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Syncope due to ictal asystole: a challenging semiology Volume 22, numéro 5, October 2020

Vidéos

  • Syncope due to ictal asystole: a challenging semiology
  • Syncope due to ictal asystole: a challenging semiology

Illustrations


  • Figure 1
Auteurs
1 Neurologia, Departamento de Neurociências e Saúde Mental, Hospital de Santa Maria, Centro Hospitalar Universitário de Lisboa, Lisboa, Portugal
2 Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal
3 Serviço de Neurologia, Hospital Garcia de Orta, Almada, Portugal
4 Hospital Central de Maputo, Maputo, Moçambique
5 Departamento de Neurologia, Hospital da Luz Lisboa, Lisboa, Portugal
6 Comprehensive Health Research Centre, Universidade Nova de Lisboa, Lisboa, Portugal
7 Laboratório EEG/Sono, Unidade de Monitorização Neurofisiológica, Neurologia, Departamento de Neurociências e Saúde Mental, Hospital de Santa Maria, Centro Hospitalar Universitário de Lisboa, Lisboa, Portugal
8 Centro de Referência para Epilepsias Refractárias do HSM-CHULN (no âmbito do EpiCARE)
* Corresponding author: MiguelLeal Rato Serviço de Neurologia, Departamento de Neurociências e Saúde Mental, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Avenida Prof. Egas Moniz, 1649-028 Lisboa, Portugal

Cardiac rhythm abnormalities are a possibly serious manifestation of epilepsy and seizures. We present a 36-year-old woman with episodes of altered mental status and loss of muscle tone for 20-30 seconds, preceded by déjà vu, bilateral tinnitus and generalized coldness. Cardiac investigation was negative. Head MRI revealed a probable dysembryoplastic neuroepithelial tumour (figure 1), and levetiracetam was started with complete abolition of the paroxysmal events. During pre-surgical [...]