Stretch syncope or epileptic seizure? A pathologic hypothesis for self-induced stretch syncope - 11/11/20
, Emilie Bourel-Ponchel a, b, Claire Heberle a, b, Amel Mathiron d, Bérangère Urbina-Hiel d, Caroline Faucon d, Patrick Berquin a, c, Fabrice Wallois a, b| pages | 4 |
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Abstract |
We report on a 7-year-old female who presented paroxysmal episodes of loss of consciousness with clonic movements. The electroencephalogram (EEG) evidenced diffuse slow wave activations, with no symptoms. Epilepsy was suspected but antiepileptic drugs were ineffective. Video-EEG monitoring revealed that the syncope was triggered by stretching with a tachycardia that started during the stretch maneuver and diffuse slow waves on the EEG 2s before the symptoms. Stretch syncope can result in striking manifestations with subcortically driven clonic movements that can be mistaken for signs of epilepsy. Stretching might lead to transient hypoxia of the brainstem; in turn, this might activate the thalamocortical loop and thus generate cardiovascular changes, EEG slow waves, and physical manifestations.
Le texte complet de cet article est disponible en PDF.Keywords : Brainstem network, Electroencephalogram, Epilepsy, Stretch syncope, Thalamocortical loop
Plan
Vol 50 - N° 5
P. 383-386 - octobre 2020 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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