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Báo cáo y học: " Differentiation of convulsive syncope from epilepsy with an implantable loop recorder Khalil Kanjwal, Beverly Karabin, Yousuf Kanjwal, Blair P Grubb"

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: Differentiation of convulsive syncope from epilepsy with an implantable loop recorder Khalil Kanjwal, Beverly Karabin, Yousuf Kanjwal, Blair P Grubb. | Int. J. Med. Sci. 2009 6 296 International Journal of Medical Sciences 2009 6 6 296-300 Ivyspring International Publisher. All rights reserved Research Paper Differentiation of convulsive syncope from epilepsy with an implantable loop recorder Khalil Kanjwal Beverly Karabin Yousuf Kanjwal Blair P Grubb H Electrophysiology Section Division of Cardiology Department of Medicine Health Science Campus The University of Toledo Medical Center Toledo Ohio USA. H Correspondence to Blair P Grubb M.D. Cardiology The University of Toledo Medical Center 3000 Arlington ave Toledo OH 43614. blair.grubb@utoledo.edu Fax 419-383-3041 Phone 419-383-3697 Received 2009.07.24 Accepted 2009.09.11 Published 2009.09.15 Abstract Introduction Not all convulsive episodes are due to epilepsy and a number of these have a cardiovascular cause. Failure to identify these patients delays the provision of adequate therapy while at the same time exposes the individual to the risk of injury or death. Methods We report on three patients who suffered from recurrent convulsive episodes thought to be epileptic in origin who were refractory to antiseizure therapy. Although each patient had undergone extensive evaluation no other potential cause of his or her seizure like episodes had been uncovered. In each patient placement of an implantable loop recorder ILR demonstrated that their convulsive episodes were due to prolonged periods of cardiac asystole and or complete heart block. In all patients their convulsive episodes were eliminated by permanent pacemaker implantation. Conclusion In patients with refractory seizure like episodes of convulsive activity of unknown etiology a potential cardiac rhythm disturbance should be considered and can be easily evaluated by ILR placement. Key words Implantable loop recorders Convulsions Syncope. Introduction It has been estimated that up to three percent of the US population suffers from recurrent convulsive episodes that are usually thought to be seizures due to .