tailieunhanh - Báo cáo y học: "A case of mistaken identity: Asystole causing convulsions identified using implantable loop recorder"

Tuyển tập các báo cáo nghiên cứu khoa học ngành y học tạp chí Medical Sciences dành cho các bạn sinh viên ngành y tham khảo đề tài: A case of mistaken identity: Asystole causing convulsions identified using implantable loop recorder. | Int. J. Med. Sci. 2010 7 209 International Journal of Medical Sciences 2010 7 4 209-212 Ivyspring International Publisher. All rights reserved Case report A case of mistaken identity Asystole causing convulsions identified using implantable loop recorder. Khalil Kanjwal Beverly Karabin Yousuf Kanjwal Blair P Grubb H Electrophysiology Section Division of Cardiology. Department of Medicine The University of Toledo Medical Center Health Science Campus Toledo OH USA ISI Corresponding author Blair P Grubb MD Director Electrophysiology Services Division of Cardiology Department of Medicine Health Sciences Campus University of Toledo Medical Center Mail Stop 1118 3000 Arlington Ave. Toledo OH 43614. USA. Phone 419-3833778 Fax 419-383-3041. Received Accepted Published Abstract We present herein an interesting tracing of a patient who suffered from recurrent episodes of transient loss of consciousness TLOC associated with convulsive activity thought to be due to epilepsy or conversion disorder. Key words Asystole implantable loop recorder transient loss of consciousness Case description A thirty four year old woman was referred to our syncope and autonomic disorder center for evaluation of recurrent unexplained periods of transient loss of consciousness TLOC associated with convulsive activity. The episodes would come on suddenly while sitting or standing with little or no prodrome. She would abruptly lose consciousness and fall to the floor. Bystanders reported her to be pale and ashen in color. Witnesses reported that during episodes she would display tonic-colonic like convulsive activity lasting from 1-5 minutes associated with urinary incontinence. The loss of consciousness could last for 30 to 45 minutes. Afterwards the patient was confused and fatigued for the remainder of the day. The patient had undergone multiple evaluations including 12 lead electrocardiograms echocardiography stress testing tilt table testing and prolonged holter