[A case of Brugada syndrome which developed status epilepticus]

Rinsho Shinkeigaku. 2016 Dec 28;56(12):857-861. doi: 10.5692/clinicalneurol.cn-000945. Epub 2016 Nov 25.
[Article in Japanese]

Abstract

A 35-year-old man showed a convulsive attack with consciousness loss and was suspected of having Brugada syndrome 6 months prior to admission to our hospital. At the initial examination, the patient showed conjugate deviation, followed by left limb convulsions and consciousness loss. He regained consciousness after 1 minute, though cardiac arrest from ventricular fibrillation was noted during an electroencephalography (EEG) examination. Sinus rhythm recovered with defibrillation, though the convulsions persisted and a Status Epilepticus developed. The patient was diagnosed with Brugada syndrome and received implantable cardioverter defibrillator (ICD). After ICD, he has suffered no further convulsive attacks. Brugada syndrome is an inheritable cardiac disease causing sudden death by ventricular fibrillation. It is important to consider both epilepsy and arrhythmia in diagnosis of the seizures.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Brugada Syndrome / complications*
  • Brugada Syndrome / diagnosis*
  • Brugada Syndrome / genetics
  • Brugada Syndrome / therapy
  • Child
  • Child, Preschool
  • Death, Sudden, Cardiac / etiology
  • Death, Sudden, Cardiac / prevention & control
  • Defibrillators, Implantable*
  • Electroencephalography
  • Female
  • Humans
  • Male
  • Middle Aged
  • Seizures / etiology
  • Status Epilepticus / etiology*
  • Unconsciousness / etiology
  • Young Adult