[When the Brain Dictates the Rhythm].

Q4 Medicine
Praxis Pub Date : 2023-08-01
Andrea Burri, Nina Graf, Michael Studhalter
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引用次数: 0

Abstract

Introduction: In rare cases, an HSV-Encephalitis can lead to sinus node dysfunction, as was the case in this 70-year old woman who suffered from recurrent syncopes. Diagnostic work-up showed sinus bradycardias and short-lasting sinus arrests, primarily consider-ed to be of cardiac etiology. After development of fever and neurological alteration, an HSV1 encephalitis was diagnosed. As our research of the current literature showed, the connection between the two is not completely clear. The HSVtypical infestation of the insular cortex, which influences the autonomic nervous system, should be discussed by all means. However, due to cessation of arrhythmia after seizure-suppressing therapy, we suspected an epileptic cause in this case. This shows the importance of a thorough differential diagnostic evaluation.

[当大脑支配节奏时]。
引言:在极少数情况下,单纯疱疹病毒性脑炎会导致窦房结功能障碍,这名70岁的女性就是如此,她患有复发性合位。诊断检查显示窦性心动过缓和短暂的窦性停搏,主要被认为是心脏病因。在出现发烧和神经系统改变后,诊断为HSV1脑炎。正如我们对当前文献的研究所表明的那样,两者之间的联系并不完全清楚。影响自主神经系统的HSV典型的岛叶皮层侵扰,应该通过各种方式进行讨论。然而,由于癫痫抑制治疗后心律失常停止,我们怀疑该病例是癫痫病因。这表明了彻底的鉴别诊断评估的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Praxis
Praxis Medicine-Medicine (all)
CiteScore
0.40
自引率
0.00%
发文量
146
审稿时长
12 weeks
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