DOI QR코드

DOI QR Code

뇌전증발작 양상을 보인 심실 빈맥

Ventricular Tachycardia Imitating Epileptic Seizures

  • 투고 : 2015.09.24
  • 심사 : 2015.10.30
  • 발행 : 2015.12.31

초록

Syncopes are the most common non-epileptic attacks mimicking epileptic seizures. Among them, cardiogenic syncope is potentially life threatening. A 49 year old man was refered for the recurrent episodes of loss of consciousness with tonic posture and upward eyes deviation. The electrocardiogram showed polymorphologic ventricular tachycardia during attacks, which normalized after that. He was treated with isoproterenol and symptoms subsided. Here, we report a case of ventricular tachycardia manifested as epileptic seizures.

키워드

참고문헌

  1. Mayor R, Smith PE, Reuber M. Management of patients with nonepileptic attack disorder in the United Kingdom: a survey of health care professionals. Epilepsy Behav 2011;21:402-406. https://doi.org/10.1016/j.yebeh.2011.05.019
  2. Reuber M, Fernandez G, Bauer J, Helmstaedter C, Elger CE. Diagnostic delay in psychogenic nonepileptic seizures. Neurology 2002;58:493-495. https://doi.org/10.1212/WNL.58.3.493
  3. Yin HC, Wu MN, Chen CH, Huang P. Ventricular tachycardia manifested as tonic seizure. Epilepsy & Behavior 2012;24:146-147. https://doi.org/10.1016/j.yebeh.2012.03.007
  4. Zaidi A, Clough P, Cooper P, Scheepers B, Fitzpatrick AP. Misdiagnosis of epilepsy: many seizure like attacks have a cardiovascular cause. J Am Coll Cardiol 2000;36:181-184. https://doi.org/10.1016/S0735-1097(00)00700-2
  5. You CF, Chong CF, Wang TL, Hung TY, Chen CC. Unrecognized paroxysmal ventricular standstill masquerading as epilepsy: a Stokes-Adams attack. Epileptic Disord 2007;9:179-181.
  6. Lee BC, Moon HJ, Cho YW, Lee H, Kim HA. Recurrent syncope triggered by ictal asystole. J Korean Neurol Assoc 2013;31:295-297.