Arrhythmogenic Convulsive Syncope in Neurological Practice: A Case Report

Diana V. Dmitrenko*, PhD, ScD¹; Irina G. Strotskaya, MD¹; Ivan P. Artyukhov, PhD, ScD¹; Olga V. Alekseeva, MD¹; Natalia A. Shnayder, PhD, ScD¹; Gennady V. Matyushin, PhD, ScD¹; Vladimir V. Shprakh, PhD, ScD²; Svetlana B. Sayutina, PhD²; Oksana A. Gavrilyu

¹Krasnoyarsk State Medical University named after Prof. V.F. Voino-Yasenetsky, Krasnoyarsk, the Russian Federation; ²Irkutsk State Medical Academy of Postgraduate Education, Irkutsk, the Russian Federation

*Corresponding author:  Diana V. Dmitrenko, PhD, ScD. Neurological Center of Epileptology, Neurogenetics and Brain Research of the University Clinic of Krasnoyarsk State Medical University named after Prof. V.F. Voino-Yasenetsky, Krasnoyarsk the Russian Federation. E-mail: mart2802@yandex.ru

Published: March 15, 2018.  doi: 10.21103/Article8(1)_CR1

Abstract: 

This case report presents a 24-year-old man with a long history of arrhythmogenic convulsive syncope, which was managed as a cryptogenic generalized PRE. During complex examination of the patient within the framework of preoperative screening for the purpose of neurosurgical treatment of PRE, an idiopathic SSS was diagnosed. The clinical diagnosis was changed. The patient underwent emergency surgery at the center for cardiac surgery. ECP was implanted, the seizures stopped, resulting in dramatically improved quality of life.

Keywords: 
epilepsy ● seizure ● syncope ● sick sinus syndrome ● cardiac rhythm disorders ● management
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International Journal of Biomedicine. 2018;8(1):65-68. ©2018 International Medical Research and Development Corporation. All rights reserved.