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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache

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Recurrent syncope and chronic ear pain.

Andrew Clegg¹, Luis Daverede, Winson Wong

¹Academic Unit of Elderly Care and Rehabilitation, Bradford Institute for Health Research, Bradford, UK. andrewpaulclegg@yahoo.co.uk

BMJ Case Reports

|July 14, 2012

Summary

This summary is machine-generated.

A skull base infection caused a patient's recurrent syncope and postural hypotension. Prompt antibiotic treatment resolved the infection and related symptoms, highlighting the link between infection and cardiovascular events.

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Area of Science:

Infectious Diseases
Neurology
Otolaryngology

Background:

Skull base infections are rare but can present with diverse neurological symptoms.
Carotid sinus involvement in infection can mimic cardiovascular events like syncope.

Observation:

An elderly male presented with syncope, postural hypotension, and right ear pain.
MRI revealed a nasopharyngeal soft tissue abnormality; biopsies showed bacterial infection (Pseudomonas, diphtheroids).

Findings:

Skull base infection involving the carotid sinus was diagnosed as the cause of syncope and hypotension.
Intravenous meropenem for 12 weeks led to infection resolution and symptom improvement.

Implications:

This case underscores the importance of considering infectious etiologies for unexplained syncope and orthostatic hypotension.
Early diagnosis and targeted antibiotic therapy are crucial for managing skull base infections and associated complications.