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Statements

Subject Item
n2:RIV%2F00216224%3A14110%2F13%3A00071950%21RIV14-MSM-14110___
rdf:type
n5:Vysledek skos:Concept
dcterms: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. 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.
dcterms:title
Syncope with atypical trunk convulsions in a patient with malignant arrhythmia Syncope with atypical trunk convulsions in a patient with malignant arrhythmia
skos:prefLabel
Syncope with atypical trunk convulsions in a patient with malignant arrhythmia Syncope with atypical trunk convulsions in a patient with malignant arrhythmia
skos:notation
RIV/00216224:14110/13:00071950!RIV14-MSM-14110___
n5:predkladatel
n9:orjk%3A14110
n3:aktivita
n14:P
n3:aktivity
P(ED1.1.00/02.0068)
n3:cisloPeriodika
2
n3:dodaniDat
n12:2014
n3:domaciTvurceVysledku
n15:8132208
n3:druhVysledku
n10:J
n3:duvernostUdaju
n17:S
n3:entitaPredkladatele
n19:predkladatel
n3:idSjednocenehoVysledku
109392
n3:idVysledku
RIV/00216224:14110/13:00071950
n3:jazykVysledku
n8:eng
n3:klicovaSlova
syncope; epilepsy; arrhythmia; asystole; trunk convulsion; sick sinus syndrome; central pattern generators
n3:klicoveSlovo
n6:asystole n6:arrhythmia n6:epilepsy n6:syncope n6:sick%20sinus%20syndrome n6:trunk%20convulsion n6:central%20pattern%20generators
n3:kodStatuVydavatele
FR - Francouzská republika
n3:kontrolniKodProRIV
[46CECE120811]
n3:nazevZdroje
EPILEPTIC DISORDERS
n3:obor
n18:FH
n3:pocetDomacichTvurcuVysledku
1
n3:pocetTvurcuVysledku
5
n3:projekt
n11:ED1.1.00%2F02.0068
n3:rokUplatneniVysledku
n12:2013
n3:svazekPeriodika
15
n3:tvurceVysledku
Rektor, Ivan Brázdil, Milan Kuba, Robert Doležalová, Irena Tyrlíková, Ivana
n3:wos
000321569300012
s:issn
1294-9361
s:numberOfPages
4
n20:doi
10.1684/epd.2013.0564
n7:organizacniJednotka
14110