Adversive seizure as a clinical manifestation of the atrioventricular block
| Autor: | Agnieszka Rakowska, Jacek Zwiernik, Tomasz Siwek, Beata Zwiernik, Marta Gimeła, Marta Nobis, Tomasz Matyskieła, Leszek Gromadziński |
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| Rok vydání: | 2017 |
| Předmět: |
Pediatrics
medicine.medical_specialty Neurology business.industry Third-degree atrioventricular block Cardiac arrhythmia General Medicine 030204 cardiovascular system & hematology medicine.disease 03 medical and health sciences Therapeutic approach Epilepsy 0302 clinical medicine Anesthesia medicine Epileptic seizure Differential diagnosis medicine.symptom business Atrioventricular block 030217 neurology & neurosurgery |
| Zdroj: | Polish Annals of Medicine. 24:261-263 |
| ISSN: | 1230-8013 |
| Popis: | Introduction Spontaneous and recurrent epileptic seizures are necessary diagnostic criteria for epilepsy. There exist, however, circumstances in which an epileptic seizure is provoked by incidents of a cardiac origin. Focal neurological signs and symptoms secondary to arrhythmia are quite common. However, an epileptic seizure as a manifestation of the third degree atrioventricular block exemplifies the very rare case of such a correlation. Aim To demonstrate this clinical situation and to point out to the need to differentiate the origin of seizures, verify diagnosis of epilepsy, and perform multi-channel neurophysiological diagnostics, extended by a basic ECG examination. Case study We present the case of a 79-year-old male patient who was admitted to the Clinical Department of Neurology due to recurrent incidents of conjugated eye and head movements to the left secondary to the third degree atrioventricular block. Results and discussion Diagnostic and therapeutic approach implemented for patients with epileptic seizures and cardiac arrhythmia are discussed in detail. Conclusions An interdisciplinary diagnostic approach, carefully conducted interview and an appropriate selection of additional examinations and tests are essential for a proper differential diagnosis of seizure-like incidents. |
| Databáze: | OpenAIRE |
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