Xu Zheyu, Bower Simon, Seneviratne Udaya
Department of Neuroscience, Monash Medical Centre, Clayton.
Department of Neuroscience, Monash Medical Centre, Clayton, Department of Medicine, Monash University, Melbourne, Australia.
Epileptic Disord. 2014 Mar;16(1):101-6. doi: 10.1684/epd.2014.0627.
Severe cardioinhibitory vasovagal syndrome is characterised by syncope accompanied by cardiac asystole which may lead clinically to seizure-like motor activity. Vasovagal syncope usually occurs in erect posture and is often provoked by emotional or physical triggers. We report two patients who presented with severe cardioinhibitory vasovagal syncope accompanied by cardiac asystole resulting in seizure-like motor manifestations in sleep and supine posture. Both cases were initially diagnosed as epilepsy and treated with antiepileptic drugs. We discuss the putative mechanisms of this rare condition and its potential for misdiagnosis as epilepsy.
严重心脏抑制性血管迷走神经综合征的特征是晕厥伴有心搏停止，临床上可能导致类似癫痫发作的运动活动。血管迷走性晕厥通常发生在直立姿势，常由情绪或身体诱因诱发。我们报告了两名患者，他们表现为严重心脏抑制性血管迷走神经晕厥并伴有心搏停止，在睡眠和仰卧姿势时出现类似癫痫发作的运动表现。这两例最初均被诊断为癫痫并接受抗癫痫药物治疗。我们讨论了这种罕见病症的假定机制及其被误诊为癫痫的可能性。
