From Clinical Misdiagnosis to Electrophysiological Diagnosis: Two Male Asystole Cases

Guveli B. T. , GÜRSES R. C. , ÖZDE C., Caglar I. M. , Cabalar M., KOLUKISA M. , ...More

CLINICAL EEG AND NEUROSCIENCE, vol.46, no.3, pp.230-234, 2015 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 46 Issue: 3
  • Publication Date: 2015
  • Doi Number: 10.1177/1550059413518920
  • Title of Journal : CLINICAL EEG AND NEUROSCIENCE
  • Page Numbers: pp.230-234

Abstract

Differential diagnosis of epilepsy and syncope may be difficult. Arrhythmias such as asystole, or ventricular fibrillation, may lead to cerebral hypoperfusion mimicking partial or secondary generalized tonic-clonic seizures. While performing an electroencephalogram (EEG) for epilepsy diagnosis, simultaneous electrocardiogram (ECG) recording may detect cardiac pathology. In this article, through 2 cases, who had cardiac asystole during the EEG, we demonstrate the importance of ECG during EEG. To rule out cardiac pathology in syncope cases, all necessary investigations must be done.