Welkom bij THIM Hogeschool voor Fysiotherapie & Bohn Stafleu van Loghum
THIM Hogeschool voor Fysiotherapie heeft ervoor gezorgd dat je Mijn BSL eenvoudig en snel kunt raadplegen. Je kunt je links eenvoudig registreren. Met deze gegevens kun je thuis, of waar ook ter wereld toegang krijgen tot Mijn BSL. Heb je een vraag, neem dan contact op met helpdesk@thim.nl.
Om ook buiten de locaties van THIM, thuis bijvoorbeeld, van Mijn BSL gebruik te kunnen maken, moet je jezelf eenmalig registreren. Dit kan alleen vanaf een computer op een van de locaties van THIM.
Eenmaal geregistreerd kun je thuis of waar ook ter wereld onbeperkt toegang krijgen tot Mijn BSL.
Login
Als u al geregistreerd bent, hoeft u alleen maar in te loggen om onbeperkt toegang te krijgen tot Mijn BSL.
A previously healthy 57-year-old male presented at the emergency department (ED) with sudden onset of dizziness followed by nausea. Episodes lasted for approximately 10 min and resolved spontaneously. At the ED, while the patient was asymptomatic, clinical (including neurological) examination, laboratory test, electrocardiogram and echocardiography were normal. He suddenly experienced dizziness while the electrocardiogram showed sinus rhythm with 2:1 atrioventricular (AV) block (Fig. 1). The patient was diagnosed with symptomatic Mobitz type II AV block and was admitted for pacemaker implantation. On the ward he again experienced dizziness but now accompanied by neurological symptoms, i.e. ataxia, nystagmus, miosis and ptosis. Urgent cerebral computed tomography angiography showed an acute occlusion of the left-sided posterior inferior cerebellar artery (PICA) (Fig. 2). He was treated with thrombolysis, recovered well and AV block was not recorded anymore. Thereafter, magnetic resonance imaging (Fig. 3) revealed a large infarcted area related to the PICA.
Fig. 1
Electrocardiogram showing sinus rhythm with 2:1 atrioventricular block
T2-weighted magnetic resonance imaging showing infarcted area (asterisk)
×
×
×
Conduction disturbances, caused by autonomic dysregulation, are uncommon during acute ischaemic stroke, but can be seen in lateral medullary syndrome (Wallenberg or PICA syndrome) [1, 2].
Conflict of interest
R. Eerdekens and L.M. Rademakers declare that they have no competing interests.
Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
Het Netherlands Heart Journal wordt uitgegeven in samenwerking met de Nederlandse Vereniging voor Cardiologie. Het tijdschrift is Engelstalig en wordt gratis beschikbaa ...
