Cardiogenic syncope diagnosed as epileptic seizures: the importance of ECG during video‐EEG recording |
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| Authors: | Luis C Mayor Hernan N Lemus Jorge Burneo Ana Cristina Palacio Sergio Linares |
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| Institution: | 1. Department of Neurology, Epilepsy Clinic, Fundación Santa Fe de Bogota Hospital, Bogota;2. Universidad de los Andes, Bogota, Colombia;3. Epilepsy Program, Department of Clinical Neurological Sciences, University of Western Ontario, London, Ontario, Canada;4. Department of Cardiology, Fundacion Santa Fe de Bogota Hospital, Bogota, Colombia |
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| Abstract: | We describe four patients with a previous diagnosis of epilepsy. After reviewing the ECG during the video‐EEG recording, cardiogenic syncope, resulting from a cardiac arrhythmia, was identified as the cause of the seizures. Epileptic disorders and cardiogenic syncope may both manifest with convulsions, loss of consciousness, and loss of postural tone, leading to a high level of misdiagnosis. The one‐lead ECG during video‐EEG monitoring is a key component, which may allow correct diagnosis and treatment. |
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| Keywords: | cardiogenic syncope epilepsy electrocardiogram ECG video‐electroencephalography EEG |
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