“Stokes-Adams Epilepsy”

Abstract

HomeCirculationVol. 112, No. 8“Stokes-Adams Epilepsy” Free AccessReview ArticlePDF/EPUBAboutView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toFree AccessReview ArticlePDF/EPUB“Stokes-Adams Epilepsy”Sometimes We Need the Electroencephalogram Óscar Díaz-Castro, MD, Pedro Orizaola, MD, Sofía Vázquez, MD, Carina González-Ríos, MD, Mónica Pardo, MD, Jesus A. Fernández-Lopez, MD and Dolores Escriche, MD Óscar Díaz-CastroÓscar Díaz-Castro From the Cardiology Service (O.D.C., S.V., C.G.R., M.P., J.F.L.), Neurology Service (D.E.), and Neurophysiology Service (P.O.), Hospital do Meixoeiro. Vigo, Pontevedra, Spain. Search for more papers by this author , Pedro OrizaolaPedro Orizaola From the Cardiology Service (O.D.C., S.V., C.G.R., M.P., J.F.L.), Neurology Service (D.E.), and Neurophysiology Service (P.O.), Hospital do Meixoeiro. Vigo, Pontevedra, Spain. Search for more papers by this author , Sofía VázquezSofía Vázquez From the Cardiology Service (O.D.C., S.V., C.G.R., M.P., J.F.L.), Neurology Service (D.E.), and Neurophysiology Service (P.O.), Hospital do Meixoeiro. Vigo, Pontevedra, Spain. Search for more papers by this author , Carina González-RíosCarina González-Ríos From the Cardiology Service (O.D.C., S.V., C.G.R., M.P., J.F.L.), Neurology Service (D.E.), and Neurophysiology Service (P.O.), Hospital do Meixoeiro. Vigo, Pontevedra, Spain. Search for more papers by this author , Mónica PardoMónica Pardo From the Cardiology Service (O.D.C., S.V., C.G.R., M.P., J.F.L.), Neurology Service (D.E.), and Neurophysiology Service (P.O.), Hospital do Meixoeiro. Vigo, Pontevedra, Spain. Search for more papers by this author , Jesus A. Fernández-LopezJesus A. Fernández-Lopez From the Cardiology Service (O.D.C., S.V., C.G.R., M.P., J.F.L.), Neurology Service (D.E.), and Neurophysiology Service (P.O.), Hospital do Meixoeiro. Vigo, Pontevedra, Spain. Search for more papers by this author and Dolores EscricheDolores Escriche From the Cardiology Service (O.D.C., S.V., C.G.R., M.P., J.F.L.), Neurology Service (D.E.), and Neurophysiology Service (P.O.), Hospital do Meixoeiro. Vigo, Pontevedra, Spain. Search for more papers by this author Originally published23 Aug 2005https://doi.org/10.1161/CIRCULATIONAHA.104.503144Circulation. 2005;112:e101–e102A 72-year-old woman was admitted to the neurology service. She complained of recurrent episodes of a sudden loss of consciousness followed by “seizures” lasting 1 or 2 minutes with complete spontaneous recovery after a few seconds. The patient had suffered 5 or 6 episodes per day in the previous week. The history revealed 1 episode of intracranial hemorrhage without sequelae 6 months before. The ECG showed normal sinus rhythm with normal PR interval and QRS length. The patient was treated with phenytoin, but the “attack” recurred. An EEG was performed and during the scan, the patient suffered a new episode of loss of consciousness followed by generalized rigidity, spasmodic movements, and oculocephalic deviation. The episode lasted 15 seconds, followed by rapid and complete recovery. The EEG showed a prolonged (12 seconds) ventricular asystole (arrow) resulting from paroxysmal AV block (Figure 1), followed by a series of sharp waves initially on the left temporary region (Figure 2) with quick secondary generalization in form of slow waves of high voltage mingled with tips and sharp waves (*). Later on, depression of general voltage took place (#), followed by progressive recovery of the base rhythm (Figure 3). After a permanent pacemaker was implanted, the patient never suffered the “seizures” again. Download figureDownload PowerPointFigure 1. EEG and ECG showing the beginning of the asystole resulting from paroxismal AV block (arrow).Download figureDownload PowerPointFigure 2. EEG after 12 seconds of asystole. Generalized slow waves of high voltage mingled with tip and sharp waves (∗) and progressive depression of general voltage (#).Download figureDownload PowerPointFigure 3. EEG showing complete recovery of the base rhythm once the cardiac rhythm was normal.FootnotesCorrespondence to Dr Óscar Díaz-Castro, S. de Cardiologia. 5a Planta Centro, Hospital do Meixoeiro, O Meixoeiro sn CP:36200, Vigo, Pontevedra. Spain. E-mail [email protected] or [email protected] Previous Back to top Next FiguresReferencesRelatedDetailsCited By Izumi M, Okabe T, Komura M and Hayashi Y (2018) Reply to “The electroencephalogram in syncope”, Journal of General and Family Medicine, 10.1002/jgf2.217, 19:6, (227-227), Online publication date: 1-Nov-2018. Izumi M, Okabe T, Komura M and Hayashi Y (2018) Convulsive syncope on electroencephalogram, Journal of General and Family Medicine, 10.1002/jgf2.165, 19:3, (109-110), Online publication date: 1-May-2018. Benton T and Narayanan D (2015) Differentiating Seizure and Convulsive Syncope: The Importance of History Taking, Postgraduate Medicine, 10.3810/pgm.2008.04.1760, 120:1, (50-53), Online publication date: 1-Jan-2008. CAIRE-HERRERA L, GOMEZ-FIGUEROA E, CERVANTES-URIBE R, ROSAS-GUTIERREZ R, MORENO-AVELLAN Á and FERNÁNDEZ M (2020) Convulsive syncope: a Stokes-Adams case, Arquivos de Neuro-Psiquiatria, 10.1590/0004-282x20200019, 78:8, (523-524) August 23, 2005Vol 112, Issue 8 Advertisement Article InformationMetrics https://doi.org/10.1161/CIRCULATIONAHA.104.503144PMID: 16116059 Originally publishedAugust 23, 2005 PDF download Advertisement SubjectsArrhythmiasDiagnostic TestingImagingPacemaker