When the first seizure can be the last: ventricular fibrillation following a new-onset seizure
| Autor: | Anver Sethwala, Piero Perucca, Paul B. Sparks |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Cardioversion New onset Sudden cardiac death Epilepsy Young Adult Seizures Internal medicine Medicine Humans Ictal Sinus rhythm cardiovascular diseases Sudden Unexpected Death in Epilepsy business.industry General Medicine medicine.disease First seizure Defibrillators Implantable Neurology Ventricular fibrillation Ventricular Fibrillation cardiovascular system Cardiology Female Neurology (clinical) business |
| Zdroj: | Epileptic disorders : international epilepsy journal with videotape. 22(5) |
| ISSN: | 1950-6945 |
| Popis: | Sudden unexpected death in epilepsy (SUDEP) is the leading cause of epilepsy-related mortality. Its mechanisms remain incompletely understood. Post-ictal arrhythmias rather than ictal arrhythmias appear to be associated with an increased risk of SUDEP. Only a handful of individuals with epilepsy who have survived ventricular arrhythmias post seizure (near-SUDEP) are reported in the literature. We report a case of ventricular fibrillation following a first-ever unprovoked seizure in a patient without epilepsy, in whom a sinus rhythm was restored following cardioversion. A defibrillator was subsequently implanted. Our case suggests that even first seizures might account for some of the many cases of unexplained ventricular fibrillation or sudden cardiac death. |
| Databáze: | OpenAIRE |
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