ISSN: 1307-279X
Yeditepe Medical Journal
EPILEPTIC SEIZURE PRESENTED WITH STROKE LIKE EPISODES AND ECG CHANGES IN SUBACUTE STROKE PATIENT [YMJ]
YMJ. 2015; 11(36): 957-959

EPILEPTIC SEIZURE PRESENTED WITH STROKE LIKE EPISODES AND ECG CHANGES IN SUBACUTE STROKE PATIENT

Hasan Huseyin Karadeli1, Muhammed Emin Ozcan1, Gulistan Halac1, Talip Asil1
Bezmialem Vakif University, Faculty of Medicine, Department of Neurology, Istanbul, Turkey

Acute or chronic autonomous cardiac symptoms like, ictal syncope, changes of heart-rate, shortening of QT intervals and other various electrocardiographic changes often accompany epileptic seizures. Cardiac changes occurring during epileptic seizures may cause sudden unexpected death in epilepsy. Patients that have clinical presentations mimicking repetitive stroke and electrocardiogram findings similar to myocardial infarction, should be investigated for epileptic seizure in differential diagnosis. In this case report, we emphasize the importance of the differential diagnosis of epileptic seizures for a patient that has electrocardiographic assessment of ST changes mimicking myocardial infarct hospitalized with an acute cerebrovascular event followed by unconsciousness and hemiplegia.

Keywords: Cerebrovascular, ECG, Epileptic Seizure.

SUBAKUT İNME HASTASINDA İNME BENZERİ SEMPTOM VE EKG DEĞİŞİKLİKLERİ İLE PREZENTE OLAN EPİLEPTİK NÖBET

Hasan Huseyin Karadeli1, Muhammed Emin Ozcan1, Gulistan Halac1, Talip Asil1
Bezmialem Vakif University, Faculty of Medicine, Department of Neurology, Istanbul, Turkey

Iktal senkop, kalp ritm bozukları, QT interval kısalması ve diğer EKG değisiklikleri gibi akut ve kronik otonomik kardiak semptomlar genellikle epileptik nöbetler ile beraber izlenir. Tekrarlayan inme ataklari ile presente olan ve EKG de MI benzeri değisiklikler olan hastalarin ayırıcı tanısında epileptik nöbet de düsünülmelidir. Bu olgu sunumunda, akut serebrovaskuler olay sonrası bilinc değisiklikleri ve hemipleji tarifleyen, EKG de MI benzeri ST değisiklikleri olan hastanın ayırıcı tanısında epileptik nöbetin önemini vurguladık.

Anahtar Kelimeler: Serebrovaskuler, EKG, Epileptik Nobet.

Hasan Huseyin Karadeli, Muhammed Emin Ozcan, Gulistan Halac, Talip Asil. EPILEPTIC SEIZURE PRESENTED WITH STROKE LIKE EPISODES AND ECG CHANGES IN SUBACUTE STROKE PATIENT. YMJ. 2015; 11(36): 957-959
Manuscript Language: English
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