torsades de pointes/crise epiléptica

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Methadone-induced Torsades de Pointes Masquerading as Seizures.

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The authors herein present the case of a 53-year-old female who was being treated as an outpatient for seizure disorder but was also receiving high-dose methadone therapy. She presented to the emergency department (ED) for what appeared to be a seizure and was found to have a prolonged QT interval,

Syncope, seizure, or surprise? A teenager's school trip gone awry: case report of torsades de pointes and a review of long QT syndrome.

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Methadone induced Torsades de Pointes mimicking seizures in clinical presentation.

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Characterization of novel KCNH2 mutations in type 2 long QT syndrome manifesting as seizures.

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BACKGROUND Long QT syndrome (LQTS) is characterized by corrected QT interval prolongation leading to torsades de pointes and sudden cardiac death. LQTS type 2 (LQTS2) is caused by mutations in the KCNH2 gene, leading to a reduction of the rapidly activating delayed rectifier K+ current and loss of

[Mistaking a long QT syndrome for epilepsy: does every seizure call for an ECG?].

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Syncope is a common and difficult differential diagnosis for epilepsy. One possible cause for a cardiac syncope is a long QT syndrome (LQTS). LQTS with torsade de pointes tachycardia can lead to lethal ventricular fibrillation and cardiac arrest. Patients with LQTS when first diagnosed as suffering

Simultaneous Occurrence of Dysrhythmia and Seizure as a Diagnostic Difficulty; a Case Report.

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Torsades de pointes (TdP) is a rare but hazardous ventricular dysrhythmia caused by an increase in the QT interval of the heart rhythm and is categorized into congenital or acquired types. Signs and symptoms of TdP include syncope, seizure, ventricular fibrillation, and even sudden death. According

Torsade de pointes caused by polypharmacy and substance abuse in a patient with human immunodeficiency virus.

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Drug-induced QT prolongation is a potentially dangerous adverse effect of some medication combinations. When QT prolongation progresses to torsade de pointes, life-threatening or fatal outcomes may result. A 57-year-old man with a history of human immunodeficiency syndrome on abacavir, nevirapine,

QTc prolongation by antiepileptic drugs and the risk of torsade de pointes in patients with epilepsy.

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Sudden unexpected death in epilepsy (SUDEP) is the most common epilepsy-related cause of death. While the precise pathophysiological mechanisms underlying SUDEP are still uncertain, impaired cardiac function including seizure-induced arrhythmias has received increased attention. In addition, the

When a seizure is not a real seizure!

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We report here 2 cases of methadone induced Torsades de Pointes with a clinical presentation mimicking convulsive seizures in a substance abuser. These cases highlight the importance of being aware of methadone-induced Torsades de Pointes and the occasional atypical clinical presentations of this

Long QT syndrome presenting as epileptic seizures in an adult.

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A 50 year old woman with a previous diagnosis of epilepsy presented to the emergency department with a generalised seizure. Her admission ECG showed QT prolongation secondary to bradycardia and a subsequent seizure in the department demonstrated that these events were secondary to cerebral

[17-year-old student with recurrent seizures].

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METHODS A 17-year-old female student presented in our emergency room after a seizure with motoric fits and enuresis. It was the second event of this kind within 3 weeks. METHODS The resting ECG on admission showed sinus bradycardia at 45 bpm and a remarkable repolarisation with notched or bifurcated

Ventricular tachycardia and prolonged QT interval presenting as seizure-like activity.

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Seizures can be difficult to distinguish from other causes of transient cerebral hypoxia in the emergency department. We present a case of seizure activity in a woman in whom EKG led to a diagnosis of intermittent monomorphic and polymorphic ventricular tachycardia (torsades de pointes),

Torsades de pointes ventricular tachycardia associated with overdose of astemizole.

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An overdose of astemizole predisposes the myocardium to ventricular dysrhythmias, including torsades de pointes. Herein we describe a case of astemizole-induced torsades de pointes ventricular tachycardia and also review previous case reports in the literature. All the patients were young, and

Torsade de pointes in a patient with complete atrioventricular block and pacemaker failure, misdiagnosed with epilepsy.

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A case of torsade de pointes (TdP) with complete atrioventricular block and pacemaker failure that was misdiagnosed as epilepsy is presented herein. An 82-year-old female with recurrent seizure-like attacks showed epileptiform discharge during an electroencephalogram recording. A long QT interval

ECG changes amongst patients with alcohol withdrawal seizures and delirium tremens.

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BACKGROUND Alcohol withdrawal seizures and delirium tremens (DT) are serious complications of alcohol dependence. The prevalence of arrhythmias and other electrocardiographic (ECG) changes occurring in these clinical situations is not well studied. METHODS We performed a retrospective analysis of

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