Loss of consciousness and convulsion induced by a ventricular tachycardia mimicking epilepsy in a patient with noncompaction cardiomyopathy: a case report

Dello, Simon A.W.G.; Kievit, Chris M.; Dunselman, Peter H.J.M.; Alings, Marco

doi:10.1007/s12471-013-0442-7

Cited by 5 publications

(3 citation statements)

References 14 publications

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“…Convulsions mostly occur within 24 hours of fever. Complex febrile seizures tend to occur multiple times and last for a long time, and metabolism, oxygen consumption, and blood flow of nerve cells change during the seizure, resulting in central nervous system lesions and secondary epilepsy ( 14 ). The above studies support the present study, which also showed that family history of epilepsy, systemic seizures, number of seizures, and duration of seizures were independent risk factors for secondary epilepsy in children with complex febrile seizures (P<0.05).…”

Section: Discussionmentioning

confidence: 99%

Risk factors for secondary epilepsy in children with complex febrile seizures and their effect on growth and development—a retrospective cohort study

Duan¹,

Liao²,

Guo³

et al. 2023

Transl Pediatr

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Background Complex febrile seizures are prolonged and can cause neurologic abnormalities, leading to secondary epilepsy and affecting growth and development. At present, the mechanism of secondary epilepsy in children with complex febrile seizures is not clear, and this study aimed to explore the risk factors for secondary epilepsy in children with complex febrile seizures and analyze its effects on the growth and development of children. Methods The data of 168 children with complex febrile seizures admitted to the Ganzhou Women and Children’s Health Care Hospital between January 2018 and December 2019 were collected retrospectively and divided into a secondary epilepsy group (n=58) and control group (n=110) according to whether the children had secondary epilepsy or not. The differences in clinical features between the 2 groups were compared, and logistic regression analysis was used to explore the risk factors for secondary epilepsy in children with complex febrile seizures. A nomogram prediction model for secondary epilepsy in children with complex febrile seizures was established and verified using the R 4.0.3 statistical software, and the effect of secondary epilepsy on the growth and development of children was analyzed. Results Multivariate logistic regression analysis showed that family history of epilepsy, generalized seizures, number of seizures, and duration of seizures were independent influencing factors of secondary epilepsy in children with complex febrile seizures (P<0.05). The dataset was randomly divided into a training set and a validation set, with a sample size of 84 in the training set and 84 in the validation set. The area under the receiver operating characteristic (ROC) curve of the training set was 0.845 (95% confidence interval: 0.756–0.934), and the area under the ROC curve of the validation set was 0.813 (95% confidence interval: 0.711–0.914). Compared with the control group, the Gesell Development Scale score in the secondary epilepsy group was significantly reduced (77.84±8.86 vs. 85.64±8.65, P<0.001). Conclusions The nomogram prediction model could better identify complex febrile seizures children at high risk of secondary epilepsy. Strengthening intervention in such children may be beneficial for improving their growth and development.

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Section: Discussionmentioning

confidence: 99%

Risk factors for secondary epilepsy in children with complex febrile seizures and their effect on growth and development—a retrospective cohort study

Duan¹,

Liao²,

Guo³

et al. 2023

Transl Pediatr

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“…При назначении бета-блокаторов и ингибиторов-АПФ приступы желудочковой тахикардии (ЖТ) стали бессимптомными, уменьшилось их количество и длительность. Для профилактики внезапной сердечной смерти пациенту имплантирован кардиовертер-дефибриллятор [25].…”

Section: нарушения ритма сердцаunclassified

Electrocardiographic Presentation at Ictal and Postictal Periods of Epileptic Seizure

Терян¹,

Serdyuk²,

Davtyan³

et al. 2018

Russ J Cardiol

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In epilepsy patients during video-electroencephalographic monitoring there are various electrocardiographic (ECG) changes during the epileptic seizure, sometimes remaining at postictal period as well. In the literature, various cardiac rhythm and conduction disorders are described, ventricular and supraventricular disorders, ST segment shifts. Some among these might be life-threatening, probably leading to unexplained sudden death in epilepsy. In the review, we focus on the most common ECG changes in patients with ongoing epileptic seizures.

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“…In the introduction the authors mention that the clinical presentation of noncompaction includes heart failure, thromboembolic events, or arrhythmias [ 6 ]. However, noncompaction patients may present with other cardiac manifestations, particularly if noncompaction is associated with functional or morphological abnormalities in addition to noncompaction (non-isolated noncompaction) [ 10 ].…”

mentioning

confidence: 99%

Exhaustion or fatigability may not only be cardiac but also myopathic

Finsterer¹,

Stöllberger²

2015

Neth Heart J

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Loss of consciousness and convulsion induced by a ventricular tachycardia mimicking epilepsy in a patient with noncompaction cardiomyopathy: a case report

Cited by 5 publications

References 14 publications

Risk factors for secondary epilepsy in children with complex febrile seizures and their effect on growth and development—a retrospective cohort study

Risk factors for secondary epilepsy in children with complex febrile seizures and their effect on growth and development—a retrospective cohort study

Electrocardiographic Presentation at Ictal and Postictal Periods of Epileptic Seizure

Exhaustion or fatigability may not only be cardiac but also myopathic

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