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KMID : 1044320210230020126
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Annals of Clinical Neurophysiology
2021 Volume.23 No. 2 p.126 ~ p.129
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Autonomic dysfunction in postoperative primitive neuroectodermal tumor of heart
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Anil Abhijith K.
Vanidassane Ilavarasi
Netam Ritesh
Pushpam Deepam
Bakhshi Sameer
Deepak K. K.
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Abstract
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We present a patient with a primitive neuroectodermal tumor arising from the right atrium who experienced multiple syncope episodes daily, which had first appeared 1 month after surgery. The symptoms continued to worsen over the course of chemotherapy, and the autonomic function test (AFT) was performed after the 14th chemotherapy cycle. The AFT revealed orthostatic hypotension and reduced baroreflex-dependent sympathetic reactivity. Physical counterpressure techniques were applied with a visual biofeedback intervention, and were found to be effective in reducing the syncope episodes.
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KEYWORD
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Autonomic nervous system disease, Neuroectodermal tumors, Primitive, Peripheral, Orthostatic hypotension
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