Postural tachycardia syndrome in syringomyelia: Response to fludrocortisone and β-blockers

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 C...

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Autor principal: Nogués, M.
Otros Autores: Delorme, R., Saadia, D., Heidel, K., Benarroch, E.
Formato: Capítulo de libro
Lenguaje:Inglés
Publicado: 2001
Acceso en línea:Registro en Scopus
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Registro en la Biblioteca Digital
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024 7 |2 scopus  |a 2-s2.0-0034756889 
024 7 |2 cas  |a Adrenergic beta-Antagonists; Anti-Inflammatory Agents; Fludrocortisone, 127-31-1 
040 |a Scopus  |b spa  |c AR-BaUEN  |d AR-BaUEN 
100 1 |a Nogués, M. 
245 1 0 |a Postural tachycardia syndrome in syringomyelia: Response to fludrocortisone and β-blockers 
260 |c 2001 
270 1 0 |m Nogués, M.Montañeses 2325, (1428) Buenos Aires, Argentina; email: mnogues@fleni.org.ar 
506 |2 openaire  |e Política editorial 
504 |a Nogués, M.A., Syringomyelia and syringobulbia (1987) Malformations. Handbook of clinical neurology, pp. 443-464. , Vinken PJ, Bruyn GW, Klawans HL, eds. Amsterdam: Elsevier 
504 |a Aminoff, M.J., Wilcow, C.S., Autonomic dysfunction in syringomyelia (1972) Postgrad Med J, 48, pp. 113-115 
504 |a Nogués, M.A., Newman, P.K., Male, V.J., Cardiovascular reflexes in syringomyelia (1982) Brain, 105, pp. 835-849 
504 |a Nogués, M.A., Gené, R., Benarroch, E., Respiratory disturbances during sleep in syringomyelia and syringobulbia (1999) Neurology, 52, pp. 1777-1784 
504 |a Ellis, L.B., Haynes, F.W., Postural hypotension. With particular reference to its occurrence in disease of the central nervous system (1939) Arch Int Med, 58, pp. 773-798 
504 |a Low, P.A., Opfer-Gehrking, T.L., Textor, S.C., Postural tachycardia syndrome (POTS) (1995) Neurology, 45, pp. S19-S25 
504 |a Low, P.A., Schondorf, R., Novak, V., Postural tachycardia syndrome (1997) Clinical autonomic disorders. 2nd ed., pp. 681-697. , Low P, ed. Philadelphia: Lippincott-Raven 
504 |a Jacob, G., Costa, F., Shannon, J.R., The neuropathic postural tachycardia syndrome (2000) New Engl J Med, 343, pp. 1008-1014 
504 |a Sandroni, P., Opfer-Gehrking, T.L., Benarroch, E., Certain cardiovascular indices predict syncope in the postural tachycardia syndrome (1996) Clin Auton Res, 6, pp. 225-231 
504 |a Novak, V.A., Novak, P., Low, P.A., Time-frequency analysis of cardiovascular function and its clinical implications (1997) Clinical autonomic disorders. 2nd ed., pp. 323-348. , Low P, ed. Philadelphia: Lippincott-Raven 
504 |a Kaufmann, H., Neurally-mediated syncope: Pathogenesis, diagnosis and treatment (1995) Neurology, 45, pp. S12-S18 
504 |a Logue, V., Rice-Edwards, M., Syringomyelia and its surgical treatment - An analysis of 75 patients (1981) J Neurol Neurosurg Psychiatry, 44, pp. 273-284 
520 3 |a 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.  |l eng 
593 |a Montañeses 2325, (1428) Buenos Aires, Argentina 
690 1 0 |a AUTONOMIC DYSFUNCTION 
690 1 0 |a POSTURAL TACHYCARDIA SYNDROME (POTS) 
690 1 0 |a SYNCOPE 
690 1 0 |a SYRINGOMYELIA 
690 1 0 |a ATENOLOL 
690 1 0 |a BENZODIAZEPINE DERIVATIVE 
690 1 0 |a BETA ADRENERGIC RECEPTOR BLOCKING AGENT 
690 1 0 |a CHLORPROMAZINE 
690 1 0 |a DOMPERIDONE 
690 1 0 |a FLUDROCORTISONE 
690 1 0 |a ADULT 
690 1 0 |a ARNOLD CHIARI MALFORMATION 
690 1 0 |a ARTICLE 
690 1 0 |a AUTONOMIC DENERVATION 
690 1 0 |a BODY POSTURE 
690 1 0 |a BRAIN DECOMPRESSION 
690 1 0 |a CASE REPORT 
690 1 0 |a CLINICAL FEATURE 
690 1 0 |a DISEASE ASSOCIATION 
690 1 0 |a DRUG RESPONSE 
690 1 0 |a FEMALE 
690 1 0 |a HEAD TILTING 
690 1 0 |a HUMAN 
690 1 0 |a NUCLEAR MAGNETIC RESONANCE IMAGING 
690 1 0 |a ORTHOSTATIC HYPOTENSION 
690 1 0 |a PANIC 
690 1 0 |a POSTERIOR FOSSA 
690 1 0 |a POSTURAL TACHYCARDIA SYNDROME 
690 1 0 |a SHUNTING 
690 1 0 |a STANDING 
690 1 0 |a SYNCOPE 
690 1 0 |a SYRINGOMYELIA 
690 1 0 |a TACHYCARDIA 
690 1 0 |a ADRENERGIC BETA-ANTAGONISTS 
690 1 0 |a ANTI-INFLAMMATORY AGENTS 
690 1 0 |a AUTONOMIC NERVOUS SYSTEM 
690 1 0 |a FEMALE 
690 1 0 |a FLUDROCORTISONE 
690 1 0 |a HUMANS 
690 1 0 |a MAGNETIC RESONANCE IMAGING 
690 1 0 |a MIDDLE AGED 
690 1 0 |a POSTURE 
690 1 0 |a SYRINGOMYELIA 
690 1 0 |a TACHYCARDIA 
700 1 |a Delorme, R. 
700 1 |a Saadia, D. 
700 1 |a Heidel, K. 
700 1 |a Benarroch, E. 
773 0 |d 2001  |g v. 11  |h pp. 265-267  |k n. 4  |p Clin. Auton. Res.  |x 09599851  |t Clinical Autonomic Research 
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