Importance of cardiological evaluation for first seizures  

作　　者：Ho Choong Ibrahim Hanna Roy Beran 

机构地区：[1]Department of Neurology and Neurophysiology Liverpool Hospital [2]School of Medicine, Griffith University [3]Strategic Health Evaluators

出　　处：《World Journal of Clinical Cases》2015年第4期381-384,共4页世界临床病例杂志

摘　　要：This paper reports two cases of long QT syndrome(LQTS) which presented with seizures as their initial feature. Case 1, AB was seen in emergency department with post-partum seizure, discharged and re-presentedfollowing cardiac arrest associated with LQTS. Case 2, CD presented initially with tonic-clonic seizure and because of experience with AB, CD was assessed for LQTS which was subsequently confirmed. The legal medicine experience re Dobler v Halverson, which involved a young boy with LQTS, who suffered cardiac arrest without prior diagnosis of LQTS, has reinforced the requirement to seriously consider LQTS as an aetiological factor in first seizure presentations.This paper reports two cases of long QT syndrome(LQTS) which presented with seizures as their initial feature. Case 1, AB was seen in emergency department with post-partum seizure, discharged and re-presentedfollowing cardiac arrest associated with LQTS. Case 2, CD presented initially with tonic-clonic seizure and because of experience with AB, CD was assessed for LQTS which was subsequently confirmed. The legal medicine experience re Dobler v Halverson, which involved a young boy with LQTS, who suffered cardiac arrest without prior diagnosis of LQTS, has reinforced the requirement to seriously consider LQTS as an aetiological factor in first seizure presentations.

关 键 词：Long QT syndrome PROLONGED QT Torsades de POINTES SEIZURE EPILEPSY 

分 类 号：R742.1[医药卫生—神经病学与精神病学]