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“Stokes-Adams Epilepsy”

2005; Lippincott Williams & Wilkins; Volume: 112; Issue: 8 Linguagem: Estoniano

10.1161/circulationaha.104.503144

1524-4539

Óscar Dı́az-Castro, Pedro Orizaola, Sofía Vázquez, Carina González-Ríos, M. Sanchez Pardo, Jesús Fernández-López, Dolores Escriche,

Neurological disorders and treatments

HomeCirculationVol. 112, No. 8"Stokes-Adams Epilepsy" Free AccessReview ArticlePDF/EPUBAboutView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toFree AccessReview ArticlePDF/EPUB"Stokes-Adams Epilepsy"Sometimes We Need the Electroencephalogram Óscar Díaz-Castro, Pedro Orizaola, Sofía Vázquez, Carina González-Ríos, Mónica Pardo, Jesus A. Fernández-Lopez and Dolores Escriche Óscar Díaz-CastroÓscar Díaz-Castro From the Cardiology Service (O.D.C., S.V., C.G.R., M.P., J.F.L.), Neurology Service (D.E.), and Neurophysiology Service (P.O.), Hospital do Meixoeiro. Vigo, Pontevedra, Spain. , Pedro OrizaolaPedro Orizaola From the Cardiology Service (O.D.C., S.V., C.G.R., M.P., J.F.L.), Neurology Service (D.E.), and Neurophysiology Service (P.O.), Hospital do Meixoeiro. Vigo, Pontevedra, Spain. , Sofía VázquezSofía Vázquez From the Cardiology Service (O.D.C., S.V., C.G.R., M.P., J.F.L.), Neurology Service (D.E.), and Neurophysiology Service (P.O.), Hospital do Meixoeiro. Vigo, Pontevedra, Spain. , Carina González-RíosCarina González-Ríos From the Cardiology Service (O.D.C., S.V., C.G.R., M.P., J.F.L.), Neurology Service (D.E.), and Neurophysiology Service (P.O.), Hospital do Meixoeiro. Vigo, Pontevedra, Spain. , Mónica PardoMónica Pardo From the Cardiology Service (O.D.C., S.V., C.G.R., M.P., J.F.L.), Neurology Service (D.E.), and Neurophysiology Service (P.O.), Hospital do Meixoeiro. Vigo, Pontevedra, Spain. , Jesus A. Fernández-LopezJesus A. Fernández-Lopez From the Cardiology Service (O.D.C., S.V., C.G.R., M.P., J.F.L.), Neurology Service (D.E.), and Neurophysiology Service (P.O.), Hospital do Meixoeiro. Vigo, Pontevedra, Spain. and Dolores EscricheDolores Escriche From the Cardiology Service (O.D.C., S.V., C.G.R., M.P., J.F.L.), Neurology Service (D.E.), and Neurophysiology Service (P.O.), Hospital do Meixoeiro. Vigo, Pontevedra, Spain. Originally published23 Aug 2005https://doi.org/10.1161/CIRCULATIONAHA.104.503144Circulation. 2005;112:e101–e102A 72-year-old woman was admitted to the neurology service. She complained of recurrent episodes of a sudden loss of consciousness followed by "seizures" lasting 1 or 2 minutes with complete spontaneous recovery after a few seconds. The patient had suffered 5 or 6 episodes per day in the previous week. The history revealed 1 episode of intracranial hemorrhage without sequelae 6 months before. The ECG showed normal sinus rhythm with normal PR interval and QRS length. The patient was treated with phenytoin, but the "attack" recurred. An EEG was performed and during the scan, the patient suffered a new episode of loss of consciousness followed by generalized rigidity, spasmodic movements, and oculocephalic deviation. The episode lasted 15 seconds, followed by rapid and complete recovery. The EEG showed a prolonged (12 seconds) ventricular asystole (arrow) resulting from paroxysmal AV block (Figure 1), followed by a series of sharp waves initially on the left temporary region (Figure 2) with quick secondary generalization in form of slow waves of high voltage mingled with tips and sharp waves (*). Later on, depression of general voltage took place (#), followed by progressive recovery of the base rhythm (Figure 3). After a permanent pacemaker was implanted, the patient never suffered the "seizures" again. Download figureDownload PowerPointFigure 1. EEG and ECG showing the beginning of the asystole resulting from paroxismal AV block (arrow).Download figureDownload PowerPointFigure 2. EEG after 12 seconds of asystole. Generalized slow waves of high voltage mingled with tip and sharp waves (∗) and progressive depression of general voltage (#).Download figureDownload PowerPointFigure 3. EEG showing complete recovery of the base rhythm once the cardiac rhythm was normal.FootnotesCorrespondence to Dr Óscar Díaz-Castro, S. de Cardiologia. 5a Planta Centro, Hospital do Meixoeiro, O Meixoeiro sn CP:36200, Vigo, Pontevedra. Spain. E-mail [email protected] or [email protected] eLetters(0) eLetters should relate to an article recently published in the journal and are not a forum for providing unpublished data. Comments are reviewed for appropriate use of tone and language. Comments are not peer-reviewed. Acceptable comments are posted to the journal website only. Comments are not published in an issue and are not indexed in PubMed. Comments should be no longer than 500 words and will only be posted online. References are limited to 10. Authors of the article cited in the comment will be invited to reply, as appropriate. Comments and feedback on AHA/ASA Scientific Statements and Guidelines should be directed to the AHA/ASA Manuscript Oversight Committee via its Correspondence page. Sign In to Submit a Response to This Article Previous Back to top Next FiguresReferencesRelatedDetailsCited By CAIRE-HERRERA L, GOMEZ-FIGUEROA E, CERVANTES-URIBE R, ROSAS-GUTIERREZ R, MORENO-AVELLAN Á and FERNÁNDEZ M (2020) Convulsive syncope: a Stokes-Adams case, Arquivos de Neuro-Psiquiatria, 10.1590/0004-282x20200019, 78:8, (523-524) Izumi M, Okabe T, Komura M and Hayashi Y (2018) Reply to "The electroencephalogram in syncope", Journal of General and Family Medicine, 10.1002/jgf2.217, 19:6, (227-227), Online publication date: 1-Nov-2018. Izumi M, Okabe T, Komura M and Hayashi Y (2018) Convulsive syncope on electroencephalogram, Journal of General and Family Medicine, 10.1002/jgf2.165, 19:3, (109-110), Online publication date: 1-May-2018. Benton T and Narayanan D (2015) Differentiating Seizure and Convulsive Syncope: The Importance of History Taking, Postgraduate Medicine, 10.3810/pgm.2008.04.1760, 120:1, (50-53), Online publication date: 1-Jan-2008. August 23, 2005Vol 112, Issue 8 Advertisement Article Information Metrics https://doi.org/10.1161/CIRCULATIONAHA.104.503144PMID: 16116059 Originally publishedAugust 23, 2005 PDF download Advertisement Subjects Arrhythmias Diagnostic Testing Imaging Pacemaker