[Indaemed_Freelist.Org] Re: [indaemed] Re: Syncope evaluation [was Re: Re: NMS]

  • From: USM Bish <bish@xxxxxxxxxxx>
  • To: indaemed@xxxxxxxxxxxxx
  • Date: Sat, 20 Mar 2004 20:37:12 +0530

On Sat, Mar 20, 2004 at 10:06:04AM +0530, Lt Col KK Tripathi wrote:
> Dear Wg Cdr Bish,
> 
> As far as I remember, EEG even after provocation, was non contributory.
> 
> No abnormality was detected in CT/MRI.
> 
> A low pulse rate falling to 37 per minute (and remaining so for a good 15-20
> sec) is  more in favour of  VVS.
> 

This  is a  new input.  Could you  elaborate ?  The pulse  rate
quoted after  the first syncopal attack  was 58. When  was this
recorded ?

All that I tried to do was  to make some interpretations of the
statements made  on the  first syncopal  episode. VVS  does not
explain the following:

o Non-purposeful freeze before the first syncope
o Peri-orbital and peri-oral myoclonia described
o Post syncopal lethary lasting better part of the day

Bish

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