| DOLEŽALOVÁ, Irena, Milan BRÁZDIL, Ivan REKTOR, Ivana TYRLÍKOVÁ and Robert KUBA. Syncope with atypical trunk convulsions in a patient with malignant arrhythmia. EPILEPTIC DISORDERS. MONTROUGE: JOHN LIBBEY EUROTEXT LTD, 2013, vol. 15, No 2, p. 171-174. ISSN 1294-9361. Available from: https://dx.doi.org/10.1684/epd.2013.0564. |
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@article{1164656,
author = {Doležalová, Irena and Brázdil, Milan and Rektor, Ivan and Tyrlíková, Ivana and Kuba, Robert},
article_location = {MONTROUGE},
article_number = {2},
doi = {http://dx.doi.org/10.1684/epd.2013.0564},
keywords = {syncope; epilepsy; arrhythmia; asystole; trunk convulsion; sick sinus syndrome; central pattern generators},
language = {eng},
issn = {1294-9361},
journal = {EPILEPTIC DISORDERS},
title = {Syncope with atypical trunk convulsions in a patient with malignant arrhythmia},
volume = {15},
year = {2013}
}
TY - JOUR
ID - 1164656
AU - Doležalová, Irena - Brázdil, Milan - Rektor, Ivan - Tyrlíková, Ivana - Kuba, Robert
PY - 2013
TI - Syncope with atypical trunk convulsions in a patient with malignant arrhythmia
JF - EPILEPTIC DISORDERS
VL - 15
IS - 2
SP - 171-174
EP - 171-174
PB - JOHN LIBBEY EUROTEXT LTD
SN - 12949361
KW - syncope
KW - epilepsy
KW - arrhythmia
KW - asystole
KW - trunk convulsion
KW - sick sinus syndrome
KW - central pattern generators
N2 - Syncope is a condition often misdiagnosed as epilepsy. Syncope caused by cardiac disturbance is a life-threatening condition and accurate diagnosis is crucial for patient outcome. We present a case study of a 71-year-old woman who was referred to our epilepsy centre with a diagnosis of refractory epilepsy. We diagnosed convulsive syncope caused by malignant cardiac arrhythmia based on the presence of cardiac asystole lasting for 20-30 seconds, which was caused by sick sinus syndrome combined with third-degree atrioventricular block. The most prominent feature of this syncope was atypical trunk (abdominal or thoracoabdominal) convulsions, which were accompanied by other motor signs (head and eye deviation and brief jerks of the extremities). In the periods between attacks, all investigations, including standard 12-lead ECG and 24-hour ECG monitoring, were normal. This case study highlights the challenge in differential diagnosis of sudden loss of consciousness.
ER -
DOLEŽALOVÁ, Irena, Milan BRÁZDIL, Ivan REKTOR, Ivana TYRLÍKOVÁ and Robert KUBA. Syncope with atypical trunk convulsions in a patient with malignant arrhythmia. \textit{EPILEPTIC DISORDERS}. MONTROUGE: JOHN LIBBEY EUROTEXT LTD, 2013, vol.~15, No~2, p.~171-174. ISSN~1294-9361. Available from: https://dx.doi.org/10.1684/epd.2013.0564.
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