Platypnea-orthodeoxia syndrome is a condition of dyspnea and hypoxia whilst in the upright position, which improves in the recumbent position. We present a case of platypnea-orthodeoxia due to a fenestrated atrial septal aneurysm that induced recurrent strokes and a recent condition of fluctuating confusion and cognitive impairment, modified by position, associated with rapid variations of O2 saturation position related. The suspect of platypnea-orthodeoxia syndrome may be hypothesized in case of patients with recurrent cerebral ischemia and fluctuating cognitive disturbances induced by change of position. In those cases a careful echocardiographic evaluation and O2 saturation determination in up and downright position are required.

Fluctuating position-related cognitive disturbances and recurrent cerebral ischemic attacks as presenting symptoms in a patient with platypnea-orthodeoxya syndrome / C. Lovati, M. Suardelli, P. Bertora. - In: MEDICAL REPORTS & CASE STUDIES. - ISSN 2572-5130. - 3:1(2018), pp. 147.1-147.2. [10.4172/2572-5130.1000147]

Fluctuating position-related cognitive disturbances and recurrent cerebral ischemic attacks as presenting symptoms in a patient with platypnea-orthodeoxya syndrome

C. Lovati;SUARDELLI, MASSIMO;P. Bertora
2018

Abstract

Platypnea-orthodeoxia syndrome is a condition of dyspnea and hypoxia whilst in the upright position, which improves in the recumbent position. We present a case of platypnea-orthodeoxia due to a fenestrated atrial septal aneurysm that induced recurrent strokes and a recent condition of fluctuating confusion and cognitive impairment, modified by position, associated with rapid variations of O2 saturation position related. The suspect of platypnea-orthodeoxia syndrome may be hypothesized in case of patients with recurrent cerebral ischemia and fluctuating cognitive disturbances induced by change of position. In those cases a careful echocardiographic evaluation and O2 saturation determination in up and downright position are required.
Cerebral ischemia; Platypnea-orthodeoxia syndrome; Dementia
Settore MED/26 - Neurologia
Article (author)
File in questo prodotto:
File Dimensione Formato  
fluctuating-positionrelated-cognitive-disturbances-and-recurrent-cerebral-ischemic-attacks-as-presenting-symptoms-in-a-patient-wit-2572-5130-1000147..pdf

accesso aperto

Tipologia: Publisher's version/PDF
Dimensione 247.94 kB
Formato Adobe PDF
247.94 kB Adobe PDF Visualizza/Apri
Pubblicazioni consigliate

Caricamento pubblicazioni consigliate

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/667795
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus ND
  • ???jsp.display-item.citation.isi??? ND
social impact