Todd's paresis following vasovagal syncope provoked by tilt-table testing.

BMJ Case Reports
David MoloneyRose Anne Kenny

Abstract

A 38-year-old woman presented with a history of recurrent episodes of transient loss of consciousness (TLOC) with seizure-like activity and post-TLOC left sided paresis. Electroencephalogram and MRI of the brain were normal, and events were not controlled by anti-convulsant therapy. Tilt testing produced reflex mixed pattern vasovagal syncope, with exact symptom reproduction, including bilateral upper and lower limb myoclonic movements and post-TLOC left hemiparesis that persisted for 27 min. A witness for the tilt event confirmed reproduction of patients 'typical' TLOC event. Syncope is the most frequent cause of TLOC. Myoclonic movements during syncope are not uncommon and can be misdiagnosed as epilepsy. It is rare to experience paresis after syncope, which in this case, lead to misdiagnosis and unnecessary anti-convulsant treatment.

References

Jun 25, 2003·Neurology·Shelagh B CouttsMichael D Hill
Sep 10, 2003·Archives of Internal Medicine·Rod PassmanAlan Kadish
Oct 19, 2006·Journal of the American College of Cardiology·Nynke van DijkUNKNOWN PC-Trial Investigators
Mar 26, 2011·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Clodagh O'DwyerRose Anne Kenny
Dec 18, 2013·Brain : a Journal of Neurology·J Gert van DijkWouter Wieling
Jan 30, 2015·QJM : Monthly Journal of the Association of Physicians·D J RyanR A Kenny
Jun 25, 2016·QJM : Monthly Journal of the Association of Physicians·R A Kenny, T McNicholas
Mar 20, 2018·Neurology·Sharon ShmuelyRoland D Thijs
Mar 22, 2018·European Heart Journal·Michele BrignoleUNKNOWN ESC Scientific Document Group

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Related Papers

Clinical Autonomic Research : Official Journal of the Clinical Autonomic Research Society
Roland ThijsGert van Dijk
Autonomic Neuroscience : Basic & Clinical
Dirk P Saal, J Gert van Dijk
Pacing and Clinical Electrophysiology : PACE
Rajat JhanjeeDavid Benditt
© 2022 Meta ULC. All rights reserved