Key result
A 17-year-old female with a history of convulsive syncope developed unprovoked generalized tonic-clonic seizures and achieved complete seizure freedom for 2 years after starting levetiracetam 1,000 mg.
Case Report (n=1)
This case highlights the importance of distinguishing between convulsive syncope and convulsive seizure, which can coexist and transition over time, using detailed seizure semiology and EEG findings.
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Should not change practice from one case; leaves open whether levetiracetam alters syncope-to-seizure progression.
Sakakibara-Hayashi et al. (2020) conducted a case report in Convulsive syncope and convulsive seizure (n=1). Levetiracetam was evaluated on Seizure freedom. A 17-year-old female with a history of convulsive syncope developed unprovoked generalized tonic-clonic seizures and achieved complete seizure freedom for 2 years after starting levetiracetam 1,000 mg.
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