Fluctuating Position-Related Cognitive Disturbances and Recu | 47124

Medical Reports & Case Studies

ISSN - 2572-5130


Fluctuating Position-Related Cognitive Disturbances and Recurrent Cerebral Ischemic Attacks as Presenting Symptoms in a Patient with Platypnea-Orthodeoxia Syndrome

Carlo Lovati, Massimo Suardelli and Pierluigi Bertora

Platypnea-orthodeoxia syndrome is a condition of dyspnea and hypoxia whilst in the upright position, which improves in the recumbent position. We present a case of platypnea-orthodeoxia due to a fenestrated atrial septal aneurysm that induced recurrent strokes and a recent condition of fluctuating confusion and cognitive impairment, modified by position, associated with rapid variations of O2 saturation position related. The suspect of platypnea-orthodeoxia syndrome may be hypothesized in case of patients with recurrent cerebral ischemia and fluctuating cognitive disturbances induced by change of position. In those cases a careful echocardiographic evaluation and O2 saturation determination in up and downright position are required.