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Symptoms » Syncope » Causes
 

Misdiagnosis of Syncope

Misdiagnosis and Syncope

Mild traumatic brain injury often remains undiagnosed: Although the symptoms of severe brain injury are hard to miss, it is less clear for milder injuries, or even those causing a mild concussion diagnosis. The condition goes by the name of "mild traumatic brain injury" (MTBI). MTBI symptoms can be mild, and can continue for days or weeks after the injury. See the symptoms of MTBI or misdiagnosis of MTBI.

MTBI misdiagnosed as balance problem: When a person has symptoms such as vertigo or dizziness, a diagnosis of brain injury may go overlooked. This is particularly true of mild traumatic brain injury (MTBI), for which the symptoms are typically mild. The symptoms has also relate to a relatively mild brain injury (e.g. fall), that could have occurred days or even weeks ago. Vestibular dysfunction, causing vertigo-like symptoms, is a common complication of mild brain injury. See causes of dizziness, causes of vertigo, or misdiagnosis of MTBI.

Post-concussive brain injury often misdiagnosed: A study found that soldiers who had suffered a concussive injury in battle often were misdiagnosed on their return. A variety of symptoms can occur in post-concussion syndrome and these were not being correctly attributed to their concussion injury. See introduction to concussion.

Vitamin B12 deficiency under-diagnosed: The condition of Vitamin B12 deficiency is a possible misdiagnosis of various conditions, such as multiple sclerosis (see symptoms of multiple sclerosis). See symptoms of Vitamin B12 deficiency or misdiagnosis of multiple sclerosis.

Immediate care in extradural haematoma: Extradural haematoma is a surgical emergency because it can lead to death if the clot is not removed promptly. It usually occurs following a head injury that has resulted in only a transient loss of consciousness. A deteriorating conscious state is the most important neurological sign when it develops after the lucid interval. It is important to know that the drowsiness that occurs in a patient after a head injury is not misinterpreted as the patient just wishing to sleep. If treated early, prognosis usually is excellent, because the underlying brain injury generally is limited. Urgent craniotomy with evacuation of the clot is the ideal treatment.

Rapid heart rate in Wolf Parkinson White syndrome: Wolf Parkinson White syndrome can present with anything form mild chest discomfort or palpitations to severe cardiopulmonary compromise or cardiac arrest. Occasionally, electrocardiographic evidence of a disease is discovered on routine ECG. The patient may have a rapid heart rate of 250 beats per minute often associated with hypotension. Many patients are not aware of the underlying condition. The physician may misdiagnose the condition as a case of atrial flutter, atrial fibrillation and ventricular fibrillation.

Aortic stenosis in the elderly: Aortic stenosis is a condition characterised by the calcification of a normal valve and is more common in the elderly population. This is the most common cause.the patient usually presents with angina, syncope and dyspnea from congestive heart failure. The condition can be misdiagnosed as a case of aortic valve sclerossis, hypertrophic obstructive cardiomyopathy, mitral regurgitation and pulmonary stenosis. Chest ray, ECG and echocadiography help in diagnosis. Patients must receve infective endocarditis. surgery is advised when there is gross reduction of the valve orifice.

More about Misdiagnosis


 » Next page: COMA (Algorithmic Diagnosis of Symptoms and Signs)

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