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  • 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.
  • 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. (en)
Title
  • Syncope with atypical trunk convulsions in a patient with malignant arrhythmia
  • Syncope with atypical trunk convulsions in a patient with malignant arrhythmia (en)
skos:prefLabel
  • Syncope with atypical trunk convulsions in a patient with malignant arrhythmia
  • Syncope with atypical trunk convulsions in a patient with malignant arrhythmia (en)
skos:notation
  • RIV/00216224:14110/13:00071950!RIV14-MSM-14110___
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • P(ED1.1.00/02.0068)
http://linked.open...iv/cisloPeriodika
  • 2
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 109392
http://linked.open...ai/riv/idVysledku
  • RIV/00216224:14110/13:00071950
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • syncope; epilepsy; arrhythmia; asystole; trunk convulsion; sick sinus syndrome; central pattern generators (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • FR - Francouzská republika
http://linked.open...ontrolniKodProRIV
  • [46CECE120811]
http://linked.open...i/riv/nazevZdroje
  • EPILEPTIC DISORDERS
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...vavai/riv/projekt
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 15
http://linked.open...iv/tvurceVysledku
  • Kuba, Robert
  • Rektor, Ivan
  • Brázdil, Milan
  • Tyrlíková, Ivana
  • Doležalová, Irena
http://linked.open...ain/vavai/riv/wos
  • 000321569300012
issn
  • 1294-9361
number of pages
http://bibframe.org/vocab/doi
  • 10.1684/epd.2013.0564
http://localhost/t...ganizacniJednotka
  • 14110
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