Related Experiment Video
Updated: Jun 12, 2025
04:34
Surgical Treatment of an Endolymphatic Sac Tumor
Published on: May 26, 2023
599
Isolated Cardiac Sarcoidosis Masquerading as Peripheral Vertigo: A Case Report
Sai Amruth Boppe1, Shashikala T Surkunda2, Weena Stanley2
1Department of Internal Medicine, Kasturba Medical College, Manipal, Manipal, IND.
Cureus
|June 9, 2025
Summary
Diagnosing cardiac sarcoidosis, a rare heart condition, is challenging without lung issues. Advanced imaging and repeated cardiac evaluations are crucial for timely diagnosis and improved patient outcomes.
Area of Science:
- Cardiology
- Oncology
- Immunology
Background:
- Cardiac sarcoidosis is a rare cause of cardiomyopathy, often presenting insidiously.
- Diagnosis is particularly challenging in the absence of pulmonary involvement.
Observation:
- A 70-year-old male initially presented with giddiness and fatigue, misdiagnosed as peripheral vertigo.
- Initial cardiac evaluations, including physical exam and echocardiography, were normal, ruling out cardiac causes.
- Development of chest pain and fatigue prompted further investigation.
Findings:
- Cardiac echocardiography revealed a possible scar.
- Cardiac MRI demonstrated epicardial late gadolinium enhancement in the left ventricle.
- FDG PET-CT scan showed diffuse left ventricular hypermetabolism, confirming cardiac sarcoidosis.
Implications:
- This case underscores the necessity of serial cardiac assessments in patients with unexplained symptoms.
- Advanced imaging modalities like cardiac MRI and FDG PET-CT are vital for diagnosing cardiac sarcoidosis.
- Prompt diagnosis and treatment, including ICD insertion and medical therapy, led to significant symptom improvement.
Keywords:
av blockcardiac arrhythmiascardiac fdg-petcardiac mrigiddinessgranulomatous inflammationicdisolated cardiac sarcoidosisnon sustained ventricular tachycardiavertigoMore Related Videos
08:42Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
Published on: February 11, 2022
3.4K
09:16Isolation and Characterization of Cardiac Mesenchymal Stromal Cells from Endomyocardial Bioptic Samples of Arrhythmogenic Cardiomyopathy Patients
Published on: February 28, 2018
7.7K
Related Concept Videos
01:15Equilibrium and Balance
4.5K
The inner ear assumes dual functionalities of auditory perception and equilibrium maintenance. The vestibule is the organ responsible for balance. This organ contains mechanoreceptors, specifically hair cells, endowed with stereocilia, which aid in deciphering information regarding the position and motion of our heads. Two intrinsic components, the utricle and saccule, help perceive head position, while the semicircular canals track head movement. Neurological messages initiated in the...
4.5K
01:27Myocarditis II: Clinical features and Diagnostic Tests
2
Myocarditis is an inflammation of the heart muscle. The symptoms vary widely, encompassing asymptomatic presentations to severe, acute manifestations.Clinical PresentationAsymptomatic cases: In some instances, myocarditis may be asymptomatic, with the infection resolving without intervention. These cases often go undetected unless discovered incidentally through diagnostic imaging or tests conducted for other reasons.General Early Symptoms: Early symptoms of myocarditis are non-specific and can...
2
01:19Pericarditis II: Clinical features and Diagnostic Tests
3
Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
3
01:29Cardiomyopathy III: Hypertrophic Cardiomyopathy
1
Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
1
01:30Cardiomyopathy II: Dilated Cardiomyopathy
1
Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
1
01:29Cardiomyopathy IV: Restrictive Cardiomyopathy
2
Restrictive cardiomyopathy (RCM) is a rare heart muscle disease characterized by impaired ventricular filling due to stiffened ventricular walls, leading to significant diastolic dysfunction.EtiologyRestrictive cardiomyopathy can arise from both inherited and acquired diseases, many of which are systemic. It is categorized into four main types: infiltrative, storage, non-infiltrative, and endomyocardial diseases.Infiltrative diseases, such as amyloidosis, lead to RCM by depositing amyloid...
2