From Clinical Misdiagnosis to Electrophysiological Diagnosis: Two Male Asystole Cases. (July 2015)

• Record Type: Journal Article
• Authors: Tekin Güveli, Betül; Gürses, Candan; Özde, Cem; Çağlar, İlker Murat; Çabalar, Murat; Kolukısa, Mehmet; Yayla, Vildan
• Is Part Of: Clinical EEG and neuroscience. Volume 46:Number 3(2015:Jul.)
• Page Start: 230
• Page End: 234
• Publication Date: 2015-07
• Subjects: epilepsy -- syncope -- asystole -- EEG -- diagnosis; Electroencephalography -- Periodicals; Neurosciences -- Periodicals; 616.8047547
• DOI: 10.1177/1550059413518920
• Languages: English
• ISSNs: 1550-0594

Abstract

Differential diagnosis of epilepsy and syncope may be difficult. Arrhythmias such as asystole, or ventricular fibrillation, may lead to cerebral hypoperfusion mimicking partial or secondary generalized tonic–clonic seizures. While performing an electroencephalogram (EEG) for epilepsy diagnosis, simultaneous electrocardiogram (ECG) recording may detect cardiac pathology. In this article, through 2 cases, who had cardiac asystole during the EEG, we demonstrate the importance of ECG during EEG. To rule out cardiac pathology in syncope cases, all necessary investigations must be done.