Syncope with atypical trunk convulsions in a patient with malignant arrhythmia

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216224%3A14110%2F13%3A00071950" target="_blank" >RIV/00216224:14110/13:00071950 - isvavai.cz</a>

Result on the web

<a href="http://dx.doi.org/10.1684/epd.2013.0564" target="_blank" >http://dx.doi.org/10.1684/epd.2013.0564</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1684/epd.2013.0564" target="_blank" >10.1684/epd.2013.0564</a>

Result language

angličtina

Original language name

Syncope with atypical trunk convulsions in a patient with malignant arrhythmia

Original language description

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.

Czech name

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Czech description

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Type

J_x - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)

CEP classification

FH - Neurology, neuro-surgery, nuero-sciences

OECD FORD branch

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Project

<a href="/en/project/ED1.1.00%2F02.0068" target="_blank" >ED1.1.00/02.0068: Central european institute of technology</a><br>

Continuities

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Publication year

2013

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

EPILEPTIC DISORDERS

ISSN

1294-9361

e-ISSN

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Volume of the periodical

15

Issue of the periodical within the volume

2

Country of publishing house

FR - FRANCE

Number of pages

4

Pages from-to

171-174

UT code for WoS article

000321569300012

EID of the result in the Scopus database

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