Unusual case of seizures due to prolonged QT syndrome - A Case Report
Journal Title: Indian Journal of Case Reports - Year 2018, Vol 4, Issue 1
Abstract
Long QT syndrome (LQTS) is a cardiac electrical disorder. One of the rare symptoms of long QT caused by ventricular arrhythmia is seizure. Patients with LQTS may develop seizures due to an acute hypoxic-ischemic event associated with a ventricular arrhythmia. We present a case of a 47-year-old male who came to the Emergency Department (ED) with seizures and was diagnosed as LQTS. The cardiac cause of seizures was suspected because the patient was pulseless during the episode of seizures. The patient developed refractory ventricular tachycardia in the ED and was cardioverted (synchronized) multiple times. He was also put on amiodarone infusions. The patient was then urgently shifted to the Coronary Cath Lab for temporary pacemaker insertion with overdrive pacing. He was advised for an automated implantable cardioverter-defibrillator. This case illustrates that prolonged QT syndrome can masquerade as seizure. Therefore, a careful examination should be done in the patient presenting with the same and a cardiac cause should be excluded. Delays in recognition and treatment may expose the patient to a high risk of sudden cardiac death.
Authors and Affiliations
Ketki Siroha, Wasil Rasool Sheikh, Ankur Verma, Sanjay Jaiswal
Keywords
Related Articles
- EP ID EP477866
- DOI -
- Views 85
- Downloads 0
Cystic lymphangioma of parotid in adult - A rare entity
Cystic lymphangioma of parotid in an adult is a rare occurrence. Very few cases of cystic lymphangioma of parotid have been reported in the literature. Here, we report a case of parotid cystic lymphangioma in a 23-year-o...
Endodontic management of dental pain in an inhibitor positive, severe Hemophilia A patient: A brief review and report of a case
Dental health care providers often have to deal with patients requiring special care during treatment planning, and certain precautions while carrying out the procedures, and patients with bleeding disorders are one of t...
Neonatal dengue with enterococcus sepsis
Dengue infection is possible in all the three trimesters of pregnancy and is associated with various maternal and neonatal complications. The occurrence of subclinical infections may lend further confusion to the situati...
Solid pseudopapillary neoplasm of the pancreas in Sub-Saharan Africa: A case report and review of literature
Solid pseudopapillary neoplasm of the pancreas is a rare indolent malignant tumor mostly found in young women in the second and third decades of life. Only about 3000 cases have been reported in English literature, with...
Chronic abruption in early second trimester mimicking partial mole - A rare case report
Placental abruption is known as one of the most serious complications in pregnancy with detrimental effect on both the mother and the fetus. The clinical presentation and the ultrasound findings of this condition vary to...