Convulsive Syncope Induced by Ventricular Arrhythmia Masquerading as Epileptic Seizures: Case Report and Literature Review

John Sabu, Kalyani Regeti, Mary Mallappallil, John Kassotis, Hamidul Islam, Shoaib Zafar, Rafay Khan, Hiyam Ibrahim, Romana Kanta, Shuvendu Sen, Abdalla Yousif, Qiang Nai

Abstract


It is important but difficult to distinguish convulsive syncope from epileptic seizure in many patients. We report a case of a man who presented to emergency department after several witnessed seizure-like episodes. He had a previous medical history of systolic heart failure and automated implantable converter defibrillator (AICD) in situ. The differential diagnoses raised were epileptic seizures and convulsive syncope secondary to cardiac arrhythmia. Subsequent AICD interrogation revealed ventricular tachycardia and fibrillation (v-tach/fib). Since convulsive syncope and epileptic seizure share many similar clinical features, early diagnosis is critical for choosing the appropriate management and preventing sudden cardiac death in patients with presumed epileptic seizure.




J Clin Med Res. 2016;8(8):610-615
doi: http://dx.doi.org/10.14740/jocmr2583w


Keywords


Syncope; Convulsion; Epilepsy; Seizure; Arrhythmia

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