Name
VERTEBROBASILAR DISEASE
DESCRIPTION
DETAIL
D.D. :( SYNCOPE ) 1. DISORDERS OF VASCULAR TONE OR BLOOD VOLUME A - VASOVAGAL B - POSTURAL HYPOTENSION - DRUG INDUCED ESPECIALLY ANTIHYPERTENSIVE OR VASODILATOR DRUGS - PERIPHERAL NEUROPATHY ( DIABETES , ALCOHOL , NUTRITIONAL , AMYLOID ) - IDIOPATHIC POSTURAL HYPOTENSION - MULTISYSTEM ATROPHIES - PHYSICAL DECONDITIONING - SYMPATHECTOMY - ACUTE DYSAUTONOMIA ( GUILLAIN- BARRE SYNDROME VARIENT ) - DECREASED BLOOD VOLUME ( ADRENAL INSUFFICIENCY, ACUTE BLOOD LOSS ETC ) C. CAROTID SINUS HYPERSENSITIVITY D. SITUATIONAL : COUGH , MICTURITION , DEFECATION , VALSALVA, DEGLUTITION E. GLOSSOPHARYNGEAL NEURALGIA 2. CARDIOVASCULAR DISORDERS A. CARDIAC ARRHYTHMIAS 1- BRADYARRHYTHMIAS : * SINOATRIAL BLOCK * SINUS BRADYCARDIA * SINUS ARREST * SICK SINUS SYNDROME * ATRIO VENTRICULAR BLOCK 2- TACHYARRHYTHMIAS * SUPRAVENTRICULAR TACHYCARDIA WITH STRUCTURAL CARDIAC DISEASE * ATRIAL FIBRILLATION ASSOCIATED WITH WPW SYNDROME * ATRIAL FLUTTER WITH 1:1 ATRIOVENTRICULAR CONDUCTION * VENTRICULAR TACHYCARDIA B. OTHER CARDIO-PULMONARY ETIOLOGIES - PULMONARY EMBOLISM - PULMONARY HYPERTENSION - ATRIAL MYXOMA - MYOCARDIAL DISEASE ( INFARCTION ) - LT. VENTRICULAR MYOCARDIAL RESTRICTION OR CONSTRICTION - PERICARDIAL CONSTRICTION OR TEMPONADE - AORTIC OUTFLOW TRACT OBSTRUCTION - AORTIC VALVULAR STENOSIS - HYPERTROPHIC OBSTRUCTIVE CARDIOMYOPATHY 3. CEREBROVASCULAR DISORDERS A. VERTEBROBASILAR INSUFFICIENCY B. BASILAR ARTRY MIGRAINE C. BILATERAL CAROTID STENOSIS WITH RECURRENT SYNCOPE ( RARE ) 4. OTHER DISORDERS THAT MAY RESEMBLE SYNCOPE A. METABOLIC - HYPOXIA - ANEMIA - DIMINISHED CARBON DIOXIDE DUE TO HYPERVENTILATION - HYPOGLYCEMIA B. PSYCHOGENIC - ANXIETY ATTACKS - HYSTERICAL FAINTING C. SEIZURES OTHER TESTS : * DOPPLER ULTRA SOUND STUDY OF CAROTIDS VERTIBROBASILAR SYSTEM * MR IMAGING OF BRAIN * MR ANGIOGRAPHY * CEREBRAL ANGIOGRAPHY
TYPENOTES
RELATED DISEASE
Not Available Disease
DISEASE
INVESTIGATION
SERUM SODIUM, SERUM POTASSIUM, CPK (MB), COMPLETE BLOOD COUNT, TROPONIN - T, ECHOCARDIOGRAPHY, ECG, HOLTER MONITORING, BLOOD SUGAR ( RANDOM )