Syncope with atypical trunk convulsions in a patient with
malignant arrhythmia

J 2013

Syncope with atypical trunk convulsions in a patient with malignant arrhythmia

DOLEŽALOVÁ, Irena, Milan BRÁZDIL, Ivan REKTOR, Ivana TYRLÍKOVÁ, Robert KUBA et. al.

Basic information

Original name

Syncope with atypical trunk convulsions in a patient with malignant arrhythmia

Authors

DOLEŽALOVÁ, Irena (203 Czech Republic), Milan BRÁZDIL (203 Czech Republic), Ivan REKTOR (203 Czech Republic), Ivana TYRLÍKOVÁ (203 Czech Republic) and Robert KUBA (203 Czech Republic, guarantor, belonging to the institution)

Edition

EPILEPTIC DISORDERS, MONTROUGE, JOHN LIBBEY EUROTEXT LTD, 2013, 1294-9361

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30000 3. Medical and Health Sciences

Country of publisher

France

Confidentiality degree

není předmětem státního či obchodního tajemství

Impact factor

Impact factor: 0.899

RIV identification code

RIV/00216224:14110/13:00071950

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1684/epd.2013.0564

UT WoS

000321569300012

Keywords in English

syncope; epilepsy; arrhythmia; asystole; trunk convulsion; sick sinus syndrome; central pattern generators

Abstract

V originále

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.

Links

ED1.1.00/02.0068, research and development project

Name: CEITEC - central european institute of technology

Citovat

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.

@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.

Detailed Information on Publication Record