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 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 46 Issue: 3
  • Publication Date: 2015
  • Doi Number: 10.1177/1550059413518920
  • Journal Name: CLINICAL EEG AND NEUROSCIENCE
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.230-234
  • Bezmialem Vakıf University Affiliated: Yes

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.