Türk Beyin Damar Hast Derg. 2015; 21(2): 142-145 | DOI: 10.5505/tbdhd.2015.47450

Ischemic Stroke Due to Cardiac Involvement: Emery Dreifuss Patient

Ersin Kasým Ulusoy¹, Tolga Kunak², Þule Bilen³, Fikri Ak^3
1Develi Hatice Muammer Kocatürk State Hospital, Neurology Clinic, Kayseri, Türkiye
²Develi Hatice Muammer Kocatürk State Hospital, Cardiology Clinic, Kayseri, Türkiye
³Numune Education And Research Hospital, Neurology Clinic, Ankara, Türkiye

Emery-Dreifuss muscular dystrophy (EDMD) is a hereditary disease. It is characterized by early-onset contractures, slowly progressive weakness, fatigue related to skapulo-humero-peroneal muscle weakness, cardiomyopathy which develops in adulthood and cardiac conduction system block. Cardiac involvement has a prognostic significance in patients with EDMD and even sudden cardiac death may be the first clinical presentation. In this article, an EDMD patient with ischemic stroke clinic who didn’t have regular cardiac follow-up was reported and the importance of the treatment of cardiac diseases which could play a role in ischemic stroke etiology and the implantation of pace-maker was mentioned.

Keywords: Emery-Dreifuss muscular dystrophy, ischemic stroke, pace-maker

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Kardiyak Tutulum Sonrasý Geliþen Ýskemik Ýnme: Emery Dreifuss Hastasý

Ersin Kasým Ulusoy¹, Tolga Kunak², Þule Bilen³, Fikri Ak^3
1Develi Hatice Muammer Kocatürk Devlet Hastanesi, Nöroloji Kliniði, Kayseri, Türkiye
²Develi Hatice Muammer Kocatürk Devlet Hastanesi, Kardiyoloji Kliniði, Kayseri, Türkiye
³Numune Eðitim Ve Araþtýrma Hastanesi, Nöroloji Kliniði, Ankara, Türkiye

Emery-Dreifuss müsküler distrofisi (EDMD) kalýtýmsal geçen bir hastalýktýr. Erken baþlangýçlý kontraktür, yavaþ ilerleyen güçsüzlük, skapulo-humero-peroneal kaslarda zayýflýðýna baðlý yorgunluk, eriþkin dönemde geliþen kardiomyopati ve ileti bloðu ile karakterizedir. EDMD hastalarýnda kalp tutulumunun prognostik önemi vardýr ve hatta ilk klinik görünüm ani kardiyak ölüm olabilir.
Bu yazýda kardiyak açýdan takipli olmayan iskemik inme kliniðiyle gelen EDMD hastasý sunuldu ve iskemik inme etyolojisinde rol oynayabilecek kardiyolojik hastalýklarýn tedavisi ve pace-maker implantasyonunun önemi vurgulandý.

Anahtar Kelimeler: Emery-Dreifuss müsküler distrofi, iskemik inme, pace-maker

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