A Case with Excercise Induced Seizures: Long QT Syndrome Misdiagnosed as Epilepsy / 대한소아신경학회지
Journal of the Korean Child Neurology Society
; (4): 123-128, 2010.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-208697
Biblioteca responsável:
WPRO
ABSTRACT
Long QT syndrome(LQTS) is characterized by prolongation of the QT interval, frequent episodes of syncope, and ventricular tachycardia leading to sudden cardiac death in adolescents and young adults. Early diagnosis and prompt treatment to reduce the risk of life-threatening cardiac events is crucial, however sudden onset convulsive syncope may be misdiagnosed as epilepsy and lead to antiepileptic drug therapy for many years. We experienced a case of six-year-old boy who were having seizure triggered by exercise and being treated with antiepileptic drugs. He had normal EEG and brain MRI but his ECG revealed prolonged QT interval(QTc=477 ms) and treadmill test induced polymorphic ventricular tachycardia. After applying beta-blocker, he had no more seizure attacks. We report a case of long QT syndrome misdiagnosed as epilepsy with a brief review of related literatures.
Texto completo:
Disponível
Contexto em Saúde:
ODS3 - Saúde e Bem-Estar
/
ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis
Problema de saúde:
Meta 3.4: Reduzir as mortes prematuras devido doenças não transmissíveis
/
Doença Cardiovascular
/
Anomalias Congênitas e Cromossômicas
/
Epilepsia
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Convulsões
/
Síncope
/
Encéfalo
/
Síndrome do QT Longo
/
Morte Súbita Cardíaca
/
Taquicardia Ventricular
/
Diagnóstico Precoce
/
Eletrocardiografia
/
Eletroencefalografia
/
Epilepsia
Tipo de estudo:
Estudo diagnóstico
/
Estudo de rastreamento
Limite:
Adolescente
/
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Child Neurology Society
Ano de publicação:
2010
Tipo de documento:
Artigo