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Cardiac asystoles misdiagnosed as epileptic seizures.


ABSTRACT: We report a case of a 78-year-old man who presented several episodes of transient loss of consciousness preceded by sensation of ascending heat from the feet, with increasing frequency and duration within a few weeks. One month later he was admitted because he started to fall during the episodes, which became daily. Brain MRI detected a gliotic right frontal area, and EEG showed slow activity in the same region. Carbamazepine was started without clinical response despite high plasmatic level. Video-EEG polygraphic monitoring was performed and the patient showed an episode of left hemifacial clonic jerks followed by loss of consciousness, starting 17?s after the beginning of asystole. Synus rhythm reappeared 32?s later and the patient regained consciousness in few seconds. A pacemaker was implanted and carbamazepine was withdrawn. No further episodes occurred.

SUBMITTER: Chiesa V 

PROVIDER: S-EPMC4322253 | biostudies-literature | 2015 Jan

REPOSITORIES: biostudies-literature

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Cardiac asystoles misdiagnosed as epileptic seizures.

Chiesa Valentina V   Vignoli Aglaia A   Canevini Maria Paola MP  

BMJ case reports 20150127


We report a case of a 78-year-old man who presented several episodes of transient loss of consciousness preceded by sensation of ascending heat from the feet, with increasing frequency and duration within a few weeks. One month later he was admitted because he started to fall during the episodes, which became daily. Brain MRI detected a gliotic right frontal area, and EEG showed slow activity in the same region. Carbamazepine was started without clinical response despite high plasmatic level. Vi  ...[more]

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