TY  - JOUR
TT  - Cardiovascular Etiology with Report of 3 Cases in Differential Diagnosis of Epilepsy
AU  - Araz, Nilgün Çöl
AU  - Yılmaz, Kutluhan
AU  - Ölmez, Akgün
AU  - Kılınç, Metin
PY  - 2009
DA  - August
JF  - Meandros Medical And Dental Journal
JO  - Meandros Med. Den. j.
PB  - Aydin Adnan Menderes University
WT  - DergiPark
SN  - 2149-9063
SP  - 37
EP  - 40
VL  - 10
IS  - 2
KW  - Epilepsi
KW  - senkop
KW  - tilt testi
KW  - Wolf Parkinson White sendromu
N2  - Epilepsy is a disorder with an incidence of 0.5-1.0% in childhood and characterized by recurrent seizures. The incidence of syncope in childhood is 15% and it causes 3-5% of admissions to the emergency department. Although syncope is more frequent than epilepsy in general population, usually epilepsy is the first pre-diagnosis in patients with loss of consciousness and seizures. Detailed investigations may show other reasons like syncope and cardiologic diseases as the cause of loss of consciousness.   In this paper,we present 3 patients admitted to the pediatric emergency department and pediatric neurology clinic with cardiovascular reasons in the etiology of loss of consciousness and pointed out that cardiac syncope should be remembered in the differential diagnosis of epilepsy.
CR  - 1. Petkar S, Cooper P, Fitzpatrick AP. How to avoid a
misdiagnosis in patients presenting with transient loss
of consciousness. Postgrad Med J 2006;82:630-41.
CR  - 2. Ferrie CD. Preventing misdiagnosis of epilepsy. Arch
Dis Child 2006;9:206-9.
CR  - 3. Stroink H, Van Donselaar CA, Geerts AT, Peters AC,
Brouwer OF, Arts WF. The accuracy of the diagnosis of
paroxysmal events in children. Neurology
2003;60:979-82.
CR  - 4. Eiris-Punal J, Rodriguez-Nunez A, FernandezMartinez
N, Fuster M, Castro-Gago M, Martinon JM.
Usefulness of the head-upright tilt test for
distinguishing syncope and epilepsy in children.
Epilepsia 2001;42:709-13.
CR  - 5. Castro RRT, Nobrega ALC. Tilt table test in the
differantial diagnosis of refractory “epilepsy”. Arq
Bras Cardiol 2006;87:192-4.
CR  - 6. Hindley D, Ali A, Robson C. Diagnoses made in a
secondary care “fits, faints and funny turns” clinic.
Arch Dis Child 2006;91:214-8.
CR  - 7. The Task Force on Syncope, European Society of
Cardiology. Guidelines on management (diagnosis and
treatment) of syncope-update of 2004. Europace
2004;6:467-537.
CR  - 8. Massin MM, Malekzadeh-Milani S, BenatarA. Cardiac
syncope in pediatric patients. Clin Cardiol 2007;30:81-
5.
CR  - 9. Tatlı B, Aydınlı N, Çalışkan M, Özmen M. Non
epileptik paroksismal olaylar: olgu sunumları ile
derleme. Türk PediatriArşivi 2004;39:58-64.
CR  - 10. Zaidi A, Clough P, Copper P, Scheepers B, Fitzpatrick
AP. Misdiagnosis of epilepsy: many seizure-like
attacks have a cardiovascular cause. J Am Coll Cardiol
2000;36:181-4.
CR  - 11. Dubin A. Disturbances of the rate and rhythm of the
hearth. In: Kliegman RM, Behrman RE, Jenson HB,
Stanton BF, eds. Nelson textbook of pediatrics. 18th ed.
Philadelphia: Saunders Elsevier Press, 2007:1942-8.
UR  - https://dergipark.org.tr/en/pub/meandrosmdj/issue//544160
L1  - https://dergipark.org.tr/en/download/article-file/678656
ER  -