Convulsive syncope then convulsive seizure occurred in the long clinical course: a case report
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- M.D. Sakakibara-Hayashi Kozue
- Department of Neurology, Kyoto University Graduate School of Medicine
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- M.D. Inoue Takeshi
- Child and Adolescent Epilepsy Center, Pediatric Neurology, Osaka City General Hospital Department of Epilepsy, Movement Disorders and Physiology, Kyoto University Graduate School of Medicine
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- M.D., Ph.D. Kuki Ichiro
- Child and Adolescent Epilepsy Center, Pediatric Neurology, Osaka City General Hospital
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- M.D. Usui Masakatsu
- Department of Emergency, Uji-Tokusyukai Medical Center
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- M.D., Ph.D. Ikeda Akio
- Department of Neurology, Ijinkai Takeda General Hospital Department of Epilepsy, Movement Disorders and Physiology, Kyoto University Graduate School of Medicine
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- M.D., Ph.D. Kanda Masutaro
- Department of Neurology, Ijinkai Takeda General Hospital
Bibliographic Information
- Other Title
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- 神経調節性失神に伴うけいれん性失神（convulsive syncope）と特発性全般てんかんに伴う全般強直間代発作（convulsive seizure）の並存・移行と判断された1例
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Abstract
<p>A 17-year-old woman presented with transient consciousness impairment attack and convulsion after bathing and prolonged standing since age 12. EEG showed WHAM ( wake, high amplitude, anterior, male) type of phantom spikes that usually carry the high risk of epilepsy at age 13. At age 17, EEG wise generalized spike and wave complex was recorded once, and head-up tilt test was positive. She was carefully observed without antiepileptic drugs since convulsive syncope due to neurally mediated syncope was most likely. During the follow-up period, she had eventually unprovoked generalized tonic-clonic seizures (convulsive seizure) twice and thus she was started with antiepileptic drug with success. Although both convulsive syncope and convulsive seizure differ in nature and effects on quality of life, in this patient, the latter occurred later and both occurs together. It is important to distinguish them by means of the degree of convulsion and EEG finding.</p>
Journal
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- Rinsho Shinkeigaku
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Rinsho Shinkeigaku 60 (9), 627-630, 2020
Societas Neurologica Japonica