AI Article Synopsis
- The case study discusses a young woman with mitral valve prolapse diagnosed alongside her pre-existing history of epilepsy and symptoms indicative of von Willebrand's disease, such as severe bleeding episodes.
- The examinations conducted, including otorhinolaryngology, bronchoscopy, and gastroscopy, showed no local abnormalities, leading to speculation about the potential interrelation between her heart condition, epilepsy, and bleeding issues.
- The authors consider whether the mitral valve prolapse could be the primary condition causing secondary effects like seizures or if how sudden drops in blood pressure due to the prolapse might trigger these hemorrhagic events.
Article Abstract
The authors present the case of mitral valve prolapse. In a young woman with three-year history of systematically treated epilepsia mitral valve prolapse with a spurious string within left ventricle has been diagnosed echocardiographically in coincidence with the symptoms of haemorrhagic diathesis of von Willebrand type in form of haemoptysis and or/massive haemorrhages in mouth occasionally being preceded by heart rhythm disturbances. No local changes have been observed in otorhinolaryngologic examination, bronchoscopy and gastroscopy. Possible mutual dependence of 3 above stated abnormalities is being discussed. It is not excluded, that mitral prolapse may constitute the primary entity and epilepsia is of secondary character as a result of cerebral ischaemic incidents or of cerebral embolism. It is also a matter of discussion to what extent abrupt haemodynamic disturbances connected with critical fall of systemic blood pressure due to mitral prolapse may influence the haemorrhagic episodes.
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