Key result
A sexagenarian presenting with recurrent focal seizures was found to have cardiac arrhythmias as the underlying cause, highlighting the importance of careful history and focused investigations.
Case Report (n=1)
Cardiac arrhythmias can rarely manifest with focal neurological events such as seizures, highlighting the importance of careful history and focused investigations to avoid misdiagnosis.
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Consider cardiac arrhythmias in recurrent focal seizures; single case leaves open prevalence and diagnostic yield.
Neurological manifestations such as seizures although rare are well recognized presentations of cardiac arrhythmias. Almost always, such events are primarily generalized in nature leading on to loss of consciousness. Rarely however, cardiac seizures can manifest with focal neurological events. We report a case of a sexagenarian who presented with recurrent focal seizures with secondary generalization, who was misdiagnosed and treated as seizure disorder; only a careful history and focussed investigations helped in realising a precise diagnosis.
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Mithun J. Varghese (2016) conducted a case report in Cardiac arrhythmias presenting as refractory seizures (n=1). A sexagenarian presenting with recurrent focal seizures was found to have cardiac arrhythmias as the underlying cause, highlighting the importance of careful history and focused investigations.
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