We report the case of a young anorexic woman who suffered a sudden loss of consciousness with convulsions, diagnosed as epilepsy associated with a migrational disorder, as documented at MRI. Standard 12-lead ECG showed a prolonged QT interval. Biochemical tests revealed a severe hypokalemia. Continuous 24-h ECG recording detected a ventricular tachycardia in Torsades de Pointes inducing a syncopal convulsive attack that seemed to be related to oral Cisapride assumption for dyspepsia. Discontinuation of cisapride and normalization of kalemia caused disappearance of both ECG abnormalities and loss of consciousness episodes. Syncope is a condition often misdiagnosed as epileptic seizures. © 2006 Elsevier Ireland Ltd. All rights reserved.
Attanasio, A., Argiriadou, V., Sandri, G., Diomedi, M. (2007). An anorexic woman with convulsive loss of consciousness. Syncope or epileptic fits?. INTERNATIONAL JOURNAL OF CARDIOLOGY, 116(2) [10.1016/j.ijcard.2006.07.144].
An anorexic woman with convulsive loss of consciousness. Syncope or epileptic fits?
ATTANASIO, ANTONIO;DIOMEDI, MARINA
2007-01-01
Abstract
We report the case of a young anorexic woman who suffered a sudden loss of consciousness with convulsions, diagnosed as epilepsy associated with a migrational disorder, as documented at MRI. Standard 12-lead ECG showed a prolonged QT interval. Biochemical tests revealed a severe hypokalemia. Continuous 24-h ECG recording detected a ventricular tachycardia in Torsades de Pointes inducing a syncopal convulsive attack that seemed to be related to oral Cisapride assumption for dyspepsia. Discontinuation of cisapride and normalization of kalemia caused disappearance of both ECG abnormalities and loss of consciousness episodes. Syncope is a condition often misdiagnosed as epileptic seizures. © 2006 Elsevier Ireland Ltd. All rights reserved.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
