John Libbey Eurotext

Cardiogenic syncope diagnosed as epileptic seizures: the importance of ECG during video-EEG recording Volume 17, numéro 2, June 2015


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1 Department of Neurology, Epilepsy Clinic, Fundación Santa Fe de Bogota Hospital, Bogota
2 Universidad de los Andes, Bogota, Colombia
3 Epilepsy Program, Department of Clinical Neurological Sciences, University of Western Ontario, London, Ontario, Canada
4 Department of Cardiology, Fundacion Santa Fe de Bogota Hospital, Bogota, Colombia
* Correspondence: Luis C Mayor Department of Neurology, Epilepsy Clinic, Fundacion Santa Fe de Bogota, Bogota, Colombia

We describe four patients with a previous diagnosis of epilepsy. After reviewing the ECG during the video-EEG recording, cardiogenic syncope, resulting from a cardiac arrhythmia, was identified as the cause of the seizures. Epileptic disorders and cardiogenic syncope may both manifest with convulsions, loss of consciousness, and loss of postural tone, leading to a high level of misdiagnosis. The one-lead ECG during video-EEG monitoring is a key component, which may allow correct diagnosis and treatment.