A Rare Case of Compressive Cervical Myelopathy Presenting with Reversible Complete Heart Block
We present here a rare case of an elderly male who presented with the complaints of progressively worsening gait imbalance, associated with acute onset giddiness. On evaluation, the patient had bradycardia with exaggerated upper and lower limb deep tendon reflexes and pain on neck movements. A Magne...
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| Format: | Article |
| Language: | English |
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Gujarat Adani Institute of Medical Sciences
2023-11-01
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| Series: | GAIMS Journal of Medical Sciences |
| Subjects: | |
| Online Access: | https://gjms.gaims.ac.in/index.php/gjms/article/view/151/111 |
| _version_ | 1797640864329105408 |
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| author | Krushan Yajnik Kishti Chhaya Nirmit Yajnik Kaushik Trivedi Suresh Nayak |
| author_facet | Krushan Yajnik Kishti Chhaya Nirmit Yajnik Kaushik Trivedi Suresh Nayak |
| author_sort | Krushan Yajnik |
| collection | DOAJ |
| description | We present here a rare case of an elderly male who presented with the complaints of progressively worsening gait imbalance, associated with acute onset giddiness. On evaluation, the patient had bradycardia with exaggerated upper and lower limb deep tendon reflexes and pain on neck movements. A Magnetic Resonance Imaging (MRI) showed posterior disc herniations at C6-C7 level with neural foraminal narrowing, and 12 lead Electrocardiogram showed Complete Heart Block (CHB). Decompressive surgery with temporary pacing was done, following which, the patient recovered well. Although Permanent Pacemaker (PPM) was initially planned, it was not required due to reversion to normal sinus rhythm on ECG, post-surgery. Hence, rare reversible causes of CHB should be ruled out, before opting for a long term permanent invasive treatment modality. |
| first_indexed | 2024-03-11T13:37:14Z |
| format | Article |
| id | doaj.art-3ae128b4fa84444395bb496369458d97 |
| institution | Directory Open Access Journal |
| issn | 2583-1763 |
| language | English |
| last_indexed | 2024-03-11T13:37:14Z |
| publishDate | 2023-11-01 |
| publisher | Gujarat Adani Institute of Medical Sciences |
| record_format | Article |
| series | GAIMS Journal of Medical Sciences |
| spelling | doaj.art-3ae128b4fa84444395bb496369458d972023-11-02T15:37:28ZengGujarat Adani Institute of Medical SciencesGAIMS Journal of Medical Sciences2583-17632023-11-01418385https://doi.org/10.5281/zenodo.10066843A Rare Case of Compressive Cervical Myelopathy Presenting with Reversible Complete Heart BlockKrushan Yajnik0Kishti Chhaya1Nirmit Yajnik2Kaushik Trivedi3Suresh Nayak4Department of General Medicine, City Heart Centre Hospital, Vadodara, GujaratDepartment of General Surgery, Ruby Hall Clinic, Pune, MaharashtraDepartment of General Medicine, City Heart Centre Hospital, Vadodara, Gujarat and Department of General Medicine, Vadodara Institute of Neurological Sciences (VINS) Hospital, Vadodara, GujaratDepartment of General Medicine, City Heart Centre Hospital, Vadodara, Gujarat and Department of General Medicine, Vadodara Institute of Neurological Sciences (VINS) Hospital, Vadodara, GujaratDepartment of Neurosurgery, Vadodara Institute of Neurological Sciences (VINS) Hospital, Vadodara, GujaratWe present here a rare case of an elderly male who presented with the complaints of progressively worsening gait imbalance, associated with acute onset giddiness. On evaluation, the patient had bradycardia with exaggerated upper and lower limb deep tendon reflexes and pain on neck movements. A Magnetic Resonance Imaging (MRI) showed posterior disc herniations at C6-C7 level with neural foraminal narrowing, and 12 lead Electrocardiogram showed Complete Heart Block (CHB). Decompressive surgery with temporary pacing was done, following which, the patient recovered well. Although Permanent Pacemaker (PPM) was initially planned, it was not required due to reversion to normal sinus rhythm on ECG, post-surgery. Hence, rare reversible causes of CHB should be ruled out, before opting for a long term permanent invasive treatment modality.https://gjms.gaims.ac.in/index.php/gjms/article/view/151/111compressive cervical myelopathycomplete heart blockcardiac pacemaker |
| spellingShingle | Krushan Yajnik Kishti Chhaya Nirmit Yajnik Kaushik Trivedi Suresh Nayak A Rare Case of Compressive Cervical Myelopathy Presenting with Reversible Complete Heart Block GAIMS Journal of Medical Sciences compressive cervical myelopathy complete heart block cardiac pacemaker |
| title | A Rare Case of Compressive Cervical Myelopathy Presenting with Reversible Complete Heart Block |
| title_full | A Rare Case of Compressive Cervical Myelopathy Presenting with Reversible Complete Heart Block |
| title_fullStr | A Rare Case of Compressive Cervical Myelopathy Presenting with Reversible Complete Heart Block |
| title_full_unstemmed | A Rare Case of Compressive Cervical Myelopathy Presenting with Reversible Complete Heart Block |
| title_short | A Rare Case of Compressive Cervical Myelopathy Presenting with Reversible Complete Heart Block |
| title_sort | rare case of compressive cervical myelopathy presenting with reversible complete heart block |
| topic | compressive cervical myelopathy complete heart block cardiac pacemaker |
| url | https://gjms.gaims.ac.in/index.php/gjms/article/view/151/111 |
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