A case report of sinoatrial arrest caused by temporal lobe epilepsy in subclinical glioblastoma
Abstract Background Atrial fibrillation with symptomatic bradycardia, higher grade atrioventricular block, and sinus node disease are all common indications for permanent pacemaker implantation. The most frequent causes of sinus node disease treated with pacemaker implantation involve degenerative s...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-01-01
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| Series: | BMC Cardiovascular Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12872-020-01325-3 |
| _version_ | 1828964540393455616 |
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| author | Jörg Reifart Marlene Tschernatsch Christian W. Hamm Johannes Sperzel Andreas Hain |
| author_facet | Jörg Reifart Marlene Tschernatsch Christian W. Hamm Johannes Sperzel Andreas Hain |
| author_sort | Jörg Reifart |
| collection | DOAJ |
| description | Abstract Background Atrial fibrillation with symptomatic bradycardia, higher grade atrioventricular block, and sinus node disease are all common indications for permanent pacemaker implantation. The most frequent causes of sinus node disease treated with pacemaker implantation involve degenerative structural changes of the sinus node; less often, extrinsic causes (such as damage due to myocardial infarction or heightened parasympathetic nervous system activity) lead to pacemaker implantation. Case presentation A 50-year-old patient with syncope and documented sinoatrial arrest was referred. Neurologic exams (including CT and EEG) revealed no pathologies, so a pacemaker was implanted. Postoperatively, syncope occurred again due to a focal seizure during which sinus rhythm transitioned to atrial pacing by the device. Further neurologic testing revealed focal epilepsy. Six months later, stage IV glioblastoma was diagnosed and the patient was treated surgically. Conclusion Intracerebral tumors should be considered in the differential diagnosis for patients with unexplained sinoatrial block, as well as in patients with repeat syncope after pacemaker implantation. Cranial MRI could aid the diagnostic workup of such cases. |
| first_indexed | 2024-12-14T10:50:55Z |
| format | Article |
| id | doaj.art-20a9a73255b9454e9f327604ae15314f |
| institution | Directory Open Access Journal |
| issn | 1471-2261 |
| language | English |
| last_indexed | 2024-12-14T10:50:55Z |
| publishDate | 2020-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj.art-20a9a73255b9454e9f327604ae15314f2022-12-21T23:05:13ZengBMCBMC Cardiovascular Disorders1471-22612020-01-012011410.1186/s12872-020-01325-3A case report of sinoatrial arrest caused by temporal lobe epilepsy in subclinical glioblastomaJörg Reifart0Marlene Tschernatsch1Christian W. Hamm2Johannes Sperzel3Andreas Hain4Department of Cardiology, Kerckhoff Heart and Thorax CenterDepartment of Neurology, Justus-Liebig University Hospital of Giessen and MarburgDepartment of Cardiology, Kerckhoff Heart and Thorax CenterDepartment of Cardiology, Kerckhoff Heart and Thorax CenterDepartment of Cardiology, Kerckhoff Heart and Thorax CenterAbstract Background Atrial fibrillation with symptomatic bradycardia, higher grade atrioventricular block, and sinus node disease are all common indications for permanent pacemaker implantation. The most frequent causes of sinus node disease treated with pacemaker implantation involve degenerative structural changes of the sinus node; less often, extrinsic causes (such as damage due to myocardial infarction or heightened parasympathetic nervous system activity) lead to pacemaker implantation. Case presentation A 50-year-old patient with syncope and documented sinoatrial arrest was referred. Neurologic exams (including CT and EEG) revealed no pathologies, so a pacemaker was implanted. Postoperatively, syncope occurred again due to a focal seizure during which sinus rhythm transitioned to atrial pacing by the device. Further neurologic testing revealed focal epilepsy. Six months later, stage IV glioblastoma was diagnosed and the patient was treated surgically. Conclusion Intracerebral tumors should be considered in the differential diagnosis for patients with unexplained sinoatrial block, as well as in patients with repeat syncope after pacemaker implantation. Cranial MRI could aid the diagnostic workup of such cases.https://doi.org/10.1186/s12872-020-01325-3CardiologySinoatrial arrestECGGlioblastomaPacemaker implantationBradycardia |
| spellingShingle | Jörg Reifart Marlene Tschernatsch Christian W. Hamm Johannes Sperzel Andreas Hain A case report of sinoatrial arrest caused by temporal lobe epilepsy in subclinical glioblastoma BMC Cardiovascular Disorders Cardiology Sinoatrial arrest ECG Glioblastoma Pacemaker implantation Bradycardia |
| title | A case report of sinoatrial arrest caused by temporal lobe epilepsy in subclinical glioblastoma |
| title_full | A case report of sinoatrial arrest caused by temporal lobe epilepsy in subclinical glioblastoma |
| title_fullStr | A case report of sinoatrial arrest caused by temporal lobe epilepsy in subclinical glioblastoma |
| title_full_unstemmed | A case report of sinoatrial arrest caused by temporal lobe epilepsy in subclinical glioblastoma |
| title_short | A case report of sinoatrial arrest caused by temporal lobe epilepsy in subclinical glioblastoma |
| title_sort | case report of sinoatrial arrest caused by temporal lobe epilepsy in subclinical glioblastoma |
| topic | Cardiology Sinoatrial arrest ECG Glioblastoma Pacemaker implantation Bradycardia |
| url | https://doi.org/10.1186/s12872-020-01325-3 |
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