| Mistaking a long QT syndrome for epilepsy: does every seizure call for an ECG? | |
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MedLine Citation:
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PMID: 20533164 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Syncope is a common and difficult differential diagnosis for epilepsy. One possible cause for a cardiac syncope is a long QT syndrome (LQTS). LQTS with torsade de pointes tachycardia can lead to lethal ventricular fibrillation and cardiac arrest. Patients with LQTS when first diagnosed as suffering from epileptic fits often experience a particularly long diagnostic delay which may even take years. In some cases, the diagnosis of LQTS is not made until the patient needs resuscitation due to a cardiac arrest. Therefore, ECG recording should be performed for every patient presenting with a seizure considered to be of epileptic origin not only at the beginning of the disease but also when fits occur in spite of antiepileptic treatment in order to prevent an incorrect diagnosis and delay in making the correct diagnosis. |
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Authors:
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L Burghaus; W Liu; C Eggers; J Müller-Ehmsen; G R Fink |
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Publication Detail:
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Type: Case Reports; English Abstract; Journal Article Date: 2010-06-08 |
Journal Detail:
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Title: Fortschritte der Neurologie-Psychiatrie Volume: 78 ISSN: 1439-3522 ISO Abbreviation: Fortschr Neurol Psychiatr Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-07-07 Completed Date: 2010-10-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8103137 Medline TA: Fortschr Neurol Psychiatr Country: Germany |
Other Details:
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Languages: ger Pagination: 419-24 Citation Subset: IM |
Copyright Information:
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(c) Georg Thieme Verlag KG Stuttgart-New York |
Affiliation:
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Klinik und Poliklinik für Neurologie, Uniklinik Köln, Kerpener Strasse 62, Köln. lothar.burghaus@uk-koeln.de |
Vernacular Title:
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Fehldiagnose Epilepsie beim Long-QT-Syndrom: Sollte bei jedem Anfall ein EKG abgeleitet werden? |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Anticonvulsants / therapeutic use Arrhythmias, Cardiac Diagnosis, Differential Electrocardiography* Electroencephalography Epilepsy / diagnosis* Heart Function Tests Humans Long QT Syndrome / diagnosis*, drug therapy Male Seizures / etiology* Torsades de Pointes / complications, diagnosis Ventricular Fibrillation / diagnosis |
| Chemical | |
Reg. No./Substance:
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0/Anticonvulsants |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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