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A Model for Encephalomyosynangiosis Treatment after Middle Cerebral Artery Occlusion-Induced Stroke in Mice

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Malignant neurally-mediated syncope: pathophysiology and treatment.

Orson Go¹, Mehr Khan, Luna Bhatta

¹Department of Internal Medicine, SUNY-Upstate Medical University and Veterans Affairs Medical Center, Syracuse, New York 13210, USA. orson_go@lycos.com

The American Journal of the Medical Sciences

|June 16, 2009

Summary

Neurally-mediated syncope, a common cause of fainting, can involve prolonged asystole and convulsions. This case highlights the need for pacemaker adjustment in managing recurrent syncope.

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Area of Science:

Cardiology
Neurology
Neurally-mediated syncope

Background:

Neurally-mediated syncope is the leading cause of transient loss of consciousness.
Understanding its pathophysiology is crucial for effective management.

Observation:

An index case of a 43-year-old man with recurrent neurally-mediated syncope is presented.
Tilt-table testing revealed 15 seconds of asystole and generalized convulsions.

Findings:

Permanent pacemaker implantation was performed.
A subsequent syncopal episode necessitated pacemaker setting adjustments.

Implications:

This case underscores the complex management of neurally-mediated syncope.
Further research into diagnosis and treatment strategies is warranted.