A Cardiac Asystole Case Presented With Seizure-Like Clinic

The differential diagnosis of syncope and epilepsy appears as a very common entity in the emergency department. Conditions such as myoclonus or secondary seizure mimics may occur after cerebral hypoperfusion due to cardiac pathologies such as arrhythmia, asystole, atrioventricular block. Especially in non-recurrent interictal electrocardiography (EKG), pathologies that may be meaningful at all times may not be seen, and patients may be mistakenly referred to neurology as epilepsy. We wanted to present this case for the appropriate and necessary interventions to be carried out before it is too late in order not to increase potential mortality.

___

1. Jackson A, Bower S, Seneviratne U. Semiologic, electroencephalographic and electrocardiographic correlates of seizure-like manifestations caused by cardiac asystole. Seizure 2015; 29: 15-19.

2. Jallon P. Arrhythmogenic seizures. Epilepsia 1997; 38: 43-47.

3. Andriola M, Editor Pseudo-Seizures Secondary To Cardiac Asystole And Apnea. Electroencephalography And Clınıcal Neurophysıology; 1983: Elsevier Sci Ireland Ltd Customer Relatıons Manager, Bay 15, Shannon

4. Cebe L, Singh H. Reflex anoxic seizures (RAS) in an adult patient: a separate entity from epilepsy. Case Reports 2018; 2018: 2017-222389.

5. Gavris MF, Khalighi K, Mascarenhas DA. Idiopathic cardiac asystole presenting as epileptic seizures. Journal of electrocardiology 2002; 35: 279-283.

6. Xu Z, Bower S, Seneviratne U. Severe cardioinhibitory vasovagal syncope in sleep and supine posture. Epileptic Disorders 2014; 16: 101- 106.

7. Venkataraman V, Wheless JW, Willmore L, Motookal H. Idiopathic cardiac asystole presenting as an intractable adult onset partial seizure disorder. Seizure 2001; 10: 359-364.

8. Gastaut H. Syncope and seizure. Electroencephalography and Clinical Neurophysiology 1958; 10: 571-572
Eastern Journal of Medicine-Cover
  • ISSN: 1301-0883
  • Başlangıç: 1996
  • Yayıncı: ERBİL KARAMAN
Sayıdaki Diğer Makaleler

Evaluation of Peripartum Hysterectomy; Ten Years of Experience of a Tertiary Center

Deniz DİRİK, Erbil KARAMAN, Tuba YANGILAR OKYAY, Gökçe Naz KÜÇÜKBAŞ, Onur KARAASLAN, ismet ALKIŞ, Abdulaziz GÜL, Hanım Güler ŞAHİN, Ali KOLUSARI

Is Neutrophil Lymphocyte Ratio a Useful Biomarker in Predicting Fibrosis in Chronic Hepatitis C Infection?

Yakup ÜLGER

Evaluating The Use of Energy Drinks, Food Supplements and Nutrition Habits among Adolescents in terms of Ecological Approach: Antalya Sample

Derya ADİBELLİ, Yasemin Demir AVCİ, Selvinaz SAÇAN

Retrospective Evaluation of Percutaneous Tracheostomy Methods Applied In A Tertiary Intensive Care Unit

Cevdet YARDIMCI, Gamze TALİH, Ahmet YÜKSEK

Real-Time Detection of Doxorubicin-Induced Apoptosis in Breast Cancer Cells Using the Back Reflection Spectroscopy

Ertan KUCUKSAYAN, Aslinur SİRCAN-KUCUKSAYAN

Evaluation of Changes in the Smoking Habits of Patients with Coronavirus Disease-19

Derya YENİBERTİZ, Berna AKINCI ÖZYÜREK, Tijen ŞENGEZER, Mehmet Enes GÖKLER, Gizem Söğütlük DIĞRAK, Ayşe Filiz KOÇ

Treatment of a Rare Intramedullary Primary Spinal Glioblastoma Multiforme Lesion in an Adult Patient

Selahattin MENTEŞ, Feryal KARACA, Ali ARSLAN, Muhammet Ahmet GÜLDÜR, Berna Bozkurt DUMAN

Does Suppression of Tsh Affect The Mean Platelet Volume? Retrospective Case Control Study

MINE OZTÜRK

The Role of Peripheral Blood Inflammatory Markers in the Staging of Breast Cancer

Fevzi Coşkun SÖKMEN, Cengiz KARACİN

The Types of Urodynamic Detrusor Overactivity and its Relationship With Neurological Diseases. 10-years Follow-up of 1000 Invasive Urodynamic Studies

Alkan ÇUBUK, Ahmet SAHAN, Orkunt ÖZKAPTAN, Berkan ŞİMŞEK, Muhammed SULUKAYA, Fatih TARHAN