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Colegio de Medicina Interna de México.
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2023, Number 3

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Med Int Mex 2023; 39 (3)

Electrocardiographic abnormalities secondary to meningioma of the right wing of the sphenoid

Borges-López JS, Borges-López LM
Full text How to cite this article

Language: Spanish
References: 5
Page: 564-567
PDF size: 556.86 Kb.


Key words:

Meningioma, Central nervous system, Electrocardiogram, Catecholamines.

ABSTRACT

Background: Electrocardiographic alterations are frequent in patients with central nervous system affection, mainly acute cerebrovascular diseases (more than 50%) and secondly, tumors of the brainstem (42%) and intracerebral tumors (56%), which are secondary to the irritative effect of the blood and intracranial compression, which causes an increase in sympathetic activity and excessive discharge of catecholamines (adrenaline and noradrenaline). The most frequent electrocardiographic alterations found are sinus tachycardia, ST elevation, inversion of the T wave, accumulated T waves, pathological Q waves, QT prolongation, among others.
Clinical case: A 74-year-old male patient with a finding of meningioma of the right wing of the sphenoid, which presented electrocardiographic changes suggestive of acute coronary syndrome.
Conclusions: This is the first reported case in which electrocardiographic changes are associated with a tumor lesion of the central nervous system such as meningioma.


REFERENCES

  1. Casas I, et al. Meningiomas en neurooncología. Neurol Arg 2016; 8 (3): 210-226.

  2. Varela R, Castillo Y, Linares M. Alteraciones electrocardiográficasen un paciente con hemorragia intracerebraltalámica. MEDISAN 2017; 21 (10): 3054.

  3. Burch GE, Meyers R, Abildskov JA. A new electrocardiographicpattern observed in cerebrovascular accidents.Circulation1954; 9: 719-23. doi: 10.1161/01.cir.9.5.719.

  4. Carrillo-Esper R, Carrillo-Córdova LD, Carrillo-Córdova CA,Carrillo-Córdova JR. Alteraciones electrocardiográficas enhemorragia pontomesencefálica. Rev Asoc Mex Med Crity Ter Int 2010; 24 (3): 145-148.

  5. López-Lluva MT, Arizón-Muñoz JM, González-Ruiz de laHerran F, Marina-Breysse M. Cambios electrocardiográficosasociados a afección del sistema nervioso central.Rev Esp Cardiol 2012; 65 (10): 957-967. DOI: 10.1016/j.recesp.2012.02.007.




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Med Int Mex. 2023;39