3 weeks ago, my husband had a syncopal episode shortly after he arrived at
work. He had shortness of breath, chest tightness and pressure, tingling
hands and lightheadedness. He also gets the shortness of breath from just
walking from room to room, or from talking for a little while. He gets extreme
headaches on the left side from the occipital area to his eye (not throbbing).
His blood pressure in the ambulance was 200/110.
He was hospitalized for 3 days and released with a holter monitor. All
tests (blood work, chest x-ray, eeg, carotid artery scan, echocardiogram,
CT scan) came back normal. 4 days later another incidence of syncope,
same symptoms. Stress test came back inequivicable, V/Q scan was normal.
Was sent to a larger hospital for a heart cath which was clean. All blood
work, 24 hour urine, second echocardiogram, pulmonary function tests were
normal. Arrythmia doctors saw no abnormalities. Brain MRI showed some
sort of lump. MR Venogram and angiography shows a cystic lesion near the
superior sagittal sinus, possibly an epidermoid cyst we were told. The
neurologist stated that this was "just an extra thing they found", not
related to his symptoms. One week after hospital release, another syncopal
episode, same symptoms. Hospitalized for 36 hours with no diagnosis.
We have an appointment with the neurosurgeon next week and maybe he can
shed some light. Just wondering if it would be possible that this cyst,
being so close to the sagittal sinus could be restricting blood flow causing
these symptoms. Getting quite frustrated.
Typically lesions of this sort do not cause syncope. It is however very difficult to make a judgement without being able to see the MRI. I am wondering if your husband is having seizures for this leasion that are manifested by these syncopal episodes. I would strongly suggest seeking the opinion of a neurosurgeon with regard to this matter.
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