Video-EEG monitoring and simultaneous ECG for the differential diagnosis of transient consciousness disorders. A case report
Por:
Carmona-Iragui, M, Gomez-Ibanez, A, Carmona-Abellan, M, Salas, CG, Martin, B, Viteri, C
Publicada:
1 ene 2012
Resumen:
We present the case of a 36 year-old woman, with history of transient consciousness disorders with vegetative state, interpreted as epileptic seizures and treated with valproic acid for two years. After nine asymptomatic years, they reappeared associated with migraine, vomiting and some generalized convulsions. Electroencephalogram and cerebral magnetic resonance turned out normal, and treatment with zonisamide was started, without beneficial results. Later cardiological studies objectified a blockage of the left branch that coincided with dizziness. The study was completed with Video-EEG monitoring, where there was an episode that showed right temporal epileptiform activity, with a diagnosis established of focal epilepsy of unknown etiology. At present, she remains asymptomatic with oxycarbazepine.
Filiaciones:
Carmona-Iragui, M:
Hosp Santa Creu & Sant Pau, Dept Neurol, Inst Recerca, Barcelona, Spain
Gomez-Ibanez, A:
Univ Navarra Clin, Dept Neurol, Pamplona 31008, Spain
Carmona-Abellan, M:
Univ Navarra Clin, Dept Neurol, Pamplona 31008, Spain
Salas, CG:
Univ Navarra Clin, Dept Neurol, Pamplona 31008, Spain
Martin, B:
Complejo Hosp Navarra, Serv Neurofisiol, Pamplona, Spain
Viteri, C:
Univ Navarra Clin, Dept Neurol, Pamplona 31008, Spain
gold, Green Submitted
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