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Warning leak of intracranial aneurysm masquerading as sinus node dysfunction: A case report.
Devendra Singh Bisht1, Puneet K Verma1, Nitin Garg1
1ACE Heart & Vascular Institute, Mohali, India.
SAGE Open Medical Case Reports
|August 5, 2016
Summary
Intracranial aneurysms can mimic sinus node dysfunction, leading to delayed diagnosis. This case highlights subtle signs of subarachnoid hemorrhage that warrant careful consideration in patients presenting with bradycardia.
Area of Science:
- Neurology
- Vascular Surgery
- Cardiology
Background:
- Subarachnoid hemorrhage (SAH) is a critical neurovascular condition.
- Intracranial aneurysms are a common cause of SAH.
- Sinus node dysfunction can present with symptoms that may overlap with early signs of neurological emergencies.
Observation:
- A 62-year-old male presented with symptoms initially attributed to symptomatic sinus bradycardia.
- The patient was diagnosed with and treated for sinus node dysfunction.
- Further investigation revealed an intracranial aneurysm as the underlying cause of his symptoms.
Findings:
- Successful endovascular repair of the intracranial aneurysm was performed.
- The aneurysm was identified as the cause of the subarachnoid hemorrhage.
- The patient's initial presentation mimicked sinus node dysfunction, delaying definitive diagnosis.
Implications:
- This case underscores the importance of considering subtle neurological signs that may present atypically.
- Awareness of potential aneurysm symptoms masquerading as cardiac conditions is crucial for timely diagnosis and treatment.
- Endovascular techniques offer a viable treatment option for intracranial aneurysms causing SAH.
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