Key result
A 36-year-old woman with a history of childhood seizures presented with recurrent blackouts preceded by palpitations and breathlessness, prompting neurological and cardiological investigations.
Case Report (n=1)
Highlights the diagnostic challenge of distinguishing between seizures and cardiogenic syncope in patients with recurrent blackouts.
Answers are grounded in this paper and cite their sources.
Supports multidisciplinary blackout evaluation; single case leaves open broader screening implications.
A 36-year-old woman was referred to our neurological and cardiological services with recurrent blackouts. She was diagnosed at age 6 with nocturnal generalised tonic-clonic seizures, which settled by age 13 with Carbamazepine. During adulthood, her seizures were thought to have recurred, but now occurred upon rising up from bed and were preceded by palpitations, breathlessness and light-headedness. Having passed out, she would often bite her cheek, lose urinary continence and was seen to convulse. Upon termination, she would recover rapidly without a clear postictal phase. Our patient's grandmother died suddenly of an unknown cause at age 44. Neurological investigations showed a …
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Luther et al. (2014) conducted a case report in Recurrent blackouts (n=1). A 36-year-old woman with a history of childhood seizures presented with recurrent blackouts preceded by palpitations and breathlessness, prompting neurological and cardiological investigations.
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