Intracerebral haematoma masquerading as ventricular standstill
| Autor: | A K J Mandal, C G Missouris, S Baltsezak |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Intracerebral haematoma
Bradycardia Male medicine.medical_specialty Supine position Sinus bradycardia Posture medicine Cerebral Hemorrhage Traumatic Humans cardiovascular diseases Sinus (anatomy) Aged Aged 80 and over medicine.diagnostic_test business.industry Head injury Cardiac Pacing Artificial Electronic Pages Magnetic resonance imaging Arrhythmias Cardiac medicine.disease Magnetic Resonance Imaging Surgery medicine.anatomical_structure Anesthesia Accidental Falls Neurosurgery medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | Heart (British Cardiac Society). 91(1) |
| ISSN: | 1468-201X |
| Popis: | An 82 year old man was referred to the emergency room by his general practitioner for a right frontoparietal headache. The preceding day he had tripped and fallen, hitting the back of his head on the floor. Computed tomography showed a cortical contre coup haematoma. In view of ventricular standstill noted on ECG, a temporary pacing wire was inserted and a dual chamber permanent pacemaker was subsequently implanted. Intracerebral bleeding was treated conservatively and the patient made a good recovery. All patients admitted with head injury and sinus bradycardia or sinus arrest should be nursed at 15 degrees to 30 degrees with instructions to avoid the head up and supine positions. Furthermore, brain CT should be promptly recorded to assess for intracerebral haematoma and raised intracranial pressure and, if they are confirmed, these patients with cardiovascular compromise should benefit from close collaboration between neurosurgeon and cardiologist. Urgent pacing should be considered for all patients with head injury who experience symptomatic bradycardia or ventricular standstill. |
| Databáze: | OpenAIRE |
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