Artículo
Nogués, M.; Delorme, R.; Saadia, D.; Heidel, K.; Benarroch, E. "Postural tachycardia syndrome in syringomyelia: Response to fludrocortisone and β-blockers" (2001) Clinical Autonomic Research. 11(4):265-267
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Abstract:
Orthostatic intolerance is occasionally reported by patients with syringomyelia and is usually attributed to vestibular symptoms or neurogenic orthostatic hypotension. Postural tachycardia syndrome has not been previously described in syringomyelia. A patient with long-standing syringomyelia and a Chiari type I anomaly developed disabling "panic-like" attacks associated to orthostatic intolerance five years after posterior fossa decompression and shunting of the syrinx. A head-up tilt test showed an early phase of postural orthostatic tachycardia followed by progressive arterial hypotension and bradycardia as seen in neurally mediated syncope. A magnetic resonance imaging scan showed a collapsed syrinx from the 3rd cervical to the 12th thoracic vertebra without syringobulbia. Fludrocortisone and β-blockers led to resolution of symptoms. Partial sympathetic denervation of the legs in syringomyelia might explain the occasional occurrence of postural tachycardia syndrome. Postural tachycardia syndrome may be included as a possible cause of orthostatic symptoms in syringomyelia patients.
Registro:
| Documento: | Artículo |
| Título: | Postural tachycardia syndrome in syringomyelia: Response to fludrocortisone and β-blockers |
| Autor: | Nogués, M.; Delorme, R.; Saadia, D.; Heidel, K.; Benarroch, E. |
| Filiación: | Montañeses 2325, (1428) Buenos Aires, Argentina |
| Palabras clave: | Autonomic dysfunction; Postural tachycardia syndrome (POTS); Syncope; Syringomyelia; atenolol; benzodiazepine derivative; beta adrenergic receptor blocking agent; chlorpromazine; domperidone; fludrocortisone; adult; Arnold Chiari malformation; article; autonomic denervation; body posture; brain decompression; case report; clinical feature; disease association; drug response; female; head tilting; human; nuclear magnetic resonance imaging; orthostatic hypotension; panic; posterior fossa; postural tachycardia syndrome; shunting; standing; syncope; syringomyelia; tachycardia; Adrenergic beta-Antagonists; Anti-Inflammatory Agents; Autonomic Nervous System; Female; Fludrocortisone; Humans; Magnetic Resonance Imaging; Middle Aged; Posture; Syringomyelia; Tachycardia |
| Año: | 2001 |
| Volumen: | 11 |
| Número: | 4 |
| Página de inicio: | 265 |
| Página de fin: | 267 |
| DOI: | http://dx.doi.org/10.1007/BF02298959 |
| Título revista: | Clinical Autonomic Research |
| Título revista abreviado: | Clin. Auton. Res. |
| ISSN: | 09599851 |
| CAS: | Adrenergic beta-Antagonists; Anti-Inflammatory Agents; Fludrocortisone, 127-31-1 |
| Registro: | https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_09599851_v11_n4_p265_Nogues |
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Citas:
---------- APA ----------
Nogués, M., Delorme, R., Saadia, D., Heidel, K. & Benarroch, E. (2001) . Postural tachycardia syndrome in syringomyelia: Response to fludrocortisone and β-blockers. Clinical Autonomic Research, 11(4), 265-267.http://dx.doi.org/10.1007/BF02298959
---------- CHICAGO ----------
Nogués, M., Delorme, R., Saadia, D., Heidel, K., Benarroch, E. "Postural tachycardia syndrome in syringomyelia: Response to fludrocortisone and β-blockers" . Clinical Autonomic Research 11, no. 4 (2001) : 265-267.http://dx.doi.org/10.1007/BF02298959
---------- MLA ----------
Nogués, M., Delorme, R., Saadia, D., Heidel, K., Benarroch, E. "Postural tachycardia syndrome in syringomyelia: Response to fludrocortisone and β-blockers" . Clinical Autonomic Research, vol. 11, no. 4, 2001, pp. 265-267.http://dx.doi.org/10.1007/BF02298959
---------- VANCOUVER ----------
Nogués, M., Delorme, R., Saadia, D., Heidel, K., Benarroch, E. Postural tachycardia syndrome in syringomyelia: Response to fludrocortisone and β-blockers. Clin. Auton. Res. 2001;11(4):265-267.http://dx.doi.org/10.1007/BF02298959
