Contemporary Neurology by M.J.G. Harrison (Eds.)

By M.J.G. Harrison (Eds.)

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2). The mechanism of these conduction failures is uncertain: some patients have coronary artery disease but coronary bypass grafting does not seem to relieve the problem (Ginks et al, 1980). Sick sinus syndrome Until the mid-1960s attention was principally focused on complete heart block as the predominant cause of ventricular standstill. Since then increasing attention has been paid to malfunction of the cardiac pacemaker—the sinoatrial node. Various aspects of sinoatrial node abnormality had been described previously, but Ferrer (1974) drew several threads together by defining the sick sinus syndrome as an ECG syndrome characterized by: 1.

This may occur for example when a colloid cyst of the third ventricle obstructs the foramen of Monro. Usually such patients have signs of elevated intracranial pressure and some show mental changes. Trauma Head injuries may cause brief loss of consciousness. Furthermore, they may cause amnesia for the actual injury and this may lead to diagnostic difficulties. Funny turns—neurological 23 Prostrating vertigo Such attacks are commonly accompanied by nausea, vomiting, and fear. In severe episodes there may be falling and disturbed awareness.

Funny turns—neurological 23 Prostrating vertigo Such attacks are commonly accompanied by nausea, vomiting, and fear. In severe episodes there may be falling and disturbed awareness. Cryptogenic drop attacks of women Drop attacks sometimes occur in middle-aged women causing them to fall suddenly without warning. They may sustain injuries in such falls and extensive investigations show no abnormality. These have been labelled benign cryptogenic drop attacks (Stevens and Matthews, 1973). They do not respond to anticonvulsants or anticoagulants and often settle spontaneously.

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