A Case of Loss of Consciousness due to Epilepsy Diagnosed Using an Implantable Loop Recorder
| Autor: | Hitoki Inoue, Eitaro Sugiyama, Harutatsu Muto, Masaaki Fujita, Hiroshi Okamoto, Akiho Minoshima, Takashi Takenaka, Atsushi Tamada, Minoru Sato, Jun-ichi Teranishi, Tetsuo Betsuyaku |
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| Rok vydání: | 2011 |
| Předmět: |
Convulsive syncope
medicine.medical_specialty lcsh:Diseases of the circulatory (Cardiovascular) system Epilepsy medicine.diagnostic_test Heart disease Ventricular Tachyarrhythmias business.industry medicine.disease Sudden death Magnetic resonance angiography Stenosis lcsh:RC666-701 Internal medicine Anesthesia Implantable loop recorder Tonic-clonic seizure medicine Cardiology Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Arrhythmia, Vol 27, Iss 1, Pp 76-79 (2011) |
| ISSN: | 1880-4276 |
| DOI: | 10.1016/s1880-4276(11)80011-6 |
| Popis: | We report a case of clonic-tonic seizures diagnosed using an implantable loop recorder, a device for detecting cardiac arrhythmias. A 65-year-old man was referred to our hospital for loss of consciousness with myotonic jerks during sleep. He had experienced several similar episodes. No family history of sudden death was evident, and no structural heart disease was present. Coronary angiography with intracoronary acetylcholine (ACh) showed neither organic stenosis nor vasospastic angina. Ventricular tachyarrhythmias were not induced by programmed electrical stimuli. Sleep electroencephalography, brain magnetic resonance imaging and magnetic resonance angiography revealed no specific findings. We implanted a loop recorder to monitor rhythm abnormalities. One month later, an attack occurred at night. His wife recognized the episode and activated the implantable loop recorder. No arrhythmia was recorded, but myopotentials characteristic of tonic-clonic seizures were detected. |
| Databáze: | OpenAIRE |
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