Published in:
01-03-2019 | IM - CASE RECORD
Syncope and autonomic failure in a middle-aged man
Authors:
Giorgio Colombo, Emanuele Frattini, Elisa Ceriani, Massimo Zilocchi, Roberto Del Bo, Alessio DI Fonzo, Monica Solbiati
Published in:
Internal and Emergency Medicine
|
Issue 2/2019
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Excerpt
An Albanian 54-year-old man presented to the Emergency Department (ED) after a transient loss of consciousness that occurred while walking in the street. The episode was preceded by dizziness, vertigo and palpitations, and was followed by fatigue and paraesthesia in the right arm and leg. A long-standing history (1–2 years) of lower limb fatigue with progressive walking problems, slow speech rate, confusion and severe weight loss (about 70 kg) was reported. The patient also described previous syncopal episodes similar to the present one. A patient’s friend, who had not seen him in years, noticed that the patient was more confused and slow in moving and speaking than what he recalled. …
