Cargando…

Convulsive Syncope Induced by Ventricular Arrhythmia Masquerading as Epileptic Seizures: Case Report and Literature Review

It is important but difficult to distinguish convulsive syncope from epileptic seizure in many patients. We report a case of a man who presented to emergency department after several witnessed seizure-like episodes. He had a previous medical history of systolic heart failure and automated implantabl...

Descripción completa

Detalles Bibliográficos
Autores principales: Sabu, John, Regeti, Kalyani, Mallappallil, Mary, Kassotis, John, Islam, Hamidul, Zafar, Shoaib, Khan, Rafay, Ibrahim, Hiyam, Kanta, Romana, Sen, Shuvendu, Yousif, Abdalla, Nai, Qiang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elmer Press 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4931808/
https://www.ncbi.nlm.nih.gov/pubmed/27429683
http://dx.doi.org/10.14740/jocmr2583w
_version_ 1782440964006084608
author Sabu, John
Regeti, Kalyani
Mallappallil, Mary
Kassotis, John
Islam, Hamidul
Zafar, Shoaib
Khan, Rafay
Ibrahim, Hiyam
Kanta, Romana
Sen, Shuvendu
Yousif, Abdalla
Nai, Qiang
author_facet Sabu, John
Regeti, Kalyani
Mallappallil, Mary
Kassotis, John
Islam, Hamidul
Zafar, Shoaib
Khan, Rafay
Ibrahim, Hiyam
Kanta, Romana
Sen, Shuvendu
Yousif, Abdalla
Nai, Qiang
author_sort Sabu, John
collection PubMed
description It is important but difficult to distinguish convulsive syncope from epileptic seizure in many patients. We report a case of a man who presented to emergency department after several witnessed seizure-like episodes. He had a previous medical history of systolic heart failure and automated implantable converter defibrillator (AICD) in situ. The differential diagnoses raised were epileptic seizures and convulsive syncope secondary to cardiac arrhythmia. Subsequent AICD interrogation revealed ventricular tachycardia and fibrillation (v-tach/fib). Since convulsive syncope and epileptic seizure share many similar clinical features, early diagnosis is critical for choosing the appropriate management and preventing sudden cardiac death in patients with presumed epileptic seizure.
format Online
Article
Text
id pubmed-4931808
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Elmer Press
record_format MEDLINE/PubMed
spelling pubmed-49318082016-07-15 Convulsive Syncope Induced by Ventricular Arrhythmia Masquerading as Epileptic Seizures: Case Report and Literature Review Sabu, John Regeti, Kalyani Mallappallil, Mary Kassotis, John Islam, Hamidul Zafar, Shoaib Khan, Rafay Ibrahim, Hiyam Kanta, Romana Sen, Shuvendu Yousif, Abdalla Nai, Qiang J Clin Med Res Case Report It is important but difficult to distinguish convulsive syncope from epileptic seizure in many patients. We report a case of a man who presented to emergency department after several witnessed seizure-like episodes. He had a previous medical history of systolic heart failure and automated implantable converter defibrillator (AICD) in situ. The differential diagnoses raised were epileptic seizures and convulsive syncope secondary to cardiac arrhythmia. Subsequent AICD interrogation revealed ventricular tachycardia and fibrillation (v-tach/fib). Since convulsive syncope and epileptic seizure share many similar clinical features, early diagnosis is critical for choosing the appropriate management and preventing sudden cardiac death in patients with presumed epileptic seizure. Elmer Press 2016-08 2016-07-01 /pmc/articles/PMC4931808/ /pubmed/27429683 http://dx.doi.org/10.14740/jocmr2583w Text en Copyright 2016, Sabu et al. http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Sabu, John
Regeti, Kalyani
Mallappallil, Mary
Kassotis, John
Islam, Hamidul
Zafar, Shoaib
Khan, Rafay
Ibrahim, Hiyam
Kanta, Romana
Sen, Shuvendu
Yousif, Abdalla
Nai, Qiang
Convulsive Syncope Induced by Ventricular Arrhythmia Masquerading as Epileptic Seizures: Case Report and Literature Review
title Convulsive Syncope Induced by Ventricular Arrhythmia Masquerading as Epileptic Seizures: Case Report and Literature Review
title_full Convulsive Syncope Induced by Ventricular Arrhythmia Masquerading as Epileptic Seizures: Case Report and Literature Review
title_fullStr Convulsive Syncope Induced by Ventricular Arrhythmia Masquerading as Epileptic Seizures: Case Report and Literature Review
title_full_unstemmed Convulsive Syncope Induced by Ventricular Arrhythmia Masquerading as Epileptic Seizures: Case Report and Literature Review
title_short Convulsive Syncope Induced by Ventricular Arrhythmia Masquerading as Epileptic Seizures: Case Report and Literature Review
title_sort convulsive syncope induced by ventricular arrhythmia masquerading as epileptic seizures: case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4931808/
https://www.ncbi.nlm.nih.gov/pubmed/27429683
http://dx.doi.org/10.14740/jocmr2583w
work_keys_str_mv AT sabujohn convulsivesyncopeinducedbyventriculararrhythmiamasqueradingasepilepticseizurescasereportandliteraturereview
AT regetikalyani convulsivesyncopeinducedbyventriculararrhythmiamasqueradingasepilepticseizurescasereportandliteraturereview
AT mallappallilmary convulsivesyncopeinducedbyventriculararrhythmiamasqueradingasepilepticseizurescasereportandliteraturereview
AT kassotisjohn convulsivesyncopeinducedbyventriculararrhythmiamasqueradingasepilepticseizurescasereportandliteraturereview
AT islamhamidul convulsivesyncopeinducedbyventriculararrhythmiamasqueradingasepilepticseizurescasereportandliteraturereview
AT zafarshoaib convulsivesyncopeinducedbyventriculararrhythmiamasqueradingasepilepticseizurescasereportandliteraturereview
AT khanrafay convulsivesyncopeinducedbyventriculararrhythmiamasqueradingasepilepticseizurescasereportandliteraturereview
AT ibrahimhiyam convulsivesyncopeinducedbyventriculararrhythmiamasqueradingasepilepticseizurescasereportandliteraturereview
AT kantaromana convulsivesyncopeinducedbyventriculararrhythmiamasqueradingasepilepticseizurescasereportandliteraturereview
AT senshuvendu convulsivesyncopeinducedbyventriculararrhythmiamasqueradingasepilepticseizurescasereportandliteraturereview
AT yousifabdalla convulsivesyncopeinducedbyventriculararrhythmiamasqueradingasepilepticseizurescasereportandliteraturereview
AT naiqiang convulsivesyncopeinducedbyventriculararrhythmiamasqueradingasepilepticseizurescasereportandliteraturereview