지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한뇌신경재활학회 뇌신경재활 뇌신경재활 제14권 제3호
- 발행연도
- 2021.11
- 수록면
- 1 - 6 (6page)
- DOI
- 10.12786/bn.2021.14.e27
이용수
초록· 키워드
오류제보하기
Cardiac arrhythmia is a rare manifestation of the Wallenberg syndrome; lesions are located in the brainstem, especially the lower medulla, which regulates sympathetic and parasympathetic activity. A 55-year-old man was admitted to the university hospital with symptoms including ataxia, left ptosis, decreased sensation of pain and temperature on the right side, left facial numbness, and dizziness. Brain magnetic resonance imaging revealed an infarction in the left dorsolateral medulla. Therefore, he was diagnosed with Wallenberg syndrome. While he underwent conservative treatment for Wallenberg syndrome, he experienced several events of self-limiting heart pounding, which required an evaluation of cardiac function. The 24-hour Holter monitor showed an increased RR interval with bradycardia and prolonged sinus pause. As a result, the diagnosis of sick sinus syndrome combined with Wallenberg syndrome was made. Sick sinus syndrome is a rare cardiac complication of the Wallenberg syndrome, and clinicians could overlook it when the initial electrocardiography shows a normal sinus rhythm. Sick sinus syndrome can cause sudden death without appropriate medical intervention. Therefore, clinicians should consider further evaluation, including a 24-hour Holter monitor, to check for the potential presence of sick sinus syndrome in the acute phase of Wallenberg syndrome.
목차
등록된 정보가 없습니다.
참고문헌 (13)
참고문헌 신청
Sacco RL / 1993 / Wallenberg's lateral medullary syndrome. Clinical-magnetic resonance imaging correlations / Arch Neurol 50:609~614
Semelka M / 2013 / Sick sinus syndrome : a review / Am Fam Physician 87:691~696
Reis DJ / 1981 / Evidence that glutamic acid is the neurotransmitter of baroreceptor afferent terminating in the nucleus tractus solitarius(NTS) / J Auton Nerv Syst 3:321~334
Abdala AP / 2006 / Ablation of NK1 receptor bearing neurons in the nucleus of the solitary tract blunts cardiovascular reflexes in awake rats / Brain Res 1119:165~173
Biaggioni I / 1994 / Baroreflex failure in a patient with central nervous system lesions involving the nucleus tractus solitarii / Hypertension 23:491~495
Semelka M / 2013 / Sick sinus syndrome : a review / Am Fam Physician 87:691~696
Reis DJ / 1981 / Evidence that glutamic acid is the neurotransmitter of baroreceptor afferent terminating in the nucleus tractus solitarius(NTS) / J Auton Nerv Syst 3:321~334
Abdala AP / 2006 / Ablation of NK1 receptor bearing neurons in the nucleus of the solitary tract blunts cardiovascular reflexes in awake rats / Brain Res 1119:165~173
Biaggioni I / 1994 / Baroreflex failure in a patient with central nervous system lesions involving the nucleus tractus solitarii / Hypertension 23:491~495
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