J Korean Geriatr Soc.  2005 Dec;9(4):314-316.

A Patient of Border-zone Infarction Caused by Defecation Syncope

Affiliations
  • 1Department of Neurology, Burim Geriatric Hospital, Gyeongsan, Korea. siuy@freehal.com
  • 2Department of Neurology, College of Medicine, Soonchunhyang University, Seoul, Korea.
  • 3Department of Neurology, College of Medicine, Dongguk University, Gyeongju, Korea.

Abstract

A severe or prolonged drop in blood pressure caused by syncope can lead to border-zone infarction in the absence of coexisting large artery disease. Syncope due to defecation represent special cases of reflex syncope for which the mechanisms are poorly understood and probably multifactorial. We experienced a 56-year-old woman was recurrent loss of consciousness duration defecation. Brain MRI revealed multifocal high signals in T2WI and FLAIR image on both end-artery border zone, but brain MRA revealed normal finding. Thus, We report a rare case of an old woman patient with end-artery border zone infarction due to prolonged hypoperfusion that was caused by defecation syncope.

Keyword

Border-zone infarction; defecation; reflex syncope

MeSH Terms

Arteries
Blood Pressure
Brain
Defecation*
Female
Humans
Infarction*
Magnetic Resonance Imaging
Middle Aged
Reflex
Syncope*
Unconsciousness
Full Text Links
  • JKGS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr