Key result
Insertion of a dual-chamber permanent pacemaker prevented any further episodes of transient loss of consciousness over a 3-year follow-up in a patient previously misdiagnosed with seizures.
Why the study?
Syncope and seizure both cause transient loss of consciousness and share common features that often lead to misdiagnosis.
Case Report (n=1)
Answers are grounded in this paper and cite their sources.
This case highlights that recurrent transient loss of consciousness in elderly patients can be misdiagnosed as seizures, emphasizing the need for thorough cardiac evaluation and potential pacemaker implantation for underlying arrhythmias.
Transient loss of consciousness (TLOC) is one of the common causes for referral to hospital. Syncope and seizure can cause TLOC. Syncope and seizures can be the consequences of each other's. Their common features often lead to misdiagnosis. Case Description: The purpose of this s tudy was to present a patient (male, over 80 years), who received antiepileptic treatment for 6 years for seizure-related transient loss of consciousness.
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Mehr et al. (2019) conducted a case report in Transient loss of consciousness (TLOC) (n=1). Dual-chamber permanent pacemaker (PPM) vs. Antiepileptic treatment (historical) was evaluated on Occurrence of transient loss of consciousness (TLOC). Insertion of a dual-chamber permanent pacemaker prevented any further episodes of transient loss of consciousness over a 3-year follow-up in a patient previously misdiagnosed with seizures.
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