Episodic asystole and apnoea as the presenting features of a diffuse glioma.
A case of asystolic collapse and subsequent progression to apnoea as a presenting feature of cerebral glioma is presented. The pathophysiological mechanism is likely to have been a focal seizure within subcortical regions affecting autonomic function. This example and others in the literature illustrate that severe and life-threatening cardiorespiratory manifestations may be the presenting feature of neurological disease.
Sikkel
Markus Bernardus
MB
St Mary's Hospital London, London, United Kingdom. markus.sikkel@doctors.org.uk <markus.sikkel@doctors.org.uk>
Batrick
Nicola
N
D001049:Apnea; D001932:Brain Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D004636:Emergency Service, Hospital; D005910:Glioma / Q000000981:diagnostic imaging* / Q000473:pathology; D006323:Heart Arrest; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012017:Referral and Consultation; D012640:Seizures