Sinus node arrest secondary to HSV encephalitis.
J Clin Neurosci
; 15(9): 1053-6, 2008 Sep.
Article
en En
| MEDLINE
| ID: mdl-17368030
We report a patient with herpes simplex virus (HSV) encephalitis presenting as recurrent syncope due to sinus node arrest. Although the patient's initial presentation suggested a primary cardiac cause, an eventual diagnosis of HSV encephalitis was supported by computed tomography scan and magnetic resonance imaging, and confirmed by HSV polymerase chain reaction. The mechanism of cardiac arrhythmias in HSV encephalitis remains unclear; however, cardiac monitoring should be considered in all patients in whom the diagnosis is suspected. With diagnosis and appropriate management, a permanent pacemaker is generally not indicated. This case report highlights the importance of considering potentially reversible causes of collapse secondary to sinus node dysfunction beyond primary cardiac causes.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Síncope
/
Encefalitis por Herpes Simple
/
Paro Sinusal Cardíaco
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
Límite:
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
J Clin Neurosci
Asunto de la revista:
NEUROLOGIA
Año:
2008
Tipo del documento:
Article
País de afiliación:
Australia
Pais de publicación:
Reino Unido