Long QT syndrome masquerading as epilepsy
| Autor: | Clare M Galtrey, Jan Arevalo, Viva Levee, Damian R Wren |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Pediatrics
medicine.medical_specialty Adolescent Long QT syndrome Near miss Syncope 03 medical and health sciences Epilepsy Young Adult 0302 clinical medicine Seizures medicine Effective treatment Humans Diagnostic Errors business.industry General Medicine medicine.disease Long QT Syndrome Late diagnosis Refractory epilepsy Female Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | Practical neurology. 19(1) |
| ISSN: | 1474-7766 |
| Popis: | The diagnosis of epilepsy is incorrect in up to 20% of cases so should be revisited if attacks are not responding to treatment. We present a case of long QT syndrome that remained undiagnosed in the epilepsy clinic for 15 years until a near-fatal arrhythmia revealed the diagnosis and allowed effective treatment of her attacks. We hope this near miss raises awareness of long QT syndrome as a potentially fatal, rare but treatable condition that neurologists must consider in people with a label of refractory epilepsy. We provide practical pointers to increase the chance of early diagnosis and explore the impact of a late diagnosis for the patient and her family. |
| Databáze: | OpenAIRE |
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