Cardiac arrhythmias in the differential diagnosis of epilepsy

Deutsche Zeitschrift für Nervenheilkunde - Tập 236 - Trang 93-96 - 1989
U. Nousiainen1, E. Mervaala1, M. Uusitupa2, A. Ylinen3, J. Sivenius4
1Department of Clinical Neurophysiology, Vaajasalo Epilepsy Hospital, Kortejoki, Finland
2Department of Medicine, University Central Hospital, Kuopio, Finland
3Department of Neurology, Vaajasalo Epilepsy Hospital, Kortejoki, Finland
4Department of Neurology, University Central Hospital, Kuopio Finland

Tóm tắt

Symptomatic attacks or seizures associated with cardiac arrhythmias may cause difficulty in differential diagnosis. Two patients are reported in whom disturbances of cardiac conduction induced attacks which clinically resembled attacks of psychogenic and epileptic origin and were abolished after implantation of a demand-type pacemaker. A third patient is described who had epileptic seizures resulting in cardiac arrhythmias. In the differential diagnosis of these cases, simultaneous ambulatory EEG and ECG recording was essential.

Tài liệu tham khảo

Ballardie FW, Murphy RP, Davis J (1983) Epilepsy: a presentation of the Romano-Ward syndrome. Br Med J 287:896–897 Blumhardt LD (1986) Ambulatory ECG and EEG monitoring in the differential diagnosis of cardiac and cerebral dysrhythmias. In: Gumnit RJ (ed) Intensive neurodiagnostic monitoring. Adv Neurol 46:183–202 Blumhardt LD, Smith PEM, Owen L (1986) Electrocardiographic accompaniments of temporal lobe epileptic seizures. Lancet I:1051–1056 Coulter DL (1984) Partial zeizures with apnea and bradycardia. Arch Neurol 41:173–174 Durelli L, Mutani R, Sechi GP, Monaco F, Glorioso N, Gusmaroli G (1985) Cardiac side effects of phenytoin and carbamazepine. A dose-related phenomenon? Arch Neurol 42:1067–1068 Ebersole JS (1985) Ambulatory cassette EEG. J Clin Neurophysiol 2:397–418 Jackson AC (1986) Neurological disorders associated with mitral valve prolapse. Can J Neurol Sci 13:15–20 Jay GW, Leestma JE (1981) Sudden death in epilepsy. A comprehensive review of the literature and proposed mechanisms. Acta Neurol Scand [Suppl 82] 63:1–66 Leestma JE, Kalelkar MB, Teas SS, Jay GW, Hughes JR (1984) Sudden unexpected death associated with seizures: analysis of 66 cases. Epilepsia 25:84–88 Marshall DW, Westmoreland BF, Sharbrough FW (1983) Ictal tachycardia during temporal lobe seizures. Mayo Clin Proc 58:443–446 Schott GD, McLeod AA, Jewitt DE (1977) Cardiac arrhythmias that masquerade as epilepsy. Br Med J 1:1454–1457 Smaje JC, Davidson C, Teasdale GM (1987) Sino-atrial arrest due to temporal lobe epilepsy. J Neurol Neurosurg Psychiatry 50:112–113 Stephenson JBP (1978) Reflex anoxic seizures (“white breathholding”): nonepileptic vagal attacks. Arch Dis Child 53:193–200 Stone S, Lange LS (1985) Syncope and sudden unexpected death attributed to carbamazepine in a 20-year-old epileptic. J Neurol Neurosurg Psychiatry 49:1460–1461