ https://www.ncbi.nlm.nih.gov/pubmed/25667888 http://dx.doi.org/10.1016/j.ebcr.2014.05.002 |
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