A Case of Loss of Consciousness due to Epilepsy Diagnosed Using an Implantable Loop Recorder

• Betsuyaku Tetsuo

  Division of Cardiovascular Medicine, Department of Internal Medicine, Hokkaido Medical Center

• Sato Minoru

  Division of Cardiovascular Medicine, Department of Internal Medicine, Hokkaido Medical Center

• Sugiyama Eitaro

  Division of Cardiovascular Medicine, Department of Internal Medicine, Hokkaido Medical Center

• Muto Harutatsu

  Division of Cardiovascular Medicine, Department of Internal Medicine, Hokkaido Medical Center

• Minoshima Akiho

  Division of Cardiovascular Medicine, Department of Internal Medicine, Hokkaido Medical Center

• Tamada Atsushi

  Division of Cardiovascular Medicine, Department of Internal Medicine, Hokkaido Medical Center

• Fujita Masaaki

  Division of Cardiovascular Medicine, Department of Internal Medicine, Hokkaido Medical Center

• Inoue Hitoki

  Division of Cardiovascular Medicine, Department of Internal Medicine, Hokkaido Medical Center

• Teranishi Jun-ichi

  Division of Cardiovascular Medicine, Department of Internal Medicine, Hokkaido Medical Center

• Takenaka Takashi

  Division of Cardiovascular Medicine, Department of Internal Medicine, Hokkaido Medical Center

• Okamoto Hiroshi

  Division of Cardiovascular Medicine, Department of Internal Medicine, Hokkaido Medical Center

抄録

We report a case of clonic-tonic seizures diagnosed using an implantable loop recorder, a device for detecting cardiac arrhythmias. A 65-year-old man was referred to our hospital for loss of consciousness with myotonic jerks during sleep. He had experienced several similar episodes. No family history of sudden death was evident, and no structural heart disease was present. Coronary angiography with intracoronary acetylcholine (ACh) showed neither organic stenosis nor vasospastic angina. Ventricular tachyarrhythmias were not induced by programmed electrical stimuli. Sleep electroencephalography, brain magnetic resonance imaging and magnetic resonance angiography revealed no specific findings. We implanted a loop recorder to monitor rhythm abnormalities. One month later, an attack occurred at night. His wife recognized the episode and activated the implantable loop recorder. No arrhythmia was recorded, but myopotentials characteristic of tonic-clonic seizures were detected.

収録刊行物

• Journal of Arrhythmia

  Journal of Arrhythmia 27 (1), 76-79, 2011

  日本不整脈学会

キーワード

• Implantable loop recorder
• Tonic-clonic seizure
• Convulsive syncope
• Epilepsy

詳細情報

• CRID: 1390001205247109888
• NII論文ID: 10029598694
• NII書誌ID: AA12059301
• DOI: 10.4020/jhrs.27.76
• ISSN: 18832148
• ISSN: 18804276
• Web Site: https://search.jamas.or.jp/link/ui/2012030818
• 本文言語コード: en
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可