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Case study: Investigating syncope

Clinical Practice
To begin a new series looking at some challenging cases from his practice, Kirit Patel discusses loss of consciousness, frontal lobe meningioma, the vaso-vagal reflex and parietal haematomas

Most of you reading this series would be wondering why this author is bombarding your gray matter with information about conditions that we may never encounter in practice. A very good example to illustrate the point might be the case of a young boy whose glioma of the pons was first detected only after he developed strabismus. My argument is simple; that the eyes are part of the central nervous system and many issues pertaining to the brain could have an effect on one’s sight. Observing pupil sizes and reactions can reveal vital information on one’s actual state of mind.

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