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KERD
논문KCI 등재

뇌전증발작 양상을 보인 심실 빈맥

Ventricular Tachycardia Imitating Epileptic Seizures

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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. (Korean J Clin Neurophysiol 2015;17:80-81)

Abstract

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. (Korean J Clin Neurophysiol 2015;17:80-81)

참고문헌 (6)

  1. Mayor R, "Management of patients with nonepileptic attack disorder in the United Kingdom: a survey of health care professionals", Epilepsy Behav, 21, pp.402~406 (2011)
  2. Reuber M, "Diagnostic delay in psychogenic nonepileptic seizures", Neurology, 58, pp.493~495 (2002)
  3. Yin HC, "Ventricular tachycardia manifested as tonic seizure", Epilepsy & Behavior, 24, pp.146~147 (2012)
  4. Zaidi A, "Misdiagnosis of epilepsy: many seizure like attacks have a cardiovascular cause", J Am Coll Cardiol, 36, pp.181~184 (2000)
  5. You CF, "Unrecognized paroxysmal ventricular standstill masquerading as epilepsy: a Stokes-Adams attack", Epileptic Disord, 9, pp.179~181 (2007)
  6. 이병찬, "반복되는 실신으로 나타난 발작심장무수축", 대한신경과학회지, 31(4), pp.295~297 (2013), 대한신경과학회

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