Syncope or seizure? The diagnostic value of synchronous tilt testing and video-EEG monitoring in children with transient loss of consciousness

Epilepsy and Behavior

Volumn 24, Issue 1, 2012, Pages 93-96

  Yilmaz, S ^a   Gokben S ^a   Levent, E ^a   Serdaroglu G ^a   Ozyurek R ^a  

^a EGE UNIVERSITY   (Turkey)

Author keywords

Cardioinhibitory syncope; Electroencephalogram; Epilepsy; Pacemaker; Syncope; Tilt testing; Vasovagal syncope

Indexed keywords

ANTICONVULSIVE AGENT;

ABDOMINAL PAIN; ADOLESCENT; ADULT; ARTICLE; ASYSTOLE; ATONIC SEIZURE; CARDIOINHIBITORY SYNCOPE; CHILD; CLINICAL ARTICLE; CROSS-SECTIONAL STUDY; DIAGNOSTIC TEST; DIAGNOSTIC VALUE; DIFFERENTIAL DIAGNOSIS; DIZZINESS; DRUG ABUSE; ELECTROENCEPHALOGRAPHY; EPILEPSY; FEMALE; HUMAN; IMPLANTATION; MALE; NAUSEA; PACEMAKER; SCHOOL CHILD; SEIZURE; SYNCHRONOUS TILT TEST; SYNCOPE; UNCONSCIOUSNESS; VIDEORECORDING;

ADOLESCENT; CHILD; CHILD, PRESCHOOL; ELECTROCARDIOGRAPHY; ELECTROENCEPHALOGRAPHY; FEMALE; HUMANS; MALE; SEIZURES; SYNCOPE; TILT-TABLE TEST; UNCONSCIOUSNESS; VIDEO RECORDING; YOUNG ADULT;

EID: 84860690454     PISSN: 15255050     EISSN: 15255069     Source Type: Journal    
DOI: 10.1016/j.yebeh.2012.02.006     Document Type: Article

References (15)

1. Schreiner A., Pohlmann-Eden B. Value of the early electroencephalogram after a first unprovoked seizure. Clin Electroencephalogr 2003, 34:140-144.
2. Uldall P., Alving J., Hansen L.K., Kibæk M., Buchholt J. The misdiagnosis of epilepsy in children admitted to a tertiary epilepsy centre with paroxysmal events. Arch Dis Child 2006, 91:219-221.
3. Kotagal P., Costa M., Wyllie E., Wolgamuth B. Paroxysmal nonepileptic events in children and adolescents. Pediatrics 2002, 110:e46.
4. Moya A., Sutton R., Ammirati F., et al. Task force for the diagnosis and management of syncope. Guidelines for the diagnosis and management of syncope. Heart J 2009, 30:2631-2671.
5. Sheldon R., Rose S., Connolly S., Ritchie D., Koshman M.L., Frenneaux M. Diagnostic criteria for vasovagal syncope based on a quantitative history. Eur Heart J 2006, 27:344-350. for the Syncope Symptom Study Investigators.
6. Brignole M., Menozzi C., Del Rosso A., et al. New classification of haemodynamics of vasovagal syncope: beyond the VASIS classification. Analysis of the pre-syncopal phase of the tilt test without and with nitroglycerin challenge. Europace 2000, 2:66-76.
7. Dietz S., Murfitt J., Florence L., Thakker P., Whitehouse W.P. Head-up tilt testing in children and young people: a retrospective observational study. J Paediatr Child Health 2011, 47:292-298.
8. Sabri M.R., Mahmodian T., Sadri H. Usefulness of the head-up tilt test in distinguishing neurally mediated syncope and epilepsy in children aged 5-20years old. Pediatr Cardiol 2006, 27:600-603.
9. Rodrigues Tda R., Sternick E.B., Moreira Mda C. Epilepsy or syncope? An analysis of 55 consecutive patients with loss of consciousness, convulsions, falls, and no EEG abnormalities. PACE 2010, 33:804-813.
10. Eirís-Puñal J., Rodríguez-Núñez A., Fernández-Martínez N., Fuster M., Castro-Gago M., Martinón J.M. Usefulness of the head-upright tilt test for distinguishing syncope and epilepsy in children. Epilepsia 2001, 42:709-713.
11. Josephson C.B., Rahey S., Sadler R.M. Neurocardiogenic syncope: frequency and consequences of its misdiagnosis as epilepsy. Can J Neurol Sci 2007, 34:221-224.
12. Duplyakov D., Golovina G., Garkina S., Lyukshina N. Is it possible to accurately differentiate neurocardiogenic syncope from epilepsy?. Cardiol J 2010, 17:420-427.
13. Zaidi A., Clough P., Cooper P., Scheepers B., Fitzpatrick A.P. Misdiagnosis of epilepsy: many seizure-like attacks have a cardiovascular cause. JACC 2000, 36:181-184.
14. McLeod K.A., Wilson N., Hewitt J., Norrie J., Stephenson J. Cardiac pacing in infants and children. Heart 2010, 96:1502-1508.
15. Silvani S., Ciucci G., Verità E., Rebucci G.G., Maresta A. The correlation between the type of positivity of the tilt test and a simultaneous electroencephalogram: the preliminary results. Ital Heart J Suppl 2000, 1:103-109.