脑肿瘤导致的多形性室性心动过速伴 QT 间期延长。
Polymorphic Ventricular Tachycardia with QT Interval Prolongation Due to a Brain Tumor.
机构信息
Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine, Japan.
Syncope Unit, Toyoko Hospital, St. Marianna University School of Medicine, Japan.
出版信息
Intern Med. 2021 Aug 15;60(16):2633-2637. doi: 10.2169/internalmedicine.6635-20. Epub 2021 Mar 1.
We herein report the case of a 20-year-old man with a history of epilepsy who presented with frequent transient loss of consciousness (T-LOC) and polymorphic ventricular tachycardia (VT) with QT interval prolongation. Blood investigations revealed panhypopituitarism. Following a biopsy, he was diagnosed with brain germinoma. During the biopsy, he had an episode of polymorphous VT with QT prolongation. There was no recurrence of T-LOC following chemotherapy and hormone replacement therapy. This case indicates the importance of checking the QT interval in patients with T-LOC, including those with seizures and brain tumors, to ensure appropriate treatment.
我们在此报告一例 20 岁男性癫痫病史，频繁出现短暂性意识丧失（T-LOC）和多形性室性心动过速（VT）伴 QT 间期延长。血液检查发现垂体功能减退症。活检后，他被诊断为脑生殖细胞瘤。在活检过程中，他出现了 QT 延长的多形性 VT 发作。化疗和激素替代治疗后，T-LOC 无复发。本例表明，对于 T-LOC 患者，包括癫痫和脑肿瘤患者，检查 QT 间期非常重要，以确保进行适当的治疗。
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